[Rupture of the pancreatic isthmus due to blunt abdominal trauma].

The authors report a case of a grade III pancreatic injury resulting from a blunt abdominal trauma, referred to our department for observation and treated with distal splenopancreatectomy. Pancreatic traumas account for approximately 3-5% of blunt abdominal injuries. In cases of isolated pancreatic injuries failure to recognise injury to the Wirsung duct is the main cause of morbidity and mortality.

[Gastrointestinal stromal tumours: a case report and review of the literature].

Gastrointestinal stromal tumours are a heterogeneous group of neoplasms of the digestive apparatus characterised by a complex histogenesis and lines of differentiation that make it difficult to predict their biological behaviour. Expression of the c-kit receptor in about 99% of gastrointestinal stromal tumours suggests they may originate from a common mesenchymal element with a variable possibility of phenotypical differentiation. The Authors report a case of small bowel gastrointestinal stromal tumour referred to them for severe bleeding and treated surgically.

Revascularization of the internal carotid artery for isolated, stenotic, and symptomatic kinking.

Hypothesis: The operation for isolated, stenotic, and symptomatic kinking of the internal carotid artery is safe and effective in preventing stroke and relieving the symptoms of cerebral ischemia.

Design: A consecutive sample clinical study with a mean follow-up of 44 months.

Setting: The surgical department of an academic tertiary care center and an affiliated secondary care center.