Wernicke's encephalopathy after cephalic pancreaticoduodenectomy.

Wernicke's encephalopathy is an acute neurological disorder resulting from thiamine deficiency. We report a case in a young patient who underwent a cephalic duodenopancreatectomy with a bleeding duodenal ulcer refractory to endoscopic and surgical treatment, requiring total parenteral nutrition, without thiamine supplementation.

[Management of hepatic trauma: four years experience].

Introduction: The liver is the second most damaged organ in abdominal trauma. The purpose of this article is to present the experience of our regional reference hospital and summarise the management of these types of injury over the last four years.

Patients And Methods: An observational, descriptive and retrospective study was performed on patients with hepatic trauma admitted to our Department from January 2006 to March 2010.

Isolated oesophageal involvement of Crohn's disease.

A 31-year-old male was admitted with complaints of dysphagia and odynophagia. An upper gastrointestinal tract series revealed inflammatory changes in the mid and distal oesophagus with intramural extravasation of the barium. An upper endoscopy showed multiple ulcerations and inflammation.