Perianal giant condyloma acuminatum (Buschke-Löwenstein tumor). Case report and review of the literature.

Unlabelled: Giant condyloma acuminatum, also known as Buschke-Löwenstein tumor (BLT) is a very rare sexually transmitted disease that affects the ano-genital region. BLT is a slow growing cauliflower-like tumor, but unlike simple condyloma, it is locally aggressive and destructive, malignant transformation occuring in 40-60% of cases. We present a case of perianal carcinomatous BLT and discuss some controversies about the nature and treatment of this disease.

[Temporary total fecal diversion--ultimate solution for complex recurrent anal fistula].

Anal fistula is a frequent disease, but complex fistulae are relatively uncommon. The treatment for this pathology remains debated all over the world, and in cases of complex fistulae represents a challenge. We present a 55 years old male, operated more than 40 times in the last 15 years for perianal recurrent fistulas and abscesses.

[Acute surgical abdomen produced by an abdominalized infected gigantic hydatid cyst].

We report the case of a 47 year old female patient, transferred urgently to our clinic with suspicion of a broken liver hydatid cyst, with acute, generalized peritonitis. Intraoperative we found a gigantic liver hydatid cyst, surrounding the liver with a massive abdominal extension till the Douglas's bottom sack, adhesive to the parietal and visceral peritoneum. There are presented particular aspects concerning the uncertainties that happened in positive diagnosis establish, the disease evolution, as well as the difficulties of surgical conduct in this case.