Hirschsprung's disease in adults: the Duhamel procedure.

Hirschprung's disease is a rare condition in the adult. We present three patients with Hirschsprung's disease who successfully underwent the modified Duhamel procedure. The diagnosis was suspected on the basis of the typical medical history of lifelong constipation.

Prolonged hyperlipasemia attributable to a novel type of macrolipase.

Background: We present the case of an 80-year-old woman who was admitted to hospital with an intermittent volvulus of the right colon. A total colectomy was performed. Initially, serum amylase and lipase increased concordantly, but after a few weeks amylase normalized (85 U/L), whereas lipase increased to 3764 U/L.

Laparoscopic repair of perforated duodenal ulcer. A prospective multicenter clinical trial.

Background: A series of 100 consecutive patients with perforated peptic ulcer were prospectively evaluated in a multicenter study. The feasibility of the laparoscopic repair was evaluated.

Methods: All patients had peritonitis, 20% were in septic shock, and 57% had delayed perforation.

Paraoesophageal hernia with acute intrathoracic volvulus of the stomach after laparoscopic Nissen fundoplication.

In experienced hands, the value of the laparoscopic Nissen fundoplication as antireflux correction is established. The case report concerns a woman who underwent an emergency laparotomy for acute intrathoracic stomach volvulus with incarceration, one year after a laparoscopic Nissen fundoplication was carried out without closure of the diaphragmatic hiatus. In literature acute postoperative paraoesophageal hernia with intrathoracic migration of the stomach as an early and late complication of the laparoscopic fundoplication has already been reported.