[Case study of diffuse hemangiomatosis of the liver].

In adults, diffuse haemangiomatosis of the liver is a very rare condition. The aetiology and clinical evolution are not well understood, and the literature records isolated cases with different behaviours and treatments. Here we present the case of a 45-year-old patient with haemangiomatose lesions in both lobes of the liver, causing moderate to intense abdominal pain and a bloated sensation in the presence of an abdominal mass, but with hepatic and haematological functions remaining largely intact.

Ipsilateral Aymand's and Richter's hernia, complicated by necrosing fascitis.

This study presents the case of a patient with necrobiosis or necrosing fascitis of the inguinal region, secondary to a complicated Amyand's hernia with a concomitant ipsilateral Richter's hernia. The patient was treated with open trans-abdominal surgery and hernia repair through the pre-peritoneal approach, plus anti-microbians, and thrice-daily wound cleansing and dressings to the inguinal region. Evolution was satisfactory.