Introduction And Importance: While the treatment approach for sarcomas seems straightforward and well-defined, we often encounter several diagnostic or therapeutic challenges in clinical practice. This article presents a case of retroperitoneal leiomyosarcoma in a patient with chronic kidney disease, highlighting the complexity of managing such cases.
Case Report: A 63-year-old woman with a history of chronic kidney disease presented with a progressively enlarging mass in her right flank.
Introduction And Importance: Crohn's disease is a chronic inflammatory bowel disease with complex pathophysiology and multiple complications, some of which can be fatal. We report herein the management of an unusual case of Crohn's disease revealed by two life-threatening complications.
Case Presentation: A 59-year-old patient presented with an acute abdominal pain evolving for one day with a clinical presentation in favor of peritonitis by perforation of the last ileal loop and acute limb ischemia.
Solid pseudo-papillary tumors of the pancreas (SPTP) are rare epithelial tumors. In most cases, they occur in young woman in the second or the third decades of life. Survival after primary resection is approximatively 90% at 5 years.
View Article and Find Full Text PDFGroin hernia in adults is a frequent affection in digestive surgery. Many repair techniques have been described to date, including laparoscopic surgery. Two methods are quickly adopted by the various practitioners for the surgical treatment of groin hernia using laparoscopy: laparoscopic totally extra-peritoneal (TEP) technique and laparoscopic transperitoneal inguinal hernia repair (TAPP).
View Article and Find Full Text PDFBackground: The surgery is required in more than 80% of patients with Crohn's disease (CD). Studies before confirm the specific genetic variation of CD in the Tunisian population compared with the others ethnic groups.
Aim: This article aims to study the epidemiological, anatomical and therapeutic principles of surgical forms of CD in a cohort of Tunisian patients.
Anorectal malformations are congenital anomalies ranging from simple perineal fistulas to complex malformations. They are usually treated inchildhood, and exceptionally in adult. We herein report the case of a 22 years aged patient and relate the diagnosis difficulties and therapeuticoptions.
View Article and Find Full Text PDFGastro-intestinal stromal tumors (GIST) are the most common mesenchymal gastrointestinal tumors. The Gastric location represents 60% of cases [1,2]. Complete surgical excision remains the treatment of reference for the localized forms.
View Article and Find Full Text PDFBackground: Ileo-cecal resection is the most performed procedure in Cohn's disease. In the last decades, the laparoscopic approach became the gold standard. The dissection can be lateral to median or median to lateral.
View Article and Find Full Text PDFBackground: Crohn's disease (CD) is a chronic inflammatory disease of the intestine that can cause an attack by contiguity of the urinary tract. Although the shape is common and fistulizing 35% of all patients with CD, entero-urinary fistulas are rare and only seen in 2-8% of patients. aim: To report the frequency of occurrence of this complication among the group of surgical forms of CD.
View Article and Find Full Text PDFBackground: Curative resection with adequate lymph node dissection is the treatment of choice for gastric cancer.
Aim: To determine the prognostic factors after R0 resection with DII lymph node dissection.
Methods: We retrospectively assessed 126 patients who underwent R0 resection with DII lymph node dissection for gastric cancer (excluding the upper third of the stomach) in a single institution between 1991 and 2006 with median follow-up of 38.
Background: Caroli's disease is a congenital dilatation of the intrahepatic biliary duct.
Aim: To analyse and discuss diagnostic and therapeutics difficulties through 16 patients with Caroli's disease.
Methods: Between January 1990 and September 2010, 16 patients underwent surgical procedure for Caroli's disease.
Transposition of the gallbladder to the left side without situs inversus viscerum is rare. These gallbladders are situated under the left lobe of the liver between Segment III and IV or on Segment III to the left of the falciform ligament. This is a report of a 50-year-old woman who was admitted to our department with a history of pain in her right upper abdomen.
View Article and Find Full Text PDFBackground: Liposarcoma is the most frequent histopathological variety of the retroperitoneum, surgery is the gold standard for treatment.
Clinical Series: We report, retrospectively over 7 years (2000-2006), 5 cases (four men and one woman, the mean age was 48 years) of giant retroperitoneal liposarcomas and study their clinical characteristics intra operatively findings and course evolution. None of our patients had a percutaneous biopsy of his tumour.
Background: Pancreatic leak (PL) remains a major cause of postoperative morbidity in patients undergoing pancreatic resection.
Aim: To identify risk factors related to pancreatic fistula in patients undergoing distal pancreatectomy (DP).
Methods: 35 patients underwent DP during a 10-year period (2000- 2009).
Background: Cystic lymphangioma (CL) is a benign rare malformation of lymphatic vessels. Its discovery in adults is rare. Although it can affect any organ, the common forms found in adults are mesenteric and/or retroperitoneal CL.
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