Hydatid Cyst of the Spleen: Tunisian Series of 21 Cases.

Hydatid disease is a parasitic infection caused by Echinococcus granulosus. Splenic involvement is rare even in endemic areas. The aim of this study is to specify epidemiologic features, diagnostic tools, and therapeutic modalities of this uncommon entity.

Post-traumatic Jejunojejunal Intussusception.

Intussusception is a well-known cause of acute abdomen in the pediatric population. Traumatic intussusception is exceedingly rare, with only 22 cases reported in the English language literature. We report a case of jejunojejunal intussusception that happened after blunt trauma to the abdomen in a 10-year-old boy.

[Surgical complications of colostomies].

Background: The colostomy may be terminal or lateral, temporary or permanent. It may have psychological, medical or surgical complications.

Aim: reporting the incidence of surgical complications of colostomies, their therapeutic management and trying to identify risk factors for their occurrence.

Altemeier operation for recurred and strangulated rectal prolapse.

Strangulation of an acute rectal prolapse is a rather unusual entity that represents a surgical emergency. We describe an extremely rare case of recurred, incarcerated, and strangulated acute rectal prolapse. The patient underwent emergency perineal rectosigmoidectomy (the Altemeier operation).

[Treatment of acute colonic pseudo-obstruction (Ogilvie's Syndrome). Systematic review].

Background: Ogilvie's syndrome is acute colonic dilatation without organic obstacle in a previously healthy colon. Surgery is the only treatment of cases complicated by necrosis or perforation. In contrast, treatment of uncomplicated forms is not unanimous, and is the subject of this literature review.

Hydatid cyst of the pancreas. About 12 cases.

Introduction: Pancreatic localization of hydatid disease is atypical and extremely rare; it accounts for less than 1% of cases. Preoperative diagnosis may be difficult regarding the absence of clinical or radiological signs.

Materials And Methods: We report a retrospective study of twelve cases of hydatid cyst of the pancreas over a period of 30 years (1980 to 2010).

Primitive gallbladder tuberculosis: a case report with review of the literature.

Gallbladder tuberculosis is an exceedingly rare disease. A correct preoperative diagnosis of Gallbladder tuberculosis is difficult, and it may be confused with different gallbladder diseases. We present a new case of a patient who underwent surgery with the preoperative diagnosis of cholelithiasis.

An uncommon cause of acute bowel obstruction: the left para-duodenal hernia.

Internal hernias of the abdomen are uncommon. They represent less than 1% of bowel obstruction cases. The left Paraduodenal hernia (PH) is the most frequent type of internal hernias.

Mature cystic teratoma of the pancreas.

The pancreatic teratoma is a congenital tumor which results from abnormal embryonic development of totipotent cells. The preoperative diagnosis is challenging. We report, to our knowledge, the 26th case in a 64-year-old man in whom the diagnosis was made preoperatively on imaging.

[The lithiasic acute cholecystitis: laparoscopic treatment (About 106 cases)].

Aim: To assess the feasibility and the advantages of the coelioscopy in the treatment of the acute cholecystitis.

Methods: From January 1996 to December 2001, 106 laparoscopic cholecystectomies for acute cholecystitis have been collected. The diagnosis of acute cholecystitis has been confirmed for all cases by the pathologic exam.

Intraperitoneal rupture of renal cyst in autosomal dominant polycystic kidney disease.

Context: To report a rare case of spontaneous rupture of an infected renal cyst into the peritoneal cavity.

Case Report: We report a case of 66-year old man with autosomal dominant polycystic kidney disease and kidney dialysis who had suffered from intestinal obstruction and peritoneal syndrome for 2 days associated with purulent urine. An exploratory laparotomy found multiple hepatic cysts and bilaterally enlarged polycystic kidneys.

[Isolated abscess of the thoracic and abdominal wall: an exceptional form of tuberculosis].

Isolated thoracic parietal involvement is a very rare form of tuberculosis and multifocal localization is exceptional. It often poses a diagnostic problem with parietal tumours requiring recourse to surgical biopsy. We report a case of tuberculous abscess localized to the anterior and superior part of the chest wall with a second abdominal localization but without any pulmonary involvement.

[Complications of Meckel's diverticulum. Report of 42 cases].

Aim: Our aim was to report the main complications of the Meckel's diverticulum.

Methods: Our retrospective study concerns 42 cases of complicated Meckel's diverticulum, collected during one period of 18 active years from January 1988 to December 2005. The yearly impact is 2,33 cases/year.

[Clinical and therapeutic results of a retrospective study about 62 cases of epithelial ovarian carcinomas].

Aim: To report retrospectively the therapeutic results and prognostic factors of epithelial ovarian carcinomas throughout a serie of 62 patients treated between 1993 and 2002.

Methods: Patients were treated with primary surgery classified as optimal (complete), sub-optimal or minimal. Adjuvant ciplatin based poly chemotherapy (6 cycles) was indicated in FIGO stage Ic or more.