[A case of two simultaneous carcinoma lesions of the colon and rectum with different differentiation and stage of neoplastic process].

It considers a patient with simuitant colorectal carcinoma. Both tumor lesions are from different stage and different histological type. The grade of invasion of tumor process does not correspond to the histological type of neoplasma and nider to the size of the primer tumor.

[A case of metachronous carcinoma of the colon diagnosed and radical operated with restorative anastomosis after more than 5 years from the first left hemicolectomy].

The authors described their observation about the female patient with an advanced carcinoma (T4) of the descendent colon where left hemicolectomy was done in the beginning of 1998. The patient is operated again after more than 5 years because of the cancer in the site of the anastomosis. Radical reresection with restorative anasomosis is performed and for this reason the colon is putting via mesenteric radix.

[Plastic surgical repair according to Lazar da Silva in large median eventrations].

Lazaro da Silva's technique is postulated as a method free of relapses provided autologous endogenous tissues are made use of. It consists in the raising of three flaps cut from the hernial sac, anterior and posterior sheats of the rectus abdominis muscles. The suture lines lie in three different anatomical planes, thereby promoting restoration of the integrity and anatomical patterns of the anterior abdominal wall.

Budd-Chiari syndrome and inferior vena cava thrombosis in a nephrotic child.

We observed Budd-Chiari syndrome in a boy aged 2 years 6 months with nephrotic syndrome due to hepatic vein and inferior vena cava thrombosis, confirmed by Doppler imaging. Normal values of the routine hemostatic parameters proved that they are of little predictive value for the thrombotic state. Immediate heparin infusion was initiated.