Mesenteric inflammatory veno-occlusive disease as a rare cause of acute abdomen.

Mesenteric inflammatory veno-occlusive disease is a rare but recognized cause of intestinal ischemia, who can be defined as phlebitis or venulitis affecting mesentery or the bowel, without any evidence of coexisting of an obvious predisposing cause or a coexisting arterial inflammatory involvement. We report the case of a male patient, 63 year old, admitted in the Emergency County Hospital of Craiova, who after presenting with an acute abdomen, underwent exploratory laparotomy and resection of the ischemic sigmoid, temporary colostomy and after four months we reintroduced descendent colon in the digestive transit. The resected specimen of the patient was examined histopathologically, and distinctive histopathological characteristics of the mesenteric inflammatory veno-occlusive disease were identified.

[Crohn's disease. Clinical and therapeutical considerations].

Crohn's disease is a chronic granulomatous inflammatory condition of the intestinal tract of unknown etiology. Most commonly the disease affects the small bowel, the colon and the rectum. The acute and aggressive forms can evolve fast, mimicking an acute surgical illness, requiring surgical intervention in emergency.

[Primary retroperitoneal tumors--diagnostic and therapeutic difficulties].

This paper emphasizes the diagnosis and therapeutic difficulties in primary retroperitoneal tumors. There were analyzed 68 primary retroperitoneal tumors (1992-2002): 16 (23.5%) benign tumors, 39 (57.

[Coloesophagoplasty, a choice operation for postcaustic esophageal stenosis].

Objective: To evaluate the problems of approach, of technique and of care as a 20 years experience demonstrates.

Material And Method: a retrospective study including 45 operated cases where the large-bowel served as reconstructive material (in 33 cases the transverse colon and in 12 cases right ileocolon).

Results: Healing was obtained in 42 patients.

Acute bowel obstruction - the main complication of colorectal cancer. Therapeutical options.

Aim: to choose the proper therapeutical approach in obstructing colorectal cancer.

Material And Method: 77 (29.2%) obstructing colorectal cancers, 88.

The esophagogastric junction cancer: diagnosis and surgical treatment challenges.

Aim: To present our experience in esophagogastric cancer.

Material And Method: Fifty nine subjects with esophagogastric junction cancer (52 men and 7 women, aged between 41 and 74 years), selected from 79 esophageal cancer patients admitted in the last 20 years (1982-2002) were analysed. The diagnosis was established on the clinical picture (esophageal syndrome 54 cases, weight loss 51 cases, anemia 49 cases), on the imaging tests (chest X-ray, barium swallow and CT scan) and endoscopy.

Cystic tumors of the pancreas. Considerations upon 34 operated cases.

Aim: To point out the morphologic, clinic and therapeutic aspects of pancreatic cystic tumors.

Material And Method: 34 pancreatic cystic tumors (21 males and 13 females, aged between 21 and 68 years), admitted in the last 15 years were analyzed. They were true cysts in 3 cases (9.