Leiomyosarcoma of the colon. An uncommon condition.

The gastrointestinal leiomyosarcoma is a rare tumor of the colon that arises from the smooth muscle cells of the intestinal wall. It is a very aggressive tumor with a poor prognosis.

Transanal irrigation as a therapeutic option for patients with incontinence and severe chronic constipation refractory to first-line treatment.

Introduction: The aim is to evaluate the utility of transanal irrigation such as treatment of incontinence and severe chronic constipation which is refractory to first-line therapy, and to assess its impact into the symptomatology and quality of life.

Methods: Observational retrospective study of patients with incontinence and chronic constipation that had initiated transanal irrigation in two hospitals of the region. We collect sociodemographic variables, comorbidity, previous treatments, tests, parameters and incidences during the irrigation, and punctuation in the Cleveland Clinic Incontinence and Constipation Scores and EuroQol-5D Quality Of Life Scale before and after the treatment.

[Acute cholecystitis: is it still justified to delay surgery?].

Introduction: Acute cholecystitis treatment may initially be surgical or conservative with subsequent surgery; we reviewed the cases found in our centre, including their treatment and outcome.

Material And Methods: We conducted a retrospective study of treatment in 178 patients with acute cholecystitis during one year. We evaluated variables associated with patient characteristics, as well as clinical data, diagnostic tests, treatment and outcome.

[Caecal volvulus: presentation of 18 cases and review of literature].

Introduction: Caecal volvulus is the second most frequent location of colonic volvulus after sigmoid colon. It usually shows up as bowel obstruction. MATERIAL Y METHOD: We review our experience of 18 cases of cecal volvulus treated in our centre between 1987 and 2007.

[Post trauma diaphragmatic hernia].

Unlabelled: Posttraumatic diaphragmatic hernias may occur after blunt or penetrating trauma. Due to coexisting injuries and the silent nature of the diaphragmatic lesions, the diagnosis can sometimes be missed in the acute phase and may present later on with obstructive symptoms due to incarcerated organs in the diaphragmatic defect.

Material And Methods: We perform a retrospective study of all operated cases at our institution during the last 20 years.