Non-Meckel's ileal diverticulitis with perforation: a rare cause of acute right lower quadrant pain.

A man, aged 74, presented with a rare clinical entity of an acute surgical abdomen similar to acute appendicitis. This case showed a non-Meckel's ileal diverticulitis that was complicated with a diverticular perforation and associated peritonitis. This is a very rare but potential life-threatening surgical emergency, mimicking the clinical presentation of acute appendicitis.

Hand-assisted laparoscopic splenectomy for a splenic hamartoma: two case reports.

We present two patients, each with a hamartoma of the spleen. These cases were thought to be well indicated for a hand-assisted laparoscopic approach and subsequent treatment was successful. Focal lesions of the spleen should be removed intact to allow a complete histological examination and to avoid peritoneal dissemination in case of malignancy.

"Twist & slide" bowel obstruction: two different rare causes of adult bowel obstruction in the same patient.

A man, age 68, presented with two rare clinical entities of adult bowel obstruction. This case showed a caecocolic intussusception (due to a caecal malignant lesion) with a small bowel volvulus secondarily. These are rare but potential life-threatening surgical emergencies.

Physical exercise and improvements in mental health.

1. Walking groups provide activity and support for their members. 2.

Fissure-in-ano, to divide or not to divide?

Anal fissure is one of the most common and painful proctological pathologies affecting mainly young individuals. The physiopathology in the development of a chronic anal fissure seems to be a combination of internal anal sphincter hypertonia and poor vascularization at the posterior midline. Treatment of acute fissures is conservative with supportive therapy, leading to healing in the majority of the patients.