Perforated gastrointestinal stromal tumor in Meckel's diverticulum treated laparoscopically.

Gastrointestinal stromal tumors (GIST) can represent a source of substantial gastrointestinal hemorrhage. Bleeding is described as a frequent cause of clinical presentation and commonly patients received surgical treatment on an urgent basis to drain the hematoma. However, a literature review has shown that perforation with peritonitis is very uncommon and rarely reported.

Fistula to the native esophagus after pharyngogastrostomy for malignant disease: A rare phenomenon in esophageal surgery.

This article features the case study of a 32-year-old female patient who had undergone surgery to remove a cervical spine tumor and who later developed cervical esophagus necrosis secondary to the erosion caused by an osteosynthesis 13 years after her prosthetic cervical surgery. Barium swallow did not show anything abnormal, but after an emergency spiral computerized axial tomography (CAT) scan, a paravertebral abscess was found, along with displacement of the fixation plate and the disappearance of the esophageal silhouette on coronal sections. The patient underwent surgery to drain the abscess, extract the osteosynthesis materials and the stabilization plates, and to perform a temporary esophageal exclusion.

Intermuscular lipoma of the gluteus muscles compressing the sciatic nerve: an inverted sciatic hernia.

The authors report the case of a 50-year-old woman with a benign intermuscular lipoma of the gluteus compressing the sciatic nerve in its course through the sciatic notch. This benign soft-tissue tumor extended into the pelvis, displacing the rectum laterally. Resection was necessary to alleviate symptoms and prevent irreversible damage of the nerve.

[Staged oesophageal reconstruction for benign disease].

Objectives: To assess morbidity, mortality and quality of life after oesophageal reconstruction in patients with oesophageal exclusion for benign diseases.

Patients And Methods: From 2002 to 2011, 20 of 24 patients with esophageal exclusion due to benign disease underwent a delayed reconstruction. We analyzed morbidity, mortality and health-related quality of life using the SF-36 questionnaire, before and after reconstruction.

[Laparoscopic biliopancreatic diversion: a surgical technique in our learning curve].

Background: We present our initial experience with the laparoscopic BPD technique for super-obese patients. Recommended tips on the technique are summarized.

Methods: A total of 35 super-obese patients were submitted to BPD by laparoscopy in November 2009 and June 2010 for the treatment of morbid obesity.