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The case was a 77-year-old man. He presented with abdominal pain and melena to our hospital. Abdominal CT showed thickening of the small intestinal wall and findings of intraperitoneal free air.

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BACKGROUND Splenosis is the ectopic autotrasplantation of splenic tissue that can follow trauma to the spleen or splenectomy and can occur anywhere in the peritoneal cavity or extraperitoneally. Splenosis can present incidentally without symptoms or with various symptoms depending on size and location. We describe a case of pelvic splenosis mimicking endometriosis in presentation.

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Perforated rectosigmoid colon resulting from gastrointestinal stromal tumor presenting with peritonitis: A case report.

Int J Surg Case Rep

March 2025

Division of Colon and Rectal Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan. Electronic address:

Introduction: Colorectal perforations can arise from various causes. The most common cause of the colorectal perforations is diverticulitis, while tumors account for only a small part. Perforations frequently occur in older patients, particularly in the sigmoid colon, and distinguishing between those caused by diverticulitis and colorectal cancer can be clinically challenging.

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Cystic echinococcosis, also known as hydatid cyst, is a parasitic infection of mammals that can affect any organ. Although the diagnosis of primary splenic echinococcosis is challenging, especially in nonendemic areas, it can be life-saving because an anaphylactic shock may occur when the cyst ruptures. Recommendations regarding optimal treatment options after rupture are scarce, and the overall prognosis remains poor.

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Introduction: The occurrence of type II endoleak (T2EL) presents a significant challenge in standard endovascular aneurysm repair (EVAR), with ongoing debate in the literature regarding its optimal management. Although spontaneous resolution has been observed in many cases, intervention is often required to prevent progressive sac enlargement and rupture. Various approaches have been described, including translumbar, transarterial, and transcaval embolization, as well as direct sac puncture.

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