Paget Disease of Bone Harboring Bone Metastatic Neuroendocrine Cancer: A Case Report.

In this case report, we describe an uncommon case of neuroendocrine cancer of unknown origin began with cauda equina syndrome in a patient affected by Paget disease of bone (PDB). A 76-year-old man with diagnosis of PDB, without history of pain or bone deformity, developed sudden severe low back pain. Bone alkaline phosphatase was increased and MRI and whole-body scintigraphy confirmed the localization of the disease at the third vertebra of the lumbar spine.

[Laparoscopic incidental diagnosis: treatment during laparoscopic surgery].

Background: The authors consider the importance of laparoscopic exploration of the abdominal cavity for the diagnosis of mistaken preoperative pathologies, during laparoscopic surgery.

Results: In our series the incidental diagnosis is 5.3%.

[Videolaparoscopic adrenalectomy in an unusual case of adrenal mycetoma].

The authors report a rare case of mycetoma of the adrenal gland. Mycetoma is a chronic, localized, non-contagious infection of cutaneous and subcutaneous tissue characterized by tumefaction, aggregates of aetiological agents (Actinomyces or true fungi). Sometimes an unusual site (other tissues or organs) is described in the literature, but to date no cases of adrenal gland mycetoma have been reported.

[Laparoscopic surgical treatment of cholecysto-choledochal calculi. A single step solution].

The laparoscopic era has created a new basis for the management of choledocholithiasis. Many surgeons now regard laparoscopic cholecystectomy and exploration of the common bile duct as the "gold standard". The main advantages of single-stage treatment consist in a significantly shorter hospital stay, very low complication rates and a reduction of average hospital costs.

[The laparoscopic treatment of esophageal achalasia. Our experience].

Background: Laparoscopic Heller myotomy combined with a Dor fundoplication is considered the procedure of choice to treat esophageal achalasia. The aim of this study is to report a personal experience and to analyse the controversial aspect of this procedure.

Methods: From January 1997 to March 1998 six patients with esophageal achalasia were treated by Heller laparoscopic myotomy with anterior fundoplication.