No abstract

Despite the development of preoperative neoadjuvant treatment, preoperative chemoradiotherapy in rectal cancer, metastases pose a challenge in the proper management of the disease, especially as they significantly reduce the 5-years survival rate [1,2]. The occurrence of metastases in rectal cancer disease is an additional important worrying factor not only in the patient but also in the surgeon due to their often-fatal outcome. The fact that up to 20% of patients with rectal cancer have metastatic disease at the stage of detection of the primary disease is challenging and should be taken with great concern [3,4].The latest research on the spread of metastases focuses on their development at the cellular and molecular level. Unfortunately, the epidemiological knowledge is still insufficient due to the fact that the registers for cancerous diseases do not always include the data for the Crimson PublishersWings to the Research

carcinoma in a 63-year-old woman who complained of diffuse abdominal pain. Enhanced computed tomographic (CT) images in the level of the liver show a large amount of ascites (white arrows), nodular soft tissue thickening of the subdiaphragmatic peritoneum (black arrows).Gastric cancer is present and also known for its aggressive behavior and is the second main cause of death from cancer worldwide accounting for 740,000 deaths per year [1,2]. Incidence rates of gastric cancer vary throughout the world, but with two-thirds occurring in

As one of the most frequent malignancies in the world's population, colorectal cancer is also associated with its complications (perforation, obstruction and bleeding). Their incidence is common (2.6-50%), but synchronous occurrence of two of them in a patient is a rare condition and it is reported in small series or as a case report in the literature. We present a case of the descending colon cancer in a female patient that presented with perforation on tumor site with consecutive retroperitoneal and lumbar abscess and simultaneous presentation of large bowel obstruction. The patient was admitted and operated the same day, the abscess was opened and drained and bowel resection was performed with colostomy creation. The postoperative recovery was uneventful and the patient was discharged on postoperative day 10. Due to the high morbidity/mortality in cases of colon cancer emergencies, Hartman's procedure is often a reasonable option. Timely diagnosis of the colon cancer can reduce the complication rate of the disease worldwide.

Introduction. Ventral hernias are quite common, but liver herniation is an extremely rare case. This type of abdominal protrusion of part of the liver usually occurs through incisional weak spots on the abdominal wall. Incisional herniation of the liver usually occurs 2 to 3 years after an abdominal operation consequently leading to focal weakness of the abdominal wall. Case report. We present an extremely rare case of incisional herniation of part of the left and smaller part of the right liver lobe in a woman aged 64 years, as a consequence of a previous open cholecystectomy, creating a focal abdominal wall weakness. Abdominal CT scan was performed. Analysis of the CT scans, as well as of the reconstruction made in the coronal and sagittal plane was performed. Herniation of the left and the smaller part of the right liver lobe through an incisive focal weakness of the right upper quadrant of the abdominal wall was detected. Discussion. Incisional hernias are delayed complications of abdominal surgery. They can occur anywhere on the abdominal wall and are more frequently encountered in a vertical than in a transverse incision. Typically, incisional hernias occur during the first months following surgery, but later occurrence has been reported as well. Herniation of the liver through the anterior abdominal wall is an extremely rare condition and usually related to previous surgery on the upper abdomen. Due to its rarity it is both a diagnostic and therapeutic challenge. Conclusion. We can conclude that there is a connection between liver herniation through the upper abdominal wall and a previously performed open abdominal surgery. CT is the method of choice for diagnosis of liver herniation through the anterior abdominal wall.