Disseminated abdominal tuberculosis is a rare and highly complex disease. With a very low incidence of 2.5% of patient with extrapulmonary tuberculosis and no detected in a timely manner reaches up to a mortality of 8%. We present a rare case of disseminated abdominal tuberculosis in an adolescent that began as a splenic abscess managed with open surgery and clinical-surgical finding of disseminated tuberculosis in the abdominal cavity.

4). Open(41) and laparoscopic (10) surgery were used. No mortality, morbidity -15(29%), fistula Grade B -4 (8%), Spleen infarctions-7 (14%), clinically significant spleen infarctions and splenectomies-0. CT and CTA revealed three types of splenic blood supply after DSPPSVR: with gastro-epiploic arcade (GEA) as a main collateral artery (n8, 16%), with short gastric arteries (SGA) as a main collateral (n6, 12%) and intermediate type (n36, 72%). Conclusion:In SPDP SVR in 1/3 of cases only GEA or only SGA are the main collaterals, supplying the spleen, in 2/3 of cases both ways are involved. CT and CTA are mandatory before abdominal surgery for patients after SPDP SVR.

We present the case of a 54-year-old female patient with a family history of multiple endocrine neoplasia type II, with a genetic study for MEN 2 IIA EXON 11, CG6B c634, onset with hypertensive heart disease and diastolic dysfunction, tomographic finding of bilateral adrenal tumor by imaging. A conventional transabdominal adrenalectomy was performed, finding a right tumor with a capsule corresponding to pheochromocytoma with a weight of 1,100 g of 14.5 cm of greater diameter with invasion of the capsule without breaking it, and a left adrenal tumor corresponding to pheochromocytoma with a weight of 950 g of 15 cm of greater diameter. Keywords: Pheochromocytoma, Multiple endocrine neoplasia, adrenalectomy, retroperitoneum, adrenal gland."