HighlightsWe present a unique case of strangulated paracecal hernia with bowel resection.Laparoscopic surgery is feasible and a valid approach for the diagnosis and treatment of internal hernias.A review of the literature regarding paracecal hernias is presented and discussed.
Gallstone is a rare cause of bowel obstruction and is associated with high rates of morbidity and mortality. Here, we report a case of gallstone ileus treated by laparoscopic two-stage procedure. A 65-year-old man, without a history of any surgery, presented to our hospital with abdominal pain and vomiting. His abdominal computed tomography revealed gallstone ileus with cholecystoduodenal fistula. Then, enterolithotomy was performed as an emergency laparoscopic surgery. After 1 year of the surgery, a second laparoscopic procedure was performed for cholecystectomy and fistula closure. The patient was discharged on the 7 postoperative day. Laparoscopic two-stage procedure is a safe and an efficient approach for the management of gallstone ileus. This definitive treatment is minimally invasive, thereby suitable for treating elderly patients.
Diffuse cavernous hemangioma of the rectum (DCHR) is a relatively rare benign vascular disease. DCHR is marked by recurrent bleeding and anemia, and it is difficult to diagnose correctly. Here, we report the case of a 34-yearold man diagnosed with DCHR by colonoscopy, CT, and endoscopic ultrasonography. The patient underwent a robot-assisted anterior abdominal excision and subsequently recovered well from the surgery. Ileostomy closure was performed 3 months after surgery. Eight months after surgery, he had no evidence of rectal bleeding, and his defecation function was good, with no fecal incontinence. Regardless of the characteristics of DCHR and the susceptible age of DCHR, it is important to diagnose DCHR correctly as soon as possible and to treat it without a permanent colostomy. Robot-assisted resection may be a good option for the treatment of DCHR.
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