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We believe that commissioners of healthcare should question whether the benefits of laparoscopic cholecystectomy justify the additional cost after the introduction of the mini-laparotomy approach.

The concomitant occurrence of abdominal aortic aneurysm (AAA) and colorectal cancer (CRC), although rare, always represents a therapeutic dilemma. The incidence of coexistence ranges between 0.49 and 2.1%. Both lesions should be treated to achieve best life expectancy. But the main controversy revolves around whether to treat them simultaneously or as staged procedures. In our institution, we treated seven cases of concomitant AAA and CRC. In five of them, synchronous conventional resection was preferred. In the latest two, which we present, endovascular aortic repair was chosen. No graft infection was documented.

Patient: Male, 40Final Diagnosis: Mesenteric desmoid tumorSymptoms: Abdominal massMedication: —Clinical Procedure: Laparotomy exploratorySpecialty: SurgeryObjective:Rare diseaseBackground:Desmoid-type fibromatosis (DF) is a rare entity that predominantly involves the extremities, the trunk, and the abdominal cavity. It is a non-metastasizing, sporadic mesenchymal tumor with high tendency to recurrence and often is categorized as low-grade sarcoma.Case Report:We present here an extremely rare case of a mesenteric desmoid tumor (DT). A 40-year-old man presented to our clinic with a mass in the right-lower quadrant of the abdomen, which he incidentally palpated. A computerized tomography (CT) scan of the abdomen showed a mass between the loops of small intestine. The patient was treated successfully with wide excision of involved mesentery and adjacent small intestine. Histopathology of the mass revealed DT of the mesentery. No adjuvant treatment was applied and the patient was free of disease after a 6-month follow-up.Conclusions:Intra-abdominal DF is a rare pathology which should be differentiated while exploring abdominal tumors. Surgery, when dealing with operable masses, is the appropriate treatment.