We describe herein a case of sporadic retroperitoneal aggressive fibromatosis. A 54-year-old man with a palpable abdominal mass was referred to our hospital for investigation and treatment. Abdominal ultrasonography and computed tomography revealed a solid mass with relatively well-defined borders in the left abdominal retroperitoneum. At surgery, a large tumor (14 x 13 x 11 cm) was found, arising from the retroperitoneal space and involving the wall of jejunum. Complete removal was achieved. Histological examination of the resected specimen revealed the presence of changes consistent with aggressive fibromatosis. The patient was not scheduled for any further treatment. Two years after surgery, the patient is without any signs of recurrent disease. Although extremely rare, aggressive fibromatosis should be considered in the differential diagnosis of retroperitoneal masses. Complete surgical resection with negative pathological margins remains the first line management of these neoplasms. Careful follow-up is indicated because recurrence may occur every time after surgery.

Gall-stone intestinal obstruction (GSO) is an unusual form of mechanical obstruction and a rare complication of cholelithiasis. The treatment options are controversial, usually the management is surgical but associated with significant morbidity and mortality. A spontaneous evacuation of the gall-stone that had induced GSO is even more exceptional, only few reports being published up to date. We report the case of an 81-year-old female patient presenting GSO admitted to our department due to abdominal pain and vomiting. Computed tomography revealed pneumobilia, distention of the ileum and a calcified mass in the small bowel lumen. The diagnosis of GSO was established, but since the gall-stone was <25 mm and severe cardiorespiratory co-morbidities conservative treatment was initiated and spontaneous evacuation of the gall-stone was obtained. Diagnostic and management modalities of GSO as well as literature reviews are reported.

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Isolated rectus abdominis muscle endometriosis is very uncommon with less than 20 case reports being published to date since its first description in 1984 by Amato and Levitt. We report another case of isolated rectus abdominis endometriosis in a 37-year-old patient with a previous caesarian section. We also discuss the diagnostic and treatment particularities in these patients. In our case, the treatment was only surgical and currently the patient is disease-free during the 24-month follow-up.

ÑлÓчаÈ Èз пÐакÒÈкÈЭндометриоз послеоперационного рубца (Эпр) относится к достаточно редким формам экстрагени-тального эндометриоза и в литературе опубликованы отдельные клинические наблюдения или небольшие серии. Чаще всего Эпр встречается после кесарева сечения, однако описаны наблюдения данной патоло-гии после трансабдоминальных гинекологических и хирургических вмешательств. авторами описан случай предоперационной диагностики и хирургического лечения Эпр через три года после кесарева сечения. диагноз подтвержден после морфологического исследования удаленного макропрепарата. в отдаленном послеоперационном периоде рецидива Эпр не наблюдалось. представлен краткий обзор литературы по этиологии и патогенезу, особенностей клинической картины, информативности радиологических методов в диагностике, а также освещены основные принципы хирургического лечения Эпр. Ключевые слова: экстрагенитальный эндометриоз, передняя брюшная стенкаPostoperative scar endometriosis (PSE) is considered to be a rare form of extragenital endometriosis and some case reports or small case series are published in the literature. Most frequently PSE is diagnosed after cesarean sections although observations of the given pathology after transabdominal gynecological and surgical procedure are also described. The authors present the case of preoperatively diagnosed and surgically treated PSE three years after cesarean section. The diagnosis was confirmed after morphological research of the removed macropreparation. There was no PSE recurrence in the long-term follow up period. We propose the literature review regarding the etiology, pathogenesis, particularities of the clinical signs, sensitivity and specificity of the radiological methods of diagnosis, as well as the principles of PSE surgical management.