Acest review de literatură îşi propune să sintetizeze factorii de risc care predispun la apariţia hipertensiunii intraabdominale în urma curei chirurgicale a herniilor incizionale. Cercetarea noastră a utilizat platformele de cercetare Web of Science, Scopus şi PubMed şi a utilizat ca formulă de căutare: ("Intraabdominal hypertension" OR "intraabdominal pressure" OR "abdominal compartiment syndrome") AND "risk factors" AND "incisional hernia". Filtrarea rezultatelor s-a realizat după următoarele criterii: limba: engleză, publish year > 2000 şi acces: in extenso. În acest context, am ales să împărţim factorii de risc pentru creşterea PIA în următoarele categorii: cei legaţi de habitusul şi antropometria corpului; cei asociaţi cu prezenţa comorbidităţilor; cei legaţi de caracteristicile defectului (eventraţiei) din peretele abdominal; cei asociaţi actului chirurgical. Printre cei mai importanţi pot fi amintiţi: indicele de masă corporală, BPOC, eventraţiile de dimensiuni mari cu pierderea dreptului la domiciliu, tehnica chirurgicală utilizată, timpul operator prelungit şi tentative repetate de închidere a defectului. Cuvinte cheie: hipertensiune intraabdominală, hernie incizională, complicaţiile reconstrucţiei peretelui abdominal, factori de risc

Multiple endocrine neoplasia type 2 is a group of medical disorders associated with tumours of the endocrine system. The tumours may be benign or malignant. They generally occur in the endocrine organs (e.g. thyroid, parathyroid, and adrenals), but may also occur in the endocrine tissues of organs not classically thought of as endocrine. We present the case of a 28-year-old female, with history of MEN2A syndrome confirmed by genetic screening and manifested by bilateral pheochromocytoma, for which she underwent right adrenalectomy in 2009 and left adrenalectomy in 2011, as well as by medullary carcinoma of the thyroid, for which total thyroidectomy was performed in 2009. At present, the patient is under replacement treatment of the thyroid function with LT4 and glucocorticoid and mineralocorticoid replacement therapy with Prednisone and Astonin. Currently, the patient has been periodically presenting herself for clinical and therapeutic endocrinological re-evaluation, in the context of an ongoing pregnancy. During a presentation, in September 2015, the pregnancy being in its 24th week, at ultrasonography, a possible remnant of thyroid tissue was detected, a superior and mediolateral adenopathy, well defined, with some interior calcifications, discretely vascularized, therefore of a suspicious nature and a left supraclavicular small cluster of microcalcifications was also detected. Calcitonin blood level was measured in order to dynamically correlate its evolution with the new ultrasound findings with a significant increase at the current dosing reaching 587.20 pg / ml.

In literature, synchronous colorectal cancer refers to the simultaneous presence of two or moremalignant lesions located along different segments of the large intestine or separated by at least 4cm, detected either pre-, intraoperatively or after maximum 6 months since a surgery addressed to acolon tumor. The incidence of synchronous tumors is approximately 3,5% of all cases of colorectalcarcinoma, while in others it reaches up to 8,4%. It is believed that this difference is mainly due tofalse negative results. The present paper presents the case of a 75-year-old patient, with a history ofessential hypertension and type 2 insulin-requiring diabetes who came to the emergency roomaccusing diffuse abdominal pain and bloating accompanied by the absence of intestinal transit forfecal matter over the past 6 days and an episode of vomiting. The results of the investigationscorrelated with the patient’s symptomatology indicate the diagnosis of bowel obstruction. Theexploratory laparotomy reveals an ulcero- vegetative, partially stenotic mass lesion in the sigmoidcolon with a diameter of about 5/6 cm. A second ulcero-vegetative, stenotic mass was identified atthe hepatic flexure of the colon with a diameter of approximately 8/7 cm. No metastatic lesions onthe liver or in the abdominal cavity were noted. Right hemicolectomy with end-to-endileotransverse-anastomosis and end-to-end colorectal anastomosis were performed. The presentpaper aims to expose the particular aspects of the diagnosis and treatment of bowel obstruction bysynchronous tumors on a patient with abdominal symptomatology attenuated on the background ofneurological complications of diabetes.

A 51-year old patient comes to the hospital complaining of 20-30 bowel movements every day andabdominal pain following the introduction of a new medication for his cardiological problems(notable aspirin). His relevant medical history shows antecedents of hemorrhagic recto-colitis,non-stented coronaropathy, and a colectomy performed more than 10 years before. The diagnosiswas simple to make following laboratory, imagistic and clinical investigations – pouchitis andmedian eventrations following the prior surgery. The real problem appeared the next day followinghis eventration cure – cardiac tamponade in the context of antiplatelet medication. The patient wassuccessfully managed by the cardiothoracic surgeons. An intracardiac foreign body was found andeliminated during the intervention. Taking into consideration the fact that the patient had beentaking antiplatelet medication for almost a month, it is very likely that the foreign body hadmigrated there during or after the corrective surgical procedure for the eventration and created thehemopericardium in this particular context.