Introduction: Situs Inversus (SI) is a rare congenital anomaly that affects 1:10,000 to 1:20,000 people. It is characterized by the mirror image of the abdominal and thoracic viscera. Situs Inversus Incompletus (SII) is an abdominal heterotaxis associated with levocardia. It is a much rarer condition and accounts for 1 in 2,000,000 of the general population. Small bowel diverticulum is a rare condition, in which most patients are asymptomatic. In this report, we present a patient with IBS with an acute abdomen due to a perforated jejunal diverticulum, treated at the Hospital de Base of São José do Rio Preto, Brazil.

The case addresses a patient who suffered a penetrating wound by a knife in right anterior cervical region (zone I) and left thoracic region that was admitted with signs of hemorrhagic hypovolemic shock (class III). The emergency surgical approach in patients with cervical trauma is indicated in cases of shock that is refractory to volume replacement, murmurs in the cervical region, and intense active bleeding. It is also suggested to avoid approaching non-expandable hematomas due to the risk of rebleeding. In this case, the patient had bleeding in the orifice of the cervical region and signs of shock. First, bleeding control was performed with Foley catheter placed in the wound and a massive transfusion protocol was initiated in the emergency room. Then, the patient was referred to the operating room. The management of penetrating neck injuries is based on anatomical division of the cervical region into zones I, II and III. Zone II is the area where most lesions are observed, followed by zones I and III.

Penile cancer is a rare but very aggressive neoplasm, associated with poor hygiene conditions, HPV infection and other Sexually Transmitted Diseases (STDs), among other risk factors, whose incidence is higher in underdeveloped and developing countries. It presents as an ulcerated, infiltrative lesion and can affect the body of the penis, foreskin or glans. Usually diagnosed through biopsy of suspicious lesions and staged with physical examination, CT of the chest and abdomen, and MRI of the pelvis. Treatment, depending on the stage, involves surgery and systemic treatment with immunomodulators and chemotherapy.