Klippel Trenaunay Sendromu(KTS); genellikle neonatal dönemde ortaya çıkan kutanöz hemanjiyom, doğuştan venöz anomaliler, kemik ve yumuşak dokuda hipertrofi ile karakterizedir. Çoğunlukla periferik bulgularla tanı alan KTS nadiren de olsa gastrointestinal sistemi (GİS) içeren vasküler malformasyonlar ile birlikte karşımıza çıkabilir. Bu yazıda rektal kanama ve anemi şikayeti ile başvuran, herhangi bir periferik bulgusu olmadan distal kolon, rektum, mesane ve dalak tutulumuyla karşımıza çıkan 45 yaşında erkek hasta sunulmuştur. Anemi tedavisi ve transfüzyona yanıt alınamayan hastada küratif tedavi olarak rektosigmoid rezeksiyon(anterior rezeksiyon) ve koloanal anastomoz ameliyatı uygulandı.

Laparoscopic Nissen fundoplication is known to be a safe and feasible method in the treatment of hiatal hernias. However, a recurrence rate of 42% has been reported. Using mesh repair in patients undergoing Nissen fundoplication has shown fewer recurrence rates than the primary suture, even though there have been few complications reported. Some complications that may occur with mesh placement are; severe fibrosis, esophageal strictures, esophageal perforations, mesh migration to the upper gastrointestinal tract, and mesh erosion in the intestinal wall, etc. In this report, the migration of the leathery esophagus developed after about 11 years was presented. In such cases, patients may have several surgical options. Among these options, the mesh was completely removed endoscopically. No further surgery was required. In conclusion, it is recommended to use a very selective mesh in the laparoscopic repair of the hiatal hernias, considering the surgeon's experience, hiatus anatomy, and patient's symptoms.

A 33-year-old female patient was admitted to our clinic with complaints of nausea and vomiting for two days and the inability to tolerate food. The patient had a Nissen fundoplication three years ago. Computed tomography (CT) showed a bezoar image in the distal esophagus. The patient stated that the symptoms began after he ate a persimmon two days ago. The patient underwent esophagogastroduodenoscopy. A bezoar was observed in the distal esophagus at the esophagogastric junction. No pathology was observed in the stomach and duodenum. After the bezoar was shredded with a snare and removed with a retrieval snare. Here, we further describe this case of a bezoar that caused ileus in the distal esophagus after a fundoplication operation.

A 78-year-old female patient was admitted to the emergency department with severe abdominal pain and respiratory distress. In the Computer Tomography (CT) examination of the patient; It was observed that there was a hernia in the left leaf of the diaphragm and the stomach, spleen and intestines were protruding in the left pleural space up to the left clavicle. In the patient's anamnesis; there was breathing difficulty that has been going on for many years and has increased in recent days and the general condition disorder that has developed recently. A giant left diaphragmatic hernia was observed in our patient, who was urgently scheduled for diagnostic laparotomy. The spleen, stomach and intestines in the left pleural cavity were taken into the abdomen. Splenectomy was performed because the spleen was adherent to the left pleural cavity and its capsule was opened. The diaphragmatic hernia was repaired and closed with prolene mesh. In this case, we presented the repair and case management of atraumatic diaphragmatic hernia causing acute abdomen and dyspnea.

Safra kesesinde taş olan ve kolesistit kliniği ile gelen 48 yaşındaki kadın hastaya laparoskopik kolesistektomi ameliyatı yapıldı. Bir hafta sonra hasta rutin ameliyat sonrası kontrolüne geldi. Kontrol için yapılan muayenesinde hastanın şikâyetlerinin devam ettiği öğrenildi. İleri incelemeler yapıldı. Radyolojik görüntülemelerde hastanın bilgisayarlı tomografisinde transvers kolonda kitlesel oluşum imajı izlendi. Kolonoskopik inceleme planlandı ve yapılan kolonoskopide transvers kolon lümeninde kitle tespit edildi. Kitleden biyopsi alındı ve patolojik tanısı kolon kanseri olarak sonuçlandı. Hastaya sağ hemikolektomi ameliyatı yapıldı. Post kolesistektomi sendromu genellikle hepatobilier sistemden kaynaklanan sebeplerden dolayı olmaktadır. Ancak bu vakada olduğu gibi post kolesistektomi sendromu nedenleri arasında nadir de olsa kolon kanserinin de olabileceği unutulmamalıdır.