Background: Due to the limited data comparing treatment outcomes of simple liver cysts (SLCs), there is, at present, no consensus on the optimum surgical treatment method for symptomatic SLCs. The objective of this paper was to review the outcomes for surgically managed SLCs carried out at our institution.

Cardiac magnetic resonance imaging preoperative LV and RV parameters are valuable in assessing the likelihood of successful outcomes from CAGS in high-risk patients with LV dysfunction.

Colonic volvulus accounts for 15-20% of large bowel obstructions. A very small percentage of colonic volvulus occur in the transverse colon and splenic flexure (<5%). Colonic volvulus is a surgical emergency and requires urgent decompression to prevent bowel ischaemia and perforation. The incidence of colonic volvulus post colonoscopy is rare, and aetiology is believed to be secondary to insufflation in the context of a non-fixed/mobile segment. We present a case of a 75-year-old man who presented to the emergency department with abdominal pain following a colonoscopy. Computer tomography (CT) imaging of his abdomen demonstrated an acute volvulus of the transverse colon. He proceeded to a diagnostic laparoscopy where the volvulus had resolved. The transverse colon was noted to have redundancy, but both the caecal pole and splenic flexure were fixed. The decision was made not to respect the bowel. Transverse colon volvulus is a rare occurrence, and accurate assessment and investigation of patients presenting with obstructive bowel symptoms is essential to allow prompt surgical management and prevent ischaemia and bowel wall perforation.

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Heart, Lung and Circulation CSANZ 2012 Abstracts 2012;21:S143-S316 ship between fatigue and T1 post contrast time in obese women is intriguing, particularly as BMI is modifiable.http://dx. ABSTRACTSHeart, Lung and Circulation Abstracts S191 2012;21:S143-S316 CSANZ 2012 AbstractsMagnetic Resonance Imaging (CMRI) in predicting shortterm outcomes after CAGS. Methods: Thirty-one consecutive patients with high EURO scores (22 ± 4) and low EF (38% ± 2) who underwent CAGS and in whom CMRI (1.5T) was performed pre-operatively were retrospectively studied. CMRI parameters and clinical data were recorded at the time of CAGS and 30 days post-op. Patients either had complications immediately post-op (n = 10) and at 30 days post op (n = 17) or were uncomplicated.Results: EURO scores were similar between all patient groups. CMRI results showed those with immediate complications had lower LVEF (30 ± 2% vs 37 ± 2%, p < 0.05), lower LV contractility index (CI) (2.57 ± 0.2 L/min/m 3 vs 2.93 ± 0.2 L/min/m 3 ), higher LV% scar burden (19 ± 1% vs 7 ± 2%, p < 0.05), lower RVEF (41 ± 5% vs 52 ± 2%, p < 0.05), higher RVEDVi (91 ± 7 ml/m 2 vs 71 ± 4 ml/m 2 , p < 0.05), longer cross-clamp times (152 ± 10 min vs 114 ± 17 min, p < 0.05) compared to those with no complications Preoperative CMRI showed that patients with complications at 30 days post op had lower CI (2.5 ± 0.1 L/min/m 3 vs 2.93 ± 0.2 L/min/m 3 , p < 0.05), lower RV cardiac output (RVCO; 4.4 ± 0.2 L/min vs 5.5 ± 0.1 L/min, p < 0.05) and higher LV scar burden (14.5 ± 2% vs 6.8 ± 2%, p < 0.05) compared to those without complications.Conclusion: CMRI LV and RV parameters are valuable in assessing the likelihood of successful CAGS in high-risk patients both immediately post-operatively and at 30 days post-discharge. http://dx.