No abstract

Highlights Hirschprung’s disease (HD) is a rare congenital colonic disorder. Volvulus is a rare complication of HD, described in children and adults and occasionally in infants. Diagnosis of Hirschprung’s disease was accepted. The sigmoid volvulus was HD complication appeared at the term of pregnancy. Duhamel’s procedure revealed as a safe technique to use in HD adult.

Introduction:The wandering spleen (WS) is a very rare defect characterized by the absence or weakness of one or more of the ligaments fixing the organ in its anatomical position in the upper left abdomen.Case Report: A 56-year-old man with strong family history of bowel cancer and long history of gastrointestinal atony presented acute abdominal pain, due to colonic obstruction caused by the torsion of an unknown WS. Total splenectomy was successfully performed and the patient recovered well. Conclusion:Our report illustrates a rare clinical feature that can represent a diagnostic challenge and a surgical emergency.

Introduction and importance Burkitt's lymphoma is one of the fastest growing human cancers and it needs a rapid diagnosis. Case presentation A young woman presented to our institution with acute abdominal pain, tenderness and constipation. Ultrasound reported a right ovarian mass; at laparoscopy, we discovered ascites, peritoneal carcinomatosis and a voluminous pelvic mass. Clinical discussion Diagnosis was confirmed as non-Hodgkin sporadic Burkitt's lymphoma: the careful workup was the key to initiate multiagent chemotherapy. Conclusion Primary ovarian Burkitt's lymphoma, in a young woman in a non-endemic zone, is a rarity that represents a strong diagnostic challenge, but rapid identification can lead the patient to appropriate therapies and improvement of prognosis.