[Lower limp ischemia due to femoral artery thrombosis after rectal excinian in lithotomy position]

Lower limb ischemia is an unusual and severe complication of abdominal surgery. We report a case of left femoral artery thrombosis following elective low anterior resection for rectal cancer in lithotomy position. Despite thrombectomy and femoro-femoral bypass the patient lost the involved limb due to irreversible ischemia. We discuss the factors that my have a role in the occurrence of this complication

[ role of imaging in lower gastero-intestinal bleeding]

Lower gastrointestinal bleeding means bleeding from sites distal to the ligament of Treitz. The management of haemorrhage involves two folds: first an evaluation of the hemodynamic status and resuscitation when necessary and as soon as possible aetiological investigation. Advances in endoscopic, radiological and surgical equipment and techniques offer an efficient multidisciplinary approach. Colonoscopy usually allows aetiology diagnostic and in some cases haemostasis. Imaging is useful in major haemorrhage, and sometimes enables endovascular treatment. Surgical treatment depends on aetiology, in some cases emergent surgery is the only possible way to obtain haemostasis

[Intra-hepatic cholangiocarcinoma, a case report]

A case of segmental left intrahepatic cholangiocarcinoma is reported. Symptoms consisted only on superior right quadrant pain and diagnosis was suspected on computed tomography data. Left hepatectomy was performed. Histopathology of the specimen confirmed the diagnosis of intrahepatic cholangiocarcinoma

Une cause rare d'abces hepatique

The autors report a case of 53 years old man who presented a liver abscess resulting from the migration of a fish bone from the gastrointestinal tract The clinical and paraclinical features and the therapeutic aspects are analysed in comparaison with the litterature data