Primary hydatid cyst of the psoas: report of 2 cases

We report two patients with hydatid cyst of the right psoas muscle who presented with lower back pain and a palpable mass on the right side. The diagnosis was confirmed by computed tomography [CT] in both patients and by positive hydatid serology in one case. Intervention consisted of a pericystectomy in both cases. After a follow-up of 24 and 30 months, respectively, the hydatid serology is negative in both patients and the findings on control CT are normal. Based on these two cases and a review of the literature the authors discuss the diagnosis and treatment of this rare entity

[Giant cavernous hemangioma of the liver: a report of a case and review of the literature]

Cavernous hepatic hemangioma is the most frequent benign liver tumour, but the giant form is rare . we report our experience of one case, who has had a hurting tumor of epigastric.the patient had a left hepatic lobectomy. we discuss the diagnosis and the different treatments

Surgical resection of klmatskin tumor. About 6 cases

Hilar bile duct carcinomas or klatskin's tumors are rare that represent 1.5% of the digestive cancers and their prognosis is poor with a survival until 5 years less than 3%. From 1996 to 2001, 6 patients had beneficied from a surgical resection because of a tumor of the hepatic helium. It is about 2 men and 4 women aged from 34 to 51 year-old. Three patients had suffered from biliary lithiasis and all the patients presented a retential jaundice. Surgical procedure had consisted in a resection of the extrahepatic bile ducts [6 cases], pedicular ganglial curettage [6 cases] associated to a left hepatectomy in one case. The recovery of the continuity has been based in the patients on anastomosis between a well made bile mouth and a jejunal ansa in Y shape of 70 cm. The anatomopathologic study confirmed the diagnosis of a tubulosecreting adenocarcinoma in all patients. The operative mortality has been nil and the morbidity consisted in anastomatic fistula [1 case], pleuropulmonary infection [1 case], one patient died 9 months after a tumoral relapse. The radical surgical resection is the only therapeutic that permits to hope a prolonged survival and sometimes recovery

Ingestion of foreign body

Ingestion of foreign body. The ingestion of foreign body can be accidental or voluntary. It is frequent at old person having a defective set of teeth or with mental deficiency, but also at the child. Mortality of ingestion of a foreign body is at present lower than 1%, thanks to the improvement of taking in charge, and especially techniques of origin endoscopiques. The urgency of taking in charge the foreign body of the digestive tract rests essentially on the location especially oesophagal and character vulnerant of the foreign body. The foreign body can present an immediate danger, delayed during the elimination or still during its extraction. In the case, a fast extraction is necessary. If endoscopice extractionis difficult, with important risk of perforation, an urgent surgical operation is then indicated. In the case of the foreign body gastric, the spontaneous evacuation is usual and appeal to the surgery is exceptional. Besides, once the stomach exceeds, the risk of performing of small bowel is important, especially with sharp, stiff and long foreign body