[Impingement of an accessory intraabdominal organ as an uncommon intraoperative diagnosis--a case review]. / Uskrinutí akcesorního orgánu brisní dutiny jako neobvyklá peroperacní diagnóza - kazuistika.

In this case report is described a patient with an abdominal pain, who came to surgery. Intraoperatively was found the infarcted formation of unknown origin in the omentum--suspicion of accessory spleen. Histologically was elucidated, that the formation consisted of ischemic adipose tissue--there was a torsion of a large caul.

[A double penetration wound of the thoracic wall in an Afghan military policeman]. / Dvojitý prustrel hrudní steny u afghánského vojenského policisty.

Authors present a case report of the young man, Afghan military policeman, who was with gunshot injury referred to treatment to the Czech field hospital stationed in Kabul international airport at the time of the 4th contingent of the field hospital and chemical unit in international operation ISAF Afghanistan. The patient suffered from a double gunshot of the chest wall that caused open compound fracture of the left collar bone, fracture of the sternal bone and the right scapula and hemorhagic contusion of the left apical lung although it was not a penetrating injury of the chest. Left side posterolateral thoracotomy was performed and non-anatomical resection of the apical lung and further drainage of the pleural cavity were done. Revision of both the gunshot canals with debridements was further performed, of course. Postoperative course was without any complications and patient was sent to local Afghan hospital on the sixth postoperative day.