[Traumatic diaphragmatic hernia. 2 case reports and review of the literature]. / Herniile diafragmatice posttraumatice. Observatii în legatura cu doua cazuri operate si discutia literaturii.

We have presented two cases of traumatic diaphragmatic hernia which have been diagnosed and operated in late stages, 6 months and 4 years, respectively, after the abdominal and thoracical traumatism causing diaphragmatic injure. The diagnosis was based on clinical and imaging results, while the treatment was meant to reduce the herniated organs in the abdomen and the closing up of the diaphragmatic defect, followed by good postoperative results. We have discussed the peculiarities of both case, the difficulty of early diagnosis and the techniques used to treat these cases. We have also presented data regarding posttraumatic diaphragmatic hernia and their treatment techniques.

[Congenital choledochal cysts. Observations on 2 operated cases]. / Chisturile congenitale coledociene. Observatii în legatura cu doua cazuri operate.

The authors present two cases of congenital choledochal cysts treated by cyst excision with Roux-en-Y hepaticojejunostomy, followed by good postoperative results. One of the patients has been treated by early excisional procedure, while the other has initially undergone an enteric drainage by cystoduodenostomy, followed by complications, which required reoperations after 18 months. We have evaluated the peculiarities of both cases, the present data revealed by literature regarding biliary carcinogenesis related to congenital choledochal cysts, their classification according to pancreatobiliary malunion, as well as the treatment of choice in choledochal cysts, meaning excisional procedure with Roux-en-Y hepaticojejunostomy to prevent the risk of postoperatory complications which might appear after plain enteric drainage of the cyst.

[Familial colorectal cancer. The Lynch syndrome]. / Cancer colorectal familial. Sindrom Lynch.

Hereditary nonpolyposis colorectal cancer (HNPCC) is a syndrome that affects a significant percentage of the total cancer population but is not easily recognized because of the lack of a distinctive clinical marker such as multiple polyps. The authors present a clinical case of HNPCC sustained by clinical evolution, histologically and therapeutically verified. It has followed for 7 years, and related to the family pathological pedigree covering 3 generations. The case has been identified using the Amsterdam criteria, consisting in: (1) 3 or more relatives with histologically verified colorectal carcinoma, 1 of whom is a first-degree relative of the other two: (2) colorectal carcinoma involving at least two generations; (3) one or more colorectal carcinoma cases diagnosed at less than 50 years of age. The diagnosis of HNPCC requires the demonstration of vertical transmission of the syndrome in the family pedigree.

[Congenital cystic dilatation of the common bile ducts]. / Dilatatia chistica congenitala a caii biliare principale.

The paper reports on a case of congenital cystic dilatation of the main bile duct in a female patient, 3 years old, with a clinical evolution of the disease from 2 years old. The anamnestic data corroborated with iv cholangiography and hepatobile echography specifies the clinical diagnosis that was intraoperatively confirmed. The case was solved by resection of the cystic bag, followed by hepatojejunostomy on the loop ablated "en Y" à la Roux.