Diagnosis and management of a superior gluteal artery lesion following intramedullary fixation of a diaphyseal femoral fracture: a case report.

Introduction: Femur fractures represent a major public health issue and are commonly treated by intramedullary nailing. Among the possible complications of this technique, the injury of the superior gluteal artery (SGA) is quite rare, but it must be promptly recognized and treated. Case report: A 35-year-old male was admitted with a right femur diaphyseal fracture. After an early damage control surgery, he under-went a close reduction and long intramedullary nail fixation. During the post-operative rehabilitation, a sudden hip pain and hemoglobin drop occurred. A CT-scan showed an extensive hematoma; angiography confirmed a superior gluteal artery bleeding which was subsequently treated with selective embolization. Discussion and Conclusion: Whenever a patient presents with postoperative suspect of active bleeding, it is important to consider even the rarest complications. Sharing our experience in the management of a SGA lesion case, we want to stress the importance of its early diagnosis and correction, since it can represent a life-threatening condition.

[An inguinal hernia with a strangulated Meckel's diverticulum (Littré's hernia). A case report and review of the literature]. / Ernia inguinale con diverticolo di Meckel strozzato (ernia del Littré). Osservazione di un caso e revisione della letteratura.

The A. describe a case of Littré's hernia drawn from personal experience. The article discusses Meckel's diverticulum complications, difficult presurgical diagnosis and different surgical techniques of performing diverticulectomy.

[The surgical treatment of gastric cancer. A review of the results and a comparison with Japanese experience]. / Il trattamento chirurgico del cancro gastrico. Revisione dei risultati e confronto con l'esperienza giapponese.

The authors synthetize the principal trends about surgical treatment of gastric cancer underlining the actual way. Then, is considered the Japanese experience whose results are compared with those in the west to try an explanation of surgical data amply in favour of resected in Japan.