[Laparoscopic treatment of biliary cysts]. / Trattamento laparoscopico delle cisti biliari.

Here comes presented three cases of biliary cysts treated with laparoscopic technique. In the first case the discovery of a single cyst of small size on the hepatic margin have consented the total removal. In the second case was about a voluminous unique cyst, while in the third has been found an hepatic polycystosis. In both of them has been applied Lin's procedure with videolaparoscopic technique.

[Digestive endometriosis: an isolated case localized in the ileum and occlusive course]. / L'endometriosi digestiva: su un caso a localizzazione ileale, isolata, ad evoluzione occlusiva.

The authors starting from the description of a clinical case of intestinal endometriosis, who underwent emergency surgery for acute intestinal obstruction, take into consideration the incidence, the pathogenesis and the pathological characteristics of intestinal endometriosis. They attempt to define it while accepting that the indications for resection should be extremely limited from both gynecological and intestinal points view.

[Atypical metastases from gastric carcinoma. A primary and isolated case localized in the abdominal wall]. / In tema di metastasi atipiche da carcinoma gastrico. Su un caso primitivo ed isolato localizzato alla parete addominale.

The authors report a rare case of gastric carcinoma metastasis localised in the anterior abdominal wall which was an isolated and primary sign of disease. After having underlined the rarity of the case, there is a brief discussion of aspects related to the spread of primary tumours in relation to other cases reported over the past decade; the most important reports of atypical secondary localisations are listed.

[Carcinoma of the cecum: is early diagnosis possible?]. / Il carcinoma del cieco: è possibile una diagnosi precoce?

Between 1982 and 1989, a consecutive series of 34 patients with cancer of the cecum were operated in our hospital. Overall, at 5 years the survival was 50%. We did not notice any correlation among symptom duration and survival. Patients admitted in the asymptomatic phase had the best survival rate (66.6%). Our study suggest that only neoplasm diagnosed in asymptomatic patients and treated promptly are related to a good survival rate. We, therefore, emphasize the importance and the necessity to investigate all patients with a suspected cecum cancer by means of colonoscopy.

[An unusual case of hydatid cyst with adrenal localization]. / Su un caso eccezionale di cisti idatidea a localizzazione surrenalica.

The paper reports a case of hydatid cyst with a primary adrenal location. Having underlined the rarity of this finding and reviewed the literature on the topic, the Authors discuss the epidemiological, pathogenetic and clinico-diagnostic aspects. In conclusion they underline the difficulty of arriving at a precise diagnosis prior to surgery in spite of the fact that new imaging diagnostic methods enable diagnostic hypotheses regarding this pathology to be advanced.

[Extra-ocular sebaceous carcinoma: report of a case]. / Il carcinoma sebaceo extra-oculare: a proposito di un caso.

The Authors streamed the rarity of this pathological entity for which the histologic diagnosis is even very difficult. Treatment is based on a wide surgical excision; the value of postoperative irradiation and chemotherapy is discussed. The prognosis is poor.

[Leiomyosarcoma of the jejunum associated with severe enterorrhagia. Clinical case]. / Leiomiosarcoma del digiuno associato a grave enterorragia. Caso clinico.

The paper describes a cases of jejunal leiomyosarcoma associated with severe enterorrhagia. The rarity of this lesion and its difficult diagnosis are underlined. Having discussed the different anatomo-pathological aspects, the most appropriate diagnostic methods for a early diagnosis are examined. Moreover, the utility of carrying out a regular clinical and diagnostic follow-up of patients who have undergone surgery is stressed so that possible relapses or metastases, which are fatal in the majority of subjects affected by this form of neoplasia, can be treated as quickly as possible.

[Surgical treatment in acute occlusion of the large intestine caused by carcinoma]. / Il trattamento chirurgico nell'occlusione acuta da carcinoma del grosso intestino.

Fifty four cases of acute large bowel obstruction were observed in an overall groups of 266 patients with colonic carcinoma. Pre-operative elements which seems to contra-indicate a primary radical surgery and advantages of the same procedure are considered. In the experience of the Authors, primary and delayed staged resection of the cancer seems to give the same survival rate at short and long term. Choice of surgery of obstructive large bowel carcinoma should be based pratically on general patient's conditions.

[The stenosis of large intestine as complication of pancreatitis: statistical contribution (author's transl)]. / La stenosi del grosso intestino come complicanza di pancreatite: contributo statistico.

After a careful examination of literature, the AA. report a case of left flexure stenosis of colon after pancreatitis and with abscess-fistula after cholecystectomy. The diagnosis supported by laboratory, radiological and endoscopic examination, has suggested to effect a derivative colostomy on transverse and the total parenteral feeding. The spontaneous resolution of lesion, radiologically documented after 5 months from the first operation, permitted, in a second time, the closing of stoma and the following removal of patient in satisfactory conditions.