[Diverticulum of the appendix: apropos of 1 case]. / Divertículo del apéndice: a propósito de un caso.

A case is presented of cecal appendicular diverticulum in a 52 year-old male, initially diagnosed as acute appendicitis. We emphasize the rarity or this pathology, its clinical presentation simulating a picture of acute appendicitis and its cure by appendectomy, as well as the diagnosis by pathologic study in most cases.

[Spontaneous and simultaneous external and internal double biliary fistula]. / Doble fístula biliar interna-externa espontánea simultánea.

An exceptional case is presented of double biliary fistula, internal (to duodenum) and external (to the abdominal wall) in a patient with cholelithiasis of long evolution. The diagnosis of suspicion was made by CAT and was confirmed in the surgical act. Treatment was cholecystectomy, closure of the duodenal communication and external drainage of the parietal abscess. The postoperative evolution coursed without complications.

[Perforated diverticulitis of the colon: diagnosis and treatment]. / Diverticulitis del colon perforada: diagnóstico y tratamiento.

Twelve cases are presented of perforated diverticulitis that required emergency surgical intervention. The present guidelines for surgical action are indicated for the different situations originated by perforated diverticulitis: localized peritonitis (pericolonic abscess), suppurated peritonitis and fecaloid peritonitis. The Hartman technique is explained as the method of choice for patients with generalized peritonitis.