Colonic obstruction in a 45 year old female.

We present a case of an unusual cause of colonic obstruction in a 45 year old female. The woman presented at the emergency department with a large bowel obstruction. Computed tomography of the abdomen showed distension of the colon with a lesion in the sigmoid colon with suspicion of a colonic malignancy. She underwent an urgent Hartmann procedure. Histology of the resection specimen revealed endometriosis. This patient did not have any symptoms suggestive of endometriosis. When a woman of childbearing age presents with large bowel obstruction, endometriosis should be considered in the differential diagnosis. This patient had a hysterectomy with bilateral salpingo-oophorectomy, what maked the diagnosis of endometriosis less evident.

Primary pure squamous cell carcinoma of the antrum of the stomach: a case report.

A case of a patient with a pure squamous cell carcinoma of the stomach is presented. Surgery, the treatment of choice for this rare gastroenterological tumour, gives no guarantee for cure. Prognosis, as is demonstrated by our case, is poor with few exceptions. Different theories of histopathogenesis are discussed in the literature but no definitive statement can be made.

Inguinal hernia repair leading to the diagnosis of internal male pseudohermaphroditism.

Surgical hernia repair in an apparently normal man leaded to the diagnosis of internal male pseudohermaphroditism after removal of a cystic structure which proved to be a remnant of the Müllerian duct on microscopic examination. The diagnosis was confirmed at explorative laparotomy in search of the second testicle. The terminology of the condition is reviewed and the therapeutic attitude is discussed.