[Intestinal sub-occlusion caused by chronic caudal pancreatitis]. / Subocluzie intestinala prin pancreatita cronica caudala.

The authors present a case of intestinal subocclusion due to chronic pancreatitis and peripancreatitis, in which the relationship between the cause and the effect could not be established before surgery. The intervention consisted in caudal pancreatectomy and the freeing of the splenic angle of the large bowel from the peripancreatitic process. This rare complication of pancreatitis is diagnosed mostly during surgery, and the surgeon is confronted with a difficult choice of the best type of intervention, which can vary from simple viscerolysis to exeresis of the colic segment and of the caudal portion of the pancreas.

[Decompression of the duodenum, using the extraperitoneal route, in upper digestive tract fistulas]. / Decomprimarea duodenului pe cale extraperitoneala în fistulele digestive înalte.

Over the last 20 years a total of 45 cases with digestive fistulae of various origins have been hospitalized in the Surgery Clinic of the "Caritas" Hospital. In this paper a group of 21 cases with gastro-duodenal and anastomotic fistulae are considered, for the solution of which re-interventions were necessary. The authors present a procedure for temporary decompression of the duodenum, according to an original technique. The method allows to recover the digestive segment involved by healing of the fistulae in satisfactory conditions. The technical simplicity of the procedure is stressed, as well as the possibilities for postoperative radiological control, the strictly extraperitoneal traject of the tube, all representing qualities which give the technique considerable credit.

[Gastric localization of Crohn's disease]. / Localizarea gastrica a maladiei Crohn.

The authors present a case of Crohn disease with gastric location. The lesion was complicated by a blind fistula in the body of the pancreas. Surgery, which consisted in gastrectomy, solved the case for the time being, and the patient is followed up.

[Ulcer of the transverse colon]. / Ulcer de colon transvers.

This very rare affection of unknown origin, achieves a macroscopic and microscopic aspect similar to that described by Cruveillhier at the level of the stomach. The authors present a case of ulcer located on the transverse colon, at the free margin, with stenosing evolution and coexisting with duodenal ulceration of chronic character. The patient also had portal hypertension in the third stage and arteriopathy that had been diagnosed previously.