We report the case of an 80-year-old man who developed a colocutaneous fistula as a complication of anastomotic leakage following segmental colonic resection. The patient presented with an abscess of the abdominal wall, subcutaneous emphysema, pneumomediastinum, pneumothorax, pneumorrhachis, and pneumoscrotum. We discuss the possible mechanisms for these unusual clinical presentations of extrap...

We report the case of a woman diagnosed with bilateral luteinized thecoma of the ovaries with sclerosing peritonitis, multiple intraperitoneal cystic lesions, and extraperitoneal lesions of the liver, inferior to the spleen, and high suspicion of bone marrow involvement. The patient developed profound pancytopenia with rapid clinical deterioration and a fatal outcome.

Emphysematous cystitis is a rare form of lower urinary tract infection with pathognomonic intramural and intraluminal gas. It commonly occurs in elderly females uncontrolled diabetes mellitus. Subcutaneous emphysema extraperitoneal pelvic gas are reported as presentations emphysematous cystitis. Here we report occurring an male multiple co-morbidities who presented fulminant sepsis findings sub...

The female hydrocele, also known as the canal of Nuck cyst, is a rare congenital abnormality that is the equivalent of the patent processus vaginalis in males. We are the first to report the laparoscopic excision of an entirely extraperitoneal canal of Nuck cyst. We discuss the embryology, pathophysiology, and surgical management of this atypical variant of a rare entity.

BACKGROUND AND OBJECTIVES Mesh fixation during laparoscopic totally extraperitoneal repair is thought to be necessary to prevent recurrence. However, mesh fixation may increase postoperative chronic pain. This study aimed to describe the experience of a single surgeon at our institution performing this operation. METHODS We performed a retrospective review of the medical records of all patien...

INTRODUCTION To present initial observations after the first 30 cases of endoscopic extraperitoneal radical prostatectomy carried out at our department, which so far has had no experience with this surgical procedure. MATERIAL AND METHODS In the period of 15 months a group of 30 patients with organ confined prostate cancer, underwent endoscopic extraperitoneal radical prostatectomy using Mont...