A 79-year-old man, with history of recent laparoscopic cholecystectomy, came to our attention for persistent hiccup, dysphonia, and dysphagia. Noninvasive imaging studies showed a nodular lesion in the right hepatic lobe with transdiaphragmatic infiltration and increased tracer uptake on positron emission tomography. Suspecting a malignant lesion and given the difficulty of performing a percuta...

Dermoid cysts are rare benign congenital tumors comprising 1.1 % of the spinal tumors, with lumbosacral region and cauda equina being the common sites. Many cranial cases with spillage of cyst contents into the subarachnoid space have been reported. We report an extremely unusual case of symptomatic spinal dermoid cyst that ruptured into the syrinx cavity. The gold standard treatment is complet...

A 30-year-old woman was treated successfully for renal hydatid cyst disease by using the Transperitoneal Laparoscopic Technique. The peritoneal cavity was protected with the use of betadine-soaked gauze pieces, to avoid spillage. Hypertonic saline was used as the scolicidal solution to sterilize the cyst. The endocyst was removed completely and retrieved in an endobag. There were no intraoperat...

The congenital tracheo-esophageal fistula is a rare birth defect in which trachea and esophagus are communicated somewhere in their course, which leads to spillage of esophageal contents into airways and develops pulmonary complications. The H-type fistula is third most common type and less likely associated with other birth defects. Our case was a young female who presented with recurrent symp...

Bezoar is an intraluminal mass formed by the accumulation of undigested material anywhere in the gastrointestinal system. Most of small bezoars are removed by gastrointestinal endoscopy, while the best approach for the larger ones is surgical removal. Currently, laparoscopic technique is successfully used in the treatment of bezoars, which are used to be managed by open surgery. In the laparosc...

Pseudomyxoma peritonei is a relatively rare and poorly understood condition in which mucus accumulates within the peritoneal cavity. The presence of cells in the mucin, either inflammatory or neoplastic, distinguishes it from simple acellular mucus ascites caused by mucinous spillage. There is widespread seeding of the peritoneal and omental surfaces with a heavy cancerous glaze. This is princi...

INTRODUCTION This report describes a "parasitic" endometriotic cyst of the small bowel. CLINICAL PICTURE A menopausal woman with a pelvic mass presenting years after commencing hormone therapy. TREATMENT We performed laparoscopic excision of a cystic tumour attached to the small bowel with a solitary vascular pedicle. OUTCOME Histology confirmed it to be an endometriotic cyst of ovarian o...

Laparoscopic partial gastrectomy without lymph node dissection has been accepted worldwide for the treatment of small gastric gastrointestinal stromal tumors (GISTs). However, the role of laparoscopic surgery in the treatment of large gastric GISTs remains under debate due to the risk of tumor spillage or rupture of the tumor capsule leading to peritoneal seeding. To the best of our knowledge, ...

Mechanical bowel preparation (MBP) has been used extensively over the years by both general surgeons and gynecologist alike and has remained a controversial practice. It has many purported benefits including decreasing postoperative complications, surgical site infections, and bowel spillage/leakage if an injury were to occur, allowing for repair by primary anastomosis, as well as reported impr...

Plastic is cheap, ubiquitous and persistent. In 2010 the world produced 265M tonnes. Annual output is increasing with new uses and varieties augmenting demand. Plastic persists for centuries, much of it finding its way into coasts and waterways. Approximately 80% of marine debris is plastic (mostly bags and bottles), accumulating through spillage, runoff, dumping and discharge; with varied envi...