Vascular involvement of pancreatic pseudocyst is a rare complication that can potentially result in fatal outcome. If there vascular involvement, the splenic artery most often involved; its rupture and massive bleeding into peritoneal cavity or retroperitoneal space lead to hypovolemic shock. We report on 66-year-old-male patient, who initially presented with atypical chest pain was diagnosed p...

BACKGROUND The standard of care for colorectal peritoneal carcinomatosis is evolving from chemotherapy to cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) for patients with disease limited to the peritoneum. Peritoneal carcinomatosis from colorectal cancer treated with chemotherapy alone results in median survival of 5 to 13 months, whereas CRS with HIPEC for e...

BACKGROUND Minimally invasive esophagectomy (MIE) is increasingly performed worldwide. Unplanned events during thoracoscopy or laparoscopy can jeopardize the procedure, sometimes necessitating conversion to open surgery. The aim of this study was to evaluate the impact of unplanned events on early postoperative outcomes after MIE. METHOD A consecutive group of 303 patients who underwent MIE b...

Colorectal cancer in pregnancy is rare, with a reported incidence of 0.002%.1 Approximately 275 cases of colon cancer associated with pregnancy have been reported in the literature.2 A review of 205 of these cases performed by Bernstein et al3 demonstrated that 85% of these cancers were located below the peritoneal reflection. The symptoms of colorectal cancer include nausea, vomiting, abdomina...

BACKGROUND Current observational studies on warfarin use and the risk for stroke and bleeding in patients with atrial fibrillation (AF) undergoing dialysis found conflicting results. METHODS AND RESULTS We conducted a population-based retrospective cohort study of patients aged ≥65 years admitted to a hospital with a primary or secondary diagnosis of AF, in Quebec and Ontario, Canada from 199...

We present a rare case of abdominal compartment syndrome due to a bulimic attack in a 19-year-old female patient with bulimia nervosa. She was admitted to our emergency room with complaints of progressive abdominal pain following bulimia. Computed tomography showed dilated stomach with food and air pressed other visceral organs and major abdominal vessels. Decompression using nasogastric tube o...

The most common visceral artery aneurysm (VAA) is the splenic artery aneurysm (SAA), but other splanchnic vessels also may be affected by dilation.1,2 The dilation which does not affect all layers of the vessel wall is called pseudoaneurysm (PSAN). Blunt trauma of the upper abdomen and enzymatic injury to the vessel wall in pancreatitis are the most common causes of PSAN. Vessel rupture causes ...

Testicular germ cell tumors, though rare (1%), represent the most common neoplasm among young men. Gastrointestinal involvement from these malignancies usually presents as bowel obstruction and digestive bleeding, but their frequency is low (5%). The patterns of this involvement are: infiltration from affected retroperitoneal lymph nodes or, less frequently, by peritoneal seeding and direct hem...

Spontaneous rupture is a rare and dramatic complication ofhepatocellular carcinoma (HCC), burdened by a high mortality. Here we describe a case of a 73-year-old man, who arrived at the ER because of syncope, and acute epigastric and right upper quadrant abdominal pain. He had a history of hepatitis C-related liver cirrhosis and HCC in treatment with sorafenib. The physical examination showed a ...