HighlightsIntussusception is rare cause of chronic abdominal pain in adults.Colo-colonic intussusceptions caused by large submucous lipoma.Adults intusseption is rarely caused by idiopathic condition.Main causes are inflammatory diseases, benign or malignant tumors, adhesions and other mechanical conditions impairing peristalsis leading to chronic diarrhea.Inflammatory diseases, tumors, adhesions or mechanical conditions may lead to this patology.Colonoscopy contributes to diagnosis given that it provides direct visualization and biopsy.
AM could be a suitable material for the management of articular cartilage defects. Stem cells within AM demonstrated to be able to differentiate in chondrocytes in vivo. Fresh AM, cryopreserved AM and cryopreserved AM previously cultivated with BM-MSCs showed similar regenerative properties.
IntroductionThe French surgeon Rene Jacques Croissant de Garengeot first described the finding of the Appendix inside a femoral hernia sac in 1731. The De Garengeot’s hernia is a rare entity, comprehending only 0.5–5% of the femoral hernias. The pathogenesis of this entity is still controversial, and in the same way, there are different theories to explain the occurrence of appendicitis inside the De Garengeot’s hernia. There is no standard technique in the treatment of this entity.Presentation of caseW.P.S., 84, female, admited for medical assistance due to claims of edema and flogistic signs in the right inguinal region, noted four days prior. There was no abdominal pain, discomfort, or other symptoms. The physical examination showed hard edema and bulging on the right inguinal region, colaborating for the hipotesis of incarcerated hernia. Patient was then submitted to inguinotomy and the vermiform Appendix was discovered inside the femoral hernia without signs of appendicitis. The case was conducted using the De Oliveira’s technique to femoral hernia repair and Liechenstein for the inguinal hernia repair.DiscussionThe De Garengeot’s hernia is a rare entity, comprehending only 0.5–5% of the femoral hernias2, it represents an unusual finding and is, in the majority of cases, diagnosed intraoperatively. It’s pathogenesis is yet matter of discution. There is no standard approach for this hernia, possibly by the few numbers and variability of presentation of cases described.ConclusionThis paper presents a case of a 84yo female with De Garengeot’s hernia that was submitted to a correction using the De Oliveira’s technic. A low cost technic with great results without use of polypropylene mesh.
Colorectal carcinoma is a common cause of death throughout the world and may be prevented by routine control, which can detect precancerous neoplasms and early cancers before they undergo malignant transformation or metastasis. Three strategies may improve colon cancer screening rates: convince the population about the importance of undergoing a screening test; achieve higher efficacy in standard screening tests and make them more available to the community and develop new more sensitive and efficacious screening methods and make them available as routine tests. In this light, the present study seeks to review these three means through which to increase colon cancer screening rates.
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