HighlightsWernicke encephalopathy after sleeve gastrectomy is an uncommon complication.Wernicke encephalopathy reaches 20% mortality rate when it is undertreated.Treatment with thiamine vitamin must be started with a presumptive diagnosis.
Simple repair with perineal gracilis muscle interposition is a safe and effective technique for the treatment of postoperative rectourethral fistulas after nonradiated prostate cancer surgery.
HighlightsThe definitive closure of an open abdomen with a giant full abdominal defect remains a problem.The great omentum allows a rapid integration of the polypropylene mesh.The structure achieved does not hamper future surgical procedures.
Introduction. Gastrointestinal stromal tumors first treatment should be surgical resection, but when metastases are diagnosed or the tumor is unresectable, imatinib must be the first option. This treatment could induce some serious complications difficult to resolve. Case Report. We present a 47-year-old black man with a giant unresectable gastric stromal tumor under imatinib therapy who presented serious complications such as massive gastrointestinal bleeding and a gastrobronchial fistula connected with the skin, successfully treated by surgery and gastroscopy. Discussion. Complications due to imatinib therapy can result in life threatening. They represent a challenge for surgeons and digestologists; creative strategies are needed in order to resolve them.
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