MBC is a rare tumor with different characteristics than IDC: it presents with larger tumor size, less nodal involvement, higher tumor grade, and hormone receptor negativity. Patients with MBC are treated more aggressively than IDC (more often with mastectomy and chemotherapy) because of a higher stage at presentation, but are being treated by the same principles as IDC. Follow-up will determine the long-term results of the current treatment.

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Multiple inpatient diverticulitis attacks and a history of abscess were associated with laparoscopic conversion. Converted procedures required more time than open procedures, but had reduced LOS and postoperative ileus. Laparoscopic sigmoid colectomy can be attempted safely for patients with three or more inpatient attacks or a history of complicated diverticulitis.

The role of hyperthermic intraperitoneal chemoperfusion (HIPEC) in the treatment of Pseudomyxoma peritonei is debated by clinicians. We report the case of a patient who had multiple episodes of short-interval disease recurrence following debulking surgery, and only achieved long-term remission with the addition of HIPEC. A review of the relevant literature is presented.

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Splenic hemangioma is a rare vascular tumor of the spleen. These lesions are typically asymptomatic and can present with rupture and hemoperitoneum. Clinical findings:We report the case of a patient who had no history of abdominal surgery before presenting with symptoms and imaging consistent with small bowel obstruction. The patient also had a splenic lesion.A diagnostic laparoscopy revealed a ruptured splenic hemangioma with obstructive ileus due to hemoperitoneum. The patient then underwent splenectomy to prevent recurrent bleeding. Conclusions:Splenic hemangiomas are rare vascular neoplasms of the spleen that can be complicated by rupture. While obstructive ileus is a common post-operative phenomenon, it is rarely seen in association with vascular anomalies. This case represents a rare presentation of small bowel obstruction, highlighting the importance of using diagnostic laparoscopy in patients with no previous abdominal surgery.