Introduction: Colorectal cancer is a very common malignancy, however the association with kidney cancer is very unusual, even more so if kidney cancer occurs on a horseshoe kidney. Horseshoe kidney is a congenital malformation in which the kidneys appear fused. It is often accompanied by abnormalities of the ureteropelvic and vascular systems, so patients in need of surgery should be carefully evaluated. Materials and Methods: A 64-year-old woman came to our observation with abnormalities of the perineum such as the "vestibular anus", horseshoe kidney, kidney cancer and colorectal cancer. She underwent left open hemicolectomy and right polar resection of the horseshoe kidney. Results: The patient was discharged on the sixth operating day without complications. At the follow-up 54 months after surgery, she was negative for distant metastasis and local disease recovery. Conclusion: From a literature review this is the first case report in a patient with these four associated comorbidities. Preoperative evaluation in these patients by CT is important to evaluate the relation between the nervous, vascular and urinary structures to avoid iatrogenic injury.
Laparoscopic adjustable gastric banding (LAGB) is a popular bariatric surgical procedure. The introduction of laparoscopy has increased the use of this procedure, making it the most commonly performed bariatric surgery. Patients undergoing LAGB have achieved satisfactory results in terms of weight loss, a reduction in co-morbidities, and improved quality of life. Nonetheless, complications with LAGB are well documented and include migration, erosion, prolapse, infection, pouch dilation, gastric perforation, and most commonly, lack of weight loss following the failure of the procedure. This case report presents a patient with slippage and pouch dilation, erosion of the stomach, and port site problems, including infection, occurring 28 years after LAGB.
Gastrointestinal stromal tumors (GISTs) are the most common malignant subepithelial lesions of the gastrointestinal tract. The prognosis of this disease is associated with the tumor size and mitotic index. The standard treatment of a GIST without metastasis is surgical resection. The stomach is the most frequent site of the disease and many technical solutions have recently been proposed as shown also by the dramatic increase in publications on this field. There are many studies that suggest laparoscopy may be an acceptable surgical treatment option compared to open surgery for gastric GIST. However, open surgery assumes great importance in large tumors located in difficult to access locations. Here, we present a case involving a 60-year-old man who was diagnosed with gastric antrum GIST, according to a preoperative examination and postoperative pathology. Then, the patient successfully underwent an atypical gastric resection. We proposed a novel surgical technique to be considered in case of gastric benign disease or GIST localized at the gastric antrum.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.