SPT are rare neoplasms with malignant potential. Aggressive surgical resection is needed even in presence of local invasion, and also for recurrence as patients had a good long term survival.

HighlightsMenetrier’s disease is a rare premalignant hypertrophic gastropathy.We describe a case of Menetrier’s disease with an unusual presentation, without Helicobacter pylori or hypoalbuminemia.Menetrier’s disease should be suspected in cases of upper GIT symptoms and hypertrophied gastric mucosa with or without Helicobacter pylori or hypoalbuminemia.Surgical management is a good option when medical treatment fails to relieve the symptoms and erase the risk of malignancy.

We are reporting a case of internal herniation of the bowel through the foramen of Winslow. This is a very rare condition that prompts an urgent operative intervention due to its potential fatal complications, as it is usually accompanied by bowel strangulation and ischemia. Due to the vague clinical picture, the diagnosis only reached using imaging techniques such as computed tomography or as a surgical surprise during the operation. Key aspects of surgical interventions are hernia reduction, bowel resection in case of non-viable ischemic bowel and the highly debatable recurrence prevention maneouvres.

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