HighlightsA case of an infected tracheal diverticulum presenting as a paratracheal mass is demonstrated.An infected tracheal diverticulum can impair the airway and require emergency intervention including surgery.The most commonly described procedure of surgery is resection via a transverse or lateral neck incision and drainage of the abscess.A CT scan plays important roles to make a diagnosis and evaluate the necessity of intervention.
Spontaneous rupture is one of the most fatal complications of hepatic tumors such as hepatocellular carcinoma. In fact, many studies have shown that the in-hospital and 30-d mortality rates are as high as 25%-100%. Cholangiolocellular carcinoma (CoCC) is a rare primary hepatic tumor, usually small in size, that is thought to originate from the ductules and/or canals of Hering. Here, we present a case of spontaneous rupture of a CoCC that was successfully resected by radical surgery. Although CoCC is a rare primary hepatic tumor, it demonstrates certain specific clinical features, including a better prognosis than for other primary liver cancers, and thus should be distinguished from those other cancers. Moreover, CoCC can appear as a ruptured huge tumor, and when it does, radical hepatectomy can be an effective measure to achieve both absolute hemostasis and curability of tumor.
Background and study aims
Prophylactic extended colectomy may be indicated because most surgically untreated patients with familial adenomatous polyposis (FAP) develop colorectal cancer (CRC) in their lifetime. However, some patients refuse to undergo surgery to avoid degradation of their quality of life. We report that FAP is controllable with laparoscopic partial resection and postoperative polypectomy even when complicated by advanced CRC. We also discuss the utility of cold snare polypectomy for resection of polyps.
HighlightsLarge-bowel perforation can lead to critical sepsis, and urgent intervention including surgery is indispensable to control systemic infection.We describe a strategy for large-bowel perforation using a ventriculoperitoneal shunt that was converted to a ventriculoatrial shunt and discuss its utility based on the literature.
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