HighlightsCongenital internal hernias are an infrequent condition resulting from the protrusion of abdominal organ through an intra-peritoneal defect.Left paraduodenal hernia is the most common types of congenital internal hernias.Landzert fossa is bounded by the fourth part of the duodenum from the right, the posterior peritoneum posteriorly, the inferior mesenteric vein, and left branches of the middle colic artery anteriorly.Laparotomy is mandated in cases of intestinal perforations, necrosis and hemodynamic instability.
Highlights2 cases of intestinal obstruction secondary to ectopic pancreas.Ectopic pancreas causing intestinal occlusion is a very rare entity.In the first case, the ectopic tissue caused mechanical luminal occlusion in the distal ileal part, whereas the 2nd case presented intussusception sign, 20 cm distal to the Treitz ligament.Ectopic pancreas can serve as a lead point for ileo-ileal intussusception.
Despite the variations in the adopted operative techniques, the laparoscopic approach seems to be harmless. However, no treatment algorithm or consensus has been published.
HighlightsAmputation Neuromas are benign lesions of the CBD that occur months to years following surgery.Almost all patients with amputation have had a history of open cholecystectomy.Surgery is the best treatment option for amputation neuroma of the CBD.
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