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Marek Hara, Izabella Taranta and Konrad Pasek

Giant Abdominal Cyst - Case Report

We present a case of a 53-year old male patient who underwent elective surgery due to a giant abdominal cystic mass. Prior to the surgery, he complained of abdominal distention, growing abdominal mass and increasing nourishment problems. CT and ultrasonographic examinations revealed a giant abdominal cyst but failed to indicate the point of its origin. Intraoperatively a giant abdominal cyst was found, approximately 30x30x25 cm in size. The cyst was free-lying in the peritoneal cavity, except small area adherent to the stomach wall. Partial resection of the stomach wall was performed and the cyst was completely removed.

The postoperative course was uncomplicated. The pathological examination did not give an unequivocal answer as to the origin of the cyst, suggesting differentiation between a tumor of vascular origin and of stromal origin.

Open access

Marek Hara, Grażyna Łaska and Konrad Pasek

Plasmocytoma - A Rare Couse of Upper Gastrointestinal Bleeding. Case Report

The study presented a case of 56-year-old male who underwent emergency surgery due to massive upper gastrointestinal bleeding. Prior to surgery, during the last two years the patient was hospitalized and diagnosed several times due to recurrent gastrointestinal bleeding. During the last duodenoscopy a presence of pancreatic tumor infiltrating distal part of the duodenum was shown. The patient was released home - further treatment was postponed until results of histological examination of biopsy were available. Before that the patient was admitted and underwent surgery in our hospital due to massive gastrointestinal bleeding. During surgery no pancreatic or duodenal tumor was found. We revealed a neoplasmatic tumor of small intestine, localized about 7-10 cm to Treitz' ligamentum. Resection of the intestine was performed. The postoperative course was uneventful. The histological examination of the specimen revealed an isolated extramedullary plasmocytoma of the small intestine.

Open access

Marek Hara, Karol Forysiński, Edyta Teodorowicz-Struś and Piotr Ciostek

Abstract

The report presents the case of a patient treated surgically for perforated gastroenterocolic fistula with a concomitant abscess in abdominal integuments and symptoms of the digestive tract blockage. Many months before this surgery the patient had undergone gastric resection and hepaticoenterostomy (Roux-Y) due to inflammatory tumor causing pyrolostenosis and including the peripheral part of the common bile duct. After the surgery, the patient suffered from recurrent abdominal pain which resulted in many hospitalizations. After one of the episodes of complaints, the patient with symptoms of the digestive tract blockage was admitted again to our ward, prepared to the surgery and qualified for the surgical intervention. En bloc resection of the stomach, hepaticoenterostomy and partial resection of the transverse colon were performed. The continuity of the digestive tract was restored by gastroenterostomy with the isolated jejunal loop, anastomosis between the hepatic loop and side of the afferent loop and end-to-end anastomosis of the transverse colon. There were no postoperative complications.

The authors point out circumstances affected on decision to postpone the surgery by the patient despite frequent recurrent complaints after primary surgery and numerous previous hospitalizations.