Mounir Ben Moussa

Laparoscopic assisted foreign body extraction from the small bowel: A case report

Highlights • Only one percent of foreign body ingestion needs surgery.• Exploratory laparotomy has been the mainstay of treatment for patients requiring surgery however surgeons are more and more tempted to use laparoscopy in emergency setting.• The increased use of minimally invasive surgery resulted in less morbidty and faster recovery after the surgical treatment of many diseases.• Large scale randomized controlled trials are needed before this can be used as a standard of care.

Vaginal cuff dehiscence and evisceration 11 years after a radical hysterectomy: A case report

Highlights • Vaginal cuff dehiscence (VCD) and evisceration (VCDE) is a rare but rather serious complication of any type of hysterectomy.• The overall incidence was ranged betwenn 0% and 7,5%.• Historically, laparotomy was recommended for VCD repair.• In our case we choosed to add a Polyglactine mesh and in the limit of our review it’s the only case reported.

Acute esophageal necrosis: A new case

Acute esophageal necrosis is an uncommon clinical entity. It is diagnosed with upper gastrointestinal endoscopy with the presence of strikingly black necrotic esophagus. Very often no definite etiology is identified, even though a large list of potential associations has been postulated. His treatment is primarily medical. A high mortality is usually related to the underlying medical co-morbidities and diseases. We report a case of acute esophageal necrosis occurring in a patient undergoing Fournier’s gangrene intervention.

An inflammatory pseudotumour of the head of the pancreas - A rare pancreatic tumour

Aim-backgroundAn inflammatory pseudotumour is an uncommon lesion originally described in the respiratory tract. It is currently established that it can occur in a variety of locations, including the pancreas. The aetiology is still not defined. Histological features include inflammatory and other mesenchymal cells without signs of malignancy.CaseThe authors report a case of an inflammatory pseudotumour arising from the head of the pancreas in a 74-year-old male patient. Due to local extension of the tumour, a resection of the tumour was not performed. The patient underwent a double diversion with a hepaticojejunal anastomosis and gastroileal bypass. A strict 4-year follow-up period did not reveal any signs of malignancy or local invasion.ConclusionInflammatory pseudotumour of the pancreas is a rare tumour that is very difficult to diagnose preoperatively. Surgical resection is the first option, in order to obtain histological confirmation of an IMT (inflammatory myofibroblastic tumour) and to resolve the symptoms.