Pub Date : 2017-01-01DOI: 10.5455/ACES.20160201042950
B. Özcan, M. Cevener, O. Ozozan, S. Yilmaz, A. Gurkan
Bronchobiliary Fistula (BBF) is a rare condition that usually occurs after surgical treatments of pancreas, liver and biliary diseases. Clinical findings are bilioptysis, fever and dyspnea. In treating it, initially, drainage should be conducted using minimally invasive or endoscopic methods, such as endoscopic retrograde cholangiopancreatography (ERCP) or percutaneous transhepatic cholangiography (PTK) in cases where these methods failed. Next, treatment through performing surgical operations, like hepatectomy or pulmonary resection, should be carried out. In this work, the diagnostic and therapeutic phases of a female patient at the age of 40 who underwent a whipple procedure (pancreatoduodenectomy) 10 years earlier because of pancreatic neuroendocrine tumor is presented. Their follow-ups exhibited multiple metastases in the liver, and for this reason, specific chemoembolization treatments were applied. After these treatments, bronchobiliary fistula was formed.
{"title":"The multidisciplinary treatment of bronchobiliary fistula present in a patient with pancreatic neuroendocrine tumor","authors":"B. Özcan, M. Cevener, O. Ozozan, S. Yilmaz, A. Gurkan","doi":"10.5455/ACES.20160201042950","DOIUrl":"https://doi.org/10.5455/ACES.20160201042950","url":null,"abstract":"Bronchobiliary Fistula (BBF) is a rare condition that usually occurs after surgical treatments of pancreas, liver and biliary diseases. Clinical findings are bilioptysis, fever and dyspnea. In treating it, initially, drainage should be conducted using minimally invasive or endoscopic methods, such as endoscopic retrograde cholangiopancreatography (ERCP) or percutaneous transhepatic cholangiography (PTK) in cases where these methods failed. Next, treatment through performing surgical operations, like hepatectomy or pulmonary resection, should be carried out. In this work, the diagnostic and therapeutic phases of a female patient at the age of 40 who underwent a whipple procedure (pancreatoduodenectomy) 10 years earlier because of pancreatic neuroendocrine tumor is presented. Their follow-ups exhibited multiple metastases in the liver, and for this reason, specific chemoembolization treatments were applied. After these treatments, bronchobiliary fistula was formed.","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"6 1","pages":"156-161"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70765594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.5455/ACES.20160114125924
Amit Kumar
Hydatid cysts are most common in the liver followed by lungs. Most are asymptomatic for prolonged periods. The other sites where hydatid cysts are found include the spleen, kidneys and brain. Retroperitoneal hydatid cysts are extremely rare. A 45-year-old male presented to the authors’ emergency room with history of abdominal pain over the previous 7 days. It was insidious at onset and the pain had increased in severity during the 2 days before arriving at the hospital. The pain was radiating to the right lower limb. The abdomen showed a tender vague mass in the right lumbar region and iliac fossa. A CT scan confirmed a hydatid cyst in the retro peritoneum. The patient underwent laparotomy and excision of the cyst.
{"title":"Primary retroperitoneal hydatid cyst","authors":"Amit Kumar","doi":"10.5455/ACES.20160114125924","DOIUrl":"https://doi.org/10.5455/ACES.20160114125924","url":null,"abstract":"Hydatid cysts are most common in the liver followed by lungs. Most are asymptomatic for prolonged periods. The other sites where hydatid cysts are found include the spleen, kidneys and brain. Retroperitoneal hydatid cysts are extremely rare. A 45-year-old male presented to the authors’ emergency room with history of abdominal pain over the previous 7 days. It was insidious at onset and the pain had increased in severity during the 2 days before arriving at the hospital. The pain was radiating to the right lower limb. The abdomen showed a tender vague mass in the right lumbar region and iliac fossa. A CT scan confirmed a hydatid cyst in the retro peritoneum. The patient underwent laparotomy and excision of the cyst.","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"6 1","pages":"162-164"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70765784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.5455/aces.20170503080643
Z. Zuhdi, A. Azman, A. C. Ariffin, R. Jarmin, H. Othman
Advanced hepatocellular carcinoma carries a bad prognosis with a survival of only few months. Barcelona Clinic Liver Cancer (BCLC) Guidelines recommended sorafenib monotherapy as the treatment modality for advanced BCLC Stage C disease, citing a two-month increase in survival rates. Here, we highlight a case with advanced HCC (BCLC Stage C) treated with combination therapy of liver resection and Sorafenib therapy. The patient’s current survival rate was beyond 10 months. We also discuss the current evidence on liver resection with Sorafenib therapy in hepatocellular carcinoma. The description of the case may benefit in future diagnosis and treatment.
{"title":"A middle-aged man with a troubled liver: Combination therapy in advanced (BCLC Stage C) hepatocellular carcinoma","authors":"Z. Zuhdi, A. Azman, A. C. Ariffin, R. Jarmin, H. Othman","doi":"10.5455/aces.20170503080643","DOIUrl":"https://doi.org/10.5455/aces.20170503080643","url":null,"abstract":"Advanced hepatocellular carcinoma carries a bad prognosis with a survival of only few months. Barcelona Clinic Liver Cancer (BCLC) Guidelines recommended sorafenib monotherapy as the treatment modality for advanced BCLC Stage C disease, citing a two-month increase in survival rates. Here, we highlight a case with advanced HCC (BCLC Stage C) treated with combination therapy of liver resection and Sorafenib therapy. The patient’s current survival rate was beyond 10 months. We also discuss the current evidence on liver resection with Sorafenib therapy in hepatocellular carcinoma. The description of the case may benefit in future diagnosis and treatment.","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"1 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70765988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.5455/aces.20170503081346
M. Lopez, J. Abon, S. Maglangit, R. Vera
We present a 79 year-old female who consulted for abdominal pain. There was evidence of sigmoid diverticulitis with colonic obstruction and biliary-enteric fistula formation, on the imaging. The patient underwent a Hartmann’s Procedure, resection of cholecystocolic fistula, and intraoperative choledochoscopy with common bile duct stone extraction. The pathophysiology and management of cholecystocolic fistula are discussed.
{"title":"Cholecystocolic fistula from colonic diverticular disease with concomitant choledocholithiasis: A case report","authors":"M. Lopez, J. Abon, S. Maglangit, R. Vera","doi":"10.5455/aces.20170503081346","DOIUrl":"https://doi.org/10.5455/aces.20170503081346","url":null,"abstract":"We present a 79 year-old female who consulted for abdominal pain. There was evidence of sigmoid diverticulitis with colonic obstruction and biliary-enteric fistula formation, on the imaging. The patient underwent a Hartmann’s Procedure, resection of cholecystocolic fistula, and intraoperative choledochoscopy with common bile duct stone extraction. The pathophysiology and management of cholecystocolic fistula are discussed.","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"7 1","pages":"33-36"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70766155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.5455/aces.20170607095817
A. Abdelkader, A. Abdelmageed, Awad At
{"title":"Tumescent technique in modified radical mastectomy - Does it differ?","authors":"A. Abdelkader, A. Abdelmageed, Awad At","doi":"10.5455/aces.20170607095817","DOIUrl":"https://doi.org/10.5455/aces.20170607095817","url":null,"abstract":"","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"1 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70766885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-12-01DOI: 10.5455/ACES.20151012120653
A. camtosun, H. Celik, B. Çakmak, C. Taşdemir, R. Altıntaş, C. Colak
Introduction and Hypothesis: We retrospectively evaluated the prognostic impact of neutrophil-lymphocyte ratio (NLR) as a marker for inflammatory and immune state in men with prostate cancer. Materials and Methods: This retrospective study was conducted in a single urology clinic to review the medical data of 558 patients who underwent transrectal prostate needle biopsies between 2007 and 2014. Prior to transrectal prostate needle biopsies, patient histories, physical examinations, and routine laboratory tests including blood biochemistry, urinaly- sis and urine cultures, free PSA and total PSA, rectal examination, transrectal ultrasound findings, and pathology results were evaluated. Results: Benign biopsy results were found in 287 patients (Group 1) using neutrophil / lymphocyte (NLR) and platelet / lymphocyte ratio (PLR). When calculating malignancy in 271 patients (Group 2), there was no significantly difference in NLR and PLR values between benign and malign prostate diseases (p=0.14 and p=0.369, respectively). Conclusion: With reference to the survey prior to the biopsy, NLR and PLR ratio values do not appear to be helpful in the differentiation of benign prostatic hyperplasia and prostate cancer.
{"title":"Are neutrophil-lymphocyte and platelet-lymphocyte ratios valuable in predicting prostate cancer?","authors":"A. camtosun, H. Celik, B. Çakmak, C. Taşdemir, R. Altıntaş, C. Colak","doi":"10.5455/ACES.20151012120653","DOIUrl":"https://doi.org/10.5455/ACES.20151012120653","url":null,"abstract":"Introduction and Hypothesis: We retrospectively evaluated the prognostic impact of neutrophil-lymphocyte ratio (NLR) as a marker for inflammatory and immune state in men with prostate cancer. \u0000Materials and Methods: This retrospective study was conducted in a single urology clinic to review the medical data of 558 patients who underwent transrectal prostate needle biopsies between 2007 and 2014. Prior to transrectal prostate needle biopsies, patient histories, physical examinations, and routine laboratory tests including blood biochemistry, urinaly- sis and urine cultures, free PSA and total PSA, rectal examination, transrectal ultrasound findings, and pathology results were evaluated. \u0000Results: Benign biopsy results were found in 287 patients (Group 1) using neutrophil / lymphocyte (NLR) and platelet / lymphocyte ratio (PLR). When calculating malignancy in 271 patients (Group 2), there was no significantly difference in NLR and PLR values between benign and malign prostate diseases (p=0.14 and p=0.369, respectively). \u0000Conclusion: With reference to the survey prior to the biopsy, NLR and PLR ratio values do not appear to be helpful in the differentiation of benign prostatic hyperplasia and prostate cancer.","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"144 1","pages":"194-199"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70765133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-12-01DOI: 10.5455/ACES.20151102090056
O. Turk, Z. Ozkececi, B. Badak, A. Bal
Aim: Gastric disorders present in a wide range, including malignant and benign diseases of the upper gastrointestinal system. Increased MPV levels are associated with inflammation. The goal of this study was to determine the diagnostic importance of MPV in gastric disorders and evaluate level of MPV in patients that underwent upper gastrointestinal endoscopy. Materials and Methods: Patients who had undergone endoscopy and shown to have a gastric disorder with blood count performed were included in the study. Only one surgeon performed all of the endoscopies. MPV value, platelet count, hemoglobin and white blood cell count levels were analyzed. Results: 116 patients were included in the study. Mean age of all patients was 47,8±16,4. Mean value of MPV was determined to be 7,79±1,21, within the range of 5,85 to 12,5 fL. There was no significant correlation between diagnoses and MPV levels (P>0,05). Additionally, there was no significant difference in MPV levels in histopathological diagnoses groups (p>0,05). There was a highly negative correlation between platelet count and MPV levels in a Scatter Plot correlation graph (r=0,083). Conclusions: MPV is a frequently used hematological parameter that indicates platelet function and activity affected by inflammation. It was hypothesized that changes in MPV levels could be associated with gastric disorders. Statistical analysis of the data revealed there was no association between MPV and gastric disorders. It is suggested that MPV is not a suitable marker to determine gastric disorders, however further larger studies can be useful to determine the importance of MPV such a context.
{"title":"Evaluation of mean platelet volume as a predictor of gastric disorders","authors":"O. Turk, Z. Ozkececi, B. Badak, A. Bal","doi":"10.5455/ACES.20151102090056","DOIUrl":"https://doi.org/10.5455/ACES.20151102090056","url":null,"abstract":"Aim: Gastric disorders present in a wide range, including malignant and benign diseases of the upper gastrointestinal system. Increased MPV levels are associated with inflammation. The goal of this study was to determine the diagnostic importance of MPV in gastric disorders and evaluate level of MPV in patients that underwent upper gastrointestinal endoscopy. \u0000Materials and Methods: Patients who had undergone endoscopy and shown to have a gastric disorder with blood count performed were included in the study. Only one surgeon performed all of the endoscopies. MPV value, platelet count, hemoglobin and white blood cell count levels were analyzed. \u0000Results: 116 patients were included in the study. Mean age of all patients was 47,8±16,4. Mean value of MPV was determined to be 7,79±1,21, within the range of 5,85 to 12,5 fL. There was no significant correlation between diagnoses and MPV levels (P>0,05). Additionally, there was no significant difference in MPV levels in histopathological diagnoses groups (p>0,05). There was a highly negative correlation between platelet count and MPV levels in a Scatter Plot correlation graph (r=0,083). \u0000Conclusions: MPV is a frequently used hematological parameter that indicates platelet function and activity affected by inflammation. It was hypothesized that changes in MPV levels could be associated with gastric disorders. Statistical analysis of the data revealed there was no association between MPV and gastric disorders. It is suggested that MPV is not a suitable marker to determine gastric disorders, however further larger studies can be useful to determine the importance of MPV such a context.","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"5 1","pages":"216-221"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70765897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-09-01DOI: 10.5455/aces.20160127010450
S. Basat, Tumay Ipekci, F. Ceran, Mehmet Kısaarslan, M. Bozkurt
{"title":"The management of Fournier's gangrene: A review of 60 patients","authors":"S. Basat, Tumay Ipekci, F. Ceran, Mehmet Kısaarslan, M. Bozkurt","doi":"10.5455/aces.20160127010450","DOIUrl":"https://doi.org/10.5455/aces.20160127010450","url":null,"abstract":"","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"5 1","pages":"154-159"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70765439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-09-01DOI: 10.5455/aces.20131212010814
Naveen Kumar, J. Patil, K. M. Rao, M. D'Souza, B. Nayak, P. Aithal
The origin of the lesser occipital nerve (LON) may vary, but variations in its pattern are rare. We report here a case of LON, bifurcated into superior and inferior roots in the posterior triangle of the neck. Bifurcation of the LON formed about 1.5 cm above the nerve point of the neck, near the posterior border of the sternocleidomastoid muscle. Both roots ascended obliquely upwards, and later united to form a single trunk in the upper part of the posterior triangle of the neck. It then entered the scalp where its distribution was normal. Since the cutaneous nerves of the cervical plexus are anesthetized for pain relief, as with cervicogenic headache, exceptional morphological variations of these nerves should be taken into consideration before any anesthetic procedures are performed in this region.
{"title":"A rare case of bifurcated lesser occipital nerve in the posterior triangle of the neck","authors":"Naveen Kumar, J. Patil, K. M. Rao, M. D'Souza, B. Nayak, P. Aithal","doi":"10.5455/aces.20131212010814","DOIUrl":"https://doi.org/10.5455/aces.20131212010814","url":null,"abstract":"The origin of the lesser occipital nerve (LON) may vary, but variations in its pattern are rare. We report here a case of LON, bifurcated into superior and inferior roots in the posterior triangle of the neck. Bifurcation of the LON formed about 1.5 cm above the nerve point of the neck, near the posterior border of the sternocleidomastoid muscle. Both roots ascended obliquely upwards, and later united to form a single trunk in the upper part of the posterior triangle of the neck. It then entered the scalp where its distribution was normal. Since the cutaneous nerves of the cervical plexus are anesthetized for pain relief, as with cervicogenic headache, exceptional morphological variations of these nerves should be taken into consideration before any anesthetic procedures are performed in this region.","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"5 1","pages":"184-186"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70763700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-09-01DOI: 10.5455/aces.20150818125130
J. Beristain-Hernández, M. Torres-Olalde, M. Rojano-Rodríguez, C. D. Quiróz-Guadarrama, E. Arce-Liévano, R. Muñoz-Gutierrez, Sujey Romero-Loera, M. Moreno-Portillo
Objective: To evaluate the changes in the number of Langerhans Cells (LC) observed in the epithelium of smokeless tobacco (SLT-induced) lesions. Methods: Microscopic sections from biopsies carried out in the buccal mucosa of twenty patients, who were chronic users of smokeless tobacco (SLT), were utilized. For the control group, twenty non-SLT users of SLT with normal mucosa were selected. The sections were studied with routine coloring and were immunostained for S-100, CD1a, Ki-67 and p63. These data were statistically analyzed by the Student’s t-test to investigate the differences in the expression of immune markers in normal mucosa and in SLT-induced leukoplakia lesions. Results: There was a significant difference in the immunolabeling of all markers between normal mucosa and SLT-induced lesions (p<0.001). The leukoplakia lesions in chronic SLT users demonstrated a significant increase in the number of Langerhans cells and in the absence of epithelial dysplasia. Conclusion: The increase in the number of these cells represents the initial stage of leukoplakia. ABSTRACT Intussusception is the telescoping of a proximal bowel wall into the lumen of a distal segment. Although common in chil-dren, it is still a rare entity in adults and usually occurs secondarily to an underlying malignant neoplasia. Intussusception is relatively rare in adults. Here is reported the case of a 40-year-old woman with extensive colo-colonic intussuception of the right colon caused by a giant polypoid tumor that turned out to be a leiomyoma. The patient was successfully treated by reduction of the intussusception and then immediate hemicolectomy.
{"title":"Colo-colonic intussusception based on giant cecal leiomyoma -","authors":"J. Beristain-Hernández, M. Torres-Olalde, M. Rojano-Rodríguez, C. D. Quiróz-Guadarrama, E. Arce-Liévano, R. Muñoz-Gutierrez, Sujey Romero-Loera, M. Moreno-Portillo","doi":"10.5455/aces.20150818125130","DOIUrl":"https://doi.org/10.5455/aces.20150818125130","url":null,"abstract":"Objective: To evaluate the changes in the number of Langerhans Cells (LC) observed in the epithelium of smokeless tobacco (SLT-induced) lesions. Methods: Microscopic sections from biopsies carried out in the buccal mucosa of twenty patients, who were chronic users of smokeless tobacco (SLT), were utilized. For the control group, twenty non-SLT users of SLT with normal mucosa were selected. The sections were studied with routine coloring and were immunostained for S-100, CD1a, Ki-67 and p63. These data were statistically analyzed by the Student’s t-test to investigate the differences in the expression of immune markers in normal mucosa and in SLT-induced leukoplakia lesions. Results: There was a significant difference in the immunolabeling of all markers between normal mucosa and SLT-induced lesions (p<0.001). The leukoplakia lesions in chronic SLT users demonstrated a significant increase in the number of Langerhans cells and in the absence of epithelial dysplasia. Conclusion: The increase in the number of these cells represents the initial stage of leukoplakia. ABSTRACT Intussusception is the telescoping of a proximal bowel wall into the lumen of a distal segment. Although common in chil-dren, it is still a rare entity in adults and usually occurs secondarily to an underlying malignant neoplasia. Intussusception is relatively rare in adults. Here is reported the case of a 40-year-old woman with extensive colo-colonic intussuception of the right colon caused by a giant polypoid tumor that turned out to be a leiomyoma. The patient was successfully treated by reduction of the intussusception and then immediate hemicolectomy.","PeriodicalId":30641,"journal":{"name":"Archives of Clinical and Experimental Surgery","volume":"5 1","pages":"177-179"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70765089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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