Rectal prolapse is a distressing condition associated with incontinence. However, incarcerated rectal prolapse is a rather rare entity. We had a 75-year-old man with irreducible rectal prolapse who required recto-perineal sigmoidectomy (Altemeier’s procedure) after failure of initial conservative treatment. Histology showed rectal tubulo villous adenoma with moderate to severe dysplasia. This c...

Extra-intestinal manifestations (EIM) of Crohn's disease (CD) affect up to 35% of patients and the presence of one EIM appears to be a predisposing factor for others.1 Orbital myositis (OM) is a subgroup of idiopathic orbital inflammatory syndrome involving one or more extra-ocular muscles and is described as a very rare EIM of CD.2 We present the case of a 55-year-old woman, with Crohn's colit...

The aim of this pilot study was to assess the feasibility of using computed virtual chromoendoscopy with the flexible spectral imaging color enhancement (FICE) for colon neoplasia screening. A modified back-to-back colonoscopy using FICE and white light in the right-sided colon was conducted prospectively for the consecutive patients attending for the postoperative (sigmoidectomy or anterior re...

Pulmonary embolism is a common, potentially fatal disease. Making the correct diagnosis early can significantly reduce mortality and morbidity. We report the first case of drenching night sweats as one of the presenting symptoms of submassive pulmonary embolism. One week after undergoing laparotomic sigmoidectomy for diverticulitis, our patient started to experience drenching night sweats and p...

Hepatoid adenocarcinoma (HAC) is a rare extrahepatic adenocarcinoma that morphologically and immunophenotypically mimics hepatocellular carcinoma (HCC). We report the case of a 42-year-old woman with an extensive cancer history who presented with right-sided abdominal pain and lower gastrointestinal (GI) bleeding, and was ultimately diagnosed with colon adenocarcinoma. She underwent sigmoidecto...

We report the first case of early gastric cancer just above a heterotopic pancreas for which the differential diagnosis was carcinoma arising from heterotopic pancreas. Routine upper gastrointestinal endoscopy in an 83-year-old man with sigmoid colon cancer revealed a gastric cancer in the lesser curvature of the antrum. Endoscopic ultrasonography (EUS) for evaluating the depth of tumor invasio...

1. Wahner-Roedler DL, Sebo TJ. Renal cell carcinoma: Diagnosis based on metastatic manifestations. Mayo Clin Proc. 1997;72:935–41. 2. Calleja Escudero J, Pacual Samaniego M, Martin Blanco S, De Castro Olmedo C, Gonzalo V, Fernández del Busto E. Metástasis intraescrotal de un carcinoma renal. Actas Urol Esp. 2008:653–5. 3. Tarraza Jr HM, Meltzer SE, De Cain M, Jones MA. Vaginal metastases from r...

Situs inversus totalis (SIT) is a rare congenital condition in which the abdominal and thoracic organs are on the opposite sides to their normal anatomic positions. Reports of laparoscopic surgery for colorectal cancer with SIT are very few. Due to the mirror-image transposition of organs and vascular abnormalities, laparoscopic surgery for patients with SIT is technically complicated. Therefor...