SUMMARY This study revealed good arrangement when it comes to recognition of posterior pelvic problems between defecography and 3D pelvic floor ultrasonography.Transanal Endoscopic Microsurgery (TEM) is a kind of metastatic infection foci RECORDS, created for rectal tumors and utilized and to treat various other rectal conditions. Anastomotic problems after colorectal surgery, including stenosis, represent a challenging problem find more . We present the situation of a 36 year-old lady with an analysis of Hirschsprung disorder that was submitted to a modified Duhamel procedure. A postoperative barium enema revealed a whole stricture of this anastomosis which was impossible to solve by versatile endoscopic method. Then an intraoperative endoscopic approach to facilitate the localization of pre-anastomotic colon ended up being carried out by a little colotomy while the colonic recanalization had been acquired by the creation of a neo-anastomosis by TEM, under fluoroscopic-endoscopic control. The patient underwent a control barium enema showing regular retrograde transit of comparison method without evidence of stenosis. In our knowledge, transanal approach by TEM -Colonoscopy assisted is safe and feasible and signifies a model of combined minimally invasive strategy.Small bowel tumors, both harmless and malignant, tend to be uncommon lesions that clinicians usually don’t encounter, accounting for less then 2% of gastrointestinal malignancies. Generally benign tiny bowel tumors, including a polyp, tend to be asymptomatic. Diagnosis of tiny bowel tumors is hard because of delayed presentation, and nonspecific signs or symptoms. We report an incidentally detected instance of a lengthy pedunculated, big polyp associated with terminal ileum, which protruded through the ileocecal valve to the cecum, which was eliminated by colonoscopy in a 41-year-old man with periodic right-sided lower stomach pain. The polyp ended up being resected through snare polypectomy without complications. The histopathology of this resected polyp had been verified as an ileal hyperplastic polyp. Couple of years later, there was no recurrence on post-polypectomy surveillance colonoscopy.Meckel diverticulum is a common congenital malformation for the gastrointestinal region and certainly will cause problems such as for example ulceration, hemorrhage, intussusception, and perforation. This report describes a really uncommon problem of an enterovesical fistula involving chronic Meckel diverticulum. A 51-year-old male served with over 10 years of persistent pyuria. Examinations had been done to rule out malignancy, including serum prostate-specific antigen level, urine cytology, bacterial tradition, cystoscopy, and bladder computed tomography. An enterovesical fistula had been identified, and laparoscopic exploration had been carried out. The conclusions suggested enterovesical fistula formation caused by chronic inflammation in the tip of a Meckel diverticulum. Segmental resection for the tiny bowel including the diverticulum and primary fix of the urinary bladder along with partial cystectomy were carried out. The postoperative clinical course ended up being uneventful. An enterovesical fistula is a really rare complication resulting from chronic infection of a Meckel diverticulum.Actinomycosis is an inflammatory illness which includes many kinds of medical presentation including inflammation, mass creating kind. There are several reports recommending infiltrative size like nature of actinomycosis which is misunderstood as cyst. A 39-year old male was discovered fungating mass like lesion in colonoscopy that was withstood for healthcare screening. Biopsy had been done for the lesion and lead as persistent swelling. Abdomen CT finding suggested severe edematous changes in the appendix with appendicolith and suspected persistent swelling and wall thickening of this cecal base but could perhaps not definately rule out malignancy. He was performed laparoscopic single port cecectomy according as cecal cancer tumors. Final biopsy showed actinomycosis in which he was recommended with antibiotics and showed no recurrence in follow up CT scan. We provide this unusual situation of mass-like appendiceal actinomycosis treated with single-port laparoscopic method.Everolimus (Afinitor) is an inhibitor of mammalian target of rapamycin. Polmacoxib (Acelex) is a nonsteroidal anti-inflammatory medicine that belongs to the cyclooxygenase-2 (COX-2) inhibitor family and is mainly used for treatment of joint disease. Intestinal perforation has not been reported previously as a complication of everolimus, and perforation for the reduced digestive tract caused by a selective COX2 inhibitor is extremely rare. We present here an incident of colon perforation that took place after use of polmacoxib in a metastatic breast cancer client who had previously been treated with everolimus for the preceding six months.Clostridium difficile illness (CDI) after ileostomy reversal is unusual, and few reports when you look at the offered literary works explain this problem. Diagnosis of CDI after ileostomy reversal is challenging because symptoms such as for example diarrhea observed in these patients can occur often after surgery. However, CDI could be fatal Half-lives of antibiotic , and early analysis and prompt therapy are essential. We explain two customers with an optimistic C. difficile toxin assay result on feces cultures done after ileostomy reversal. Medical development differed between these patients the patient which offered extreme CDI and shock was successfully treated following an extended intensive care product stay for management of vital indications and underwent hemodialysis. The other patient revealed apparent symptoms of mild colitis; nevertheless, we could not confirm whether diarrhea was associated with CDI or using the normal postoperative condition.