[Jejunal volvulus secondary to torsion of a pedunculated subserosal lipoma: CT diagnosis of a rare cause of bowel obstruction]. / Volvulus du jéjunum sur torsion d'un lipome sous séreux pédiculé: une étiologie exceptionnelle d'occlusion diagnostiquée au scanner.

The authors report a case of a bowel obstruction secondary to jejunal volvulus in relation with the torsion of a large pedunculated subserosal lipoma. To our knowledge, no such case has ever been reported. The differential diagnosis of intra-abdominal fatty tumors and differential diagnosis of such tumors in association with small bowel obstruction will be discussed. Small bowel volvulus secondary to torsion of a subserosal lipoma should be considered when CT shows a large encapsulated fatty tumor in a patient with suggestion of mechanical small bowel obstruction.

Fibroma of the cecum. Case report.

The case of a young woman with pain and a tumor in the right lower abdomen is reported. Ultrasound revealed an echogenic tumor of 10 cm diameter. Fibroma of the uterus was diagnosed. During the operation in the gynecological department, the tumor turned out not to be of gynecological origin. After more extensive examinations laparotomy was performed. Histologic examination of the tumor revealed a fibroma, originating from the muscular layer of the cecum. In the literature of the last 35 years, only 5 similar cases have been reported and in 2 of them it was also misdiagnosed as fibroma of the uterus.

[Anaerobic gangrene in the edges of a segmental hysterotomy. Severe infectious complication of a cesarean section. Sequelae. Apropos of a recent case]. / Gangrène à germes anaérobies des berges d'hystérotomie segmentaire. Complication infectieuse gravissime de césarienne. Ses conséquences. A propos d'une observation récente.

The infection of the edges of a hysterotomy wound by anaerobic bacteria is a very rare and dangerous complication of Caesarean section. Early surgical intervention with trimming of the edges and the institution of drainage together with suitable antibiotic treatment led to recovery. A second pregnancy, which unfortunately ended with a premature delivery, resulted after this conservative surgical procedure.