Laparoscopic repair of small bowel injury in penetrating abdominal trauma.

A role for laparoscopy in the management of selected trauma patients is now possible. We report a case of a patient with a stab wound and a bowel perforation who underwent diagnostic and laparoscopic treatment.

[Perforated juxta-papillary duodenal diverticula: two cases]. / Les diverticules duodénaux juxta-papillaires perforés: à propos de 2 cas.

Perforation of juxta-ampullary duodenal diverticula, occurring spontaneously or after abdominal trauma, is a severe condition. Diagnosis is difficult to establish and is based on tomodensitometry, which is the most reliable diagnostic tool. Treatment consists in diverticulectomy that can be associated with drainage of the duodenum or anastomosis between digestive and biliary tract. We report two cases of perforated juxta-ampullary duodenal diverticula. Perforation was spontaneous in one case and complicated a blunt abdominal trauma in the other case.

Rectal injury caused by personal watercraft accident: report of a case.

A 16-year-old male riding as a passenger on a personal watercraft fell behind the jet nozzle while jumping waves. An unusual rectal injury caused by the accident and resulting in the death of the patient is presented. The surgical management and postoperative course is discussed. Attention is drawn to the need for adequate protective clothes for all passengers of personal watercraft and to the necessity of a complete examination for correct diagnosis and treatment.