[A rare complication of obstetric pathology: uretero-uterine fistula]. / Una rara complicanza in patologia ostetrica: la fistola uretero-uterina.

Accidental iatrogenic injuries of ureters and bladder in patients with abdominal and pelvic pathology are described as a possible lesion of a surgical or gynaecologic treatment. The ureteral lesion is less frequent in obstetric surgery, but the young age of the patients and the gravity of the consequences, impose a very serious problem for a early diagnosis with a conservative surgical treatment. On the contrary, this important injury, bears an important surgical management with possible functional damage of the reno-urinary tract. The Authors report the experience about the observation and treatment of a case of a young woman, 29 years old, who had a uretero-uterine fistula, after a cesarean section for the first pregnancy.

[Choleperitoneum following Kehr's T-tube removal: conservative treatment with culdocentesis associated with sphincterotomy and endoscopic drainage of the bile ducts]. / Coleperitoneo conseguente a rimozione di tubo a T di Kehr: trattamento conservativo a mezzo di culdocentesi associata a sfinterotomia e drenaggio perendoscopico della via biliare.

The Authors present a case of bile peritonitis due to a biliary fistula developed after T tube removal from the common bile duct. Highlighting poor clinical manifestations they report an alternative conservative treatment, by drainage of the bile leakage with culdocenthesis and successive endoscopic spincterotomy and transpapillary drainage.

[Spigelian hernia: presentation and discussion of 3 clinical cases]. / Ernia di Spigelio: presentazione e discussione di tre casi clinici.

The authors describe three cases of ventral-lateral hernia (Spigelian hernia), with their clinic and diagnostic features. They also make a revision of the literature about this disease and some considerations about the relatively high incidence and the frequent diagnostic difficulties.