[Leiomyosarcoma of the jejunum associated with severe enterorrhagia. Clinical case]. / Leiomiosarcoma del digiuno associato a grave enterorragia. Caso clinico.

The paper describes a cases of jejunal leiomyosarcoma associated with severe enterorrhagia. The rarity of this lesion and its difficult diagnosis are underlined. Having discussed the different anatomo-pathological aspects, the most appropriate diagnostic methods for a early diagnosis are examined. Moreover, the utility of carrying out a regular clinical and diagnostic follow-up of patients who have undergone surgery is stressed so that possible relapses or metastases, which are fatal in the majority of subjects affected by this form of neoplasia, can be treated as quickly as possible.

[Surgical and radiological intervention in the treatment of peripheral arteriovenous fistulas]. / Chirurgia e radiologia interventistica nel trattamento delle fistole artero-venose periferiche.

The Authors report five examples of arteriovenous fistulas examined in the last two years. The different aetiology concerning these lesions, the most suitable diagnosis and the therapeutic tactics are examined and discussed. When they present results and considerations, they show optimism and discrete realism about results and prognosis as a consequence of technological progress and more and more common multidisciplinary approach towards this pathology.

[Antropyloric lithiasic obstruction: a variant of Bouveret's syndrome]. / Ostruzione litiasica antropilorica: una variante della sindrome di Bouveret.

Bouveret's syndrome is a rare complication of a biliodigestive fistula, where a big stone occludes the pyloro-duodenal region. The authors describe a case with obstructive variant at antropyloric level. With the help, of the literature they speak about this matter with particular attention to the clinic symptomatology and diagnostic and therapeutic procedure.

[Early gastric cancer: considerations on 22 cases]. / Early gastric cancer: considerazioni su 22 casi.

Twenty two cases of early gastric cancer were observed in an overall group of 171 patients with gastric cancer. Clinic, radiological and endoscopic elements for diagnosis were discussed, as well as isto-pathological identification and treatment methods. Late prognosis, as related to degree of local and nodes involvement and to surgery applied, was considered.

[Surgical treatment in acute occlusion of the large intestine caused by carcinoma]. / Il trattamento chirurgico nell'occlusione acuta da carcinoma del grosso intestino.

Fifty four cases of acute large bowel obstruction were observed in an overall groups of 266 patients with colonic carcinoma. Pre-operative elements which seems to contra-indicate a primary radical surgery and advantages of the same procedure are considered. In the experience of the Authors, primary and delayed staged resection of the cancer seems to give the same survival rate at short and long term. Choice of surgery of obstructive large bowel carcinoma should be based pratically on general patient's conditions.