Another new journal?

Editorial

Another new journal?     

The Chilaiditi Syndrome: Another Greek Tragedy? Case report and short review of literature

The Chilaiditi syndrome is a rare disorder, characterized by a broad spectrum of (gastro-intestinal) symptoms due to an interposition of a segment of bowel between the liver and the diaphragm. This anatomical variation is diagnosed through abdominal x-ray and is known as the Chilaiditi sign. Since the syndrome can lead to severe complications, such as perforation, intestinal obstruction or bowel ischemia, awareness of this syndrome is essential for every general surgeon. Knowledge of predisposing factors is necessary to treat possible complications accordingly. Conservative management often is sufficient. Surgical intervention is reserved for those who do not respond to conservative line of management or those with severe complications.     

Just Another Sebaceous Cyst?

Two cases are presented where an incorrect diagnosis of a sebaceous cyst delayed the treatment of a more serious underlying problem. The history and examination findings pointed to the diagnosis in both cases. Although not rare entities in themselves, these cases illustrate the importance of formulating a differential diagnosis even when confronted with an apparently straightforward condition.     

Mirizzi综合征

Ｍｉｒｉｚｚｉ综合征寿楠海Ｍｉｒｉｚｚｉ综合征是一种少见的胆囊、胆管疾患，其特点是胆囊颈或胆囊管结石嵌顿引起肝总管狭窄、梗阻，并发胆囊炎、阻塞性黄疽和肝功能损害。１９４８年Ｍｉｒｉｚｚｉ［‘，’Ｊ根据术中胆道造形结果首先报告了此综合征的表现，并命名为...     

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目的 研究腹腔镜胆囊切除术（ＬＣ）治疗Ｍｉｒｉｚｚｉ综合征的可行性和可靠性。方法 对采用ＬＣ治疗的５４例Ｍｉｒｉｚｚｉ综合征病例进行回顾性研究。结果 ５４例中５０例Ⅰ型者４６例成功实施ＬＣ,４例胆总管损伤者也一期完成缝合修复。４例Ⅱ型者中３例一期缝合修复瘘口,１例用部胆囊壁组织缝合覆盖于瘘口,手术均获成功。结论 Ｍｉｒｉｚｚｉ综合征是对腹腔镜外科医师的一种考验。Ｍｉｒｉｚｚｉ综合征的Ⅰ型和Ⅱ型,依靠术者的经验积累和耐心细致的操作,是可以完成的。