Blunt cerebrovascular incidents (BCVI) is an uncommon occurrence amounting only up to 1% in most trauma registries. Even with a screening protocol, the documented incidence is just up to 2.7%. Despite a rare occurrence, the risk of complication related to BCVI can be devastating especially stroke. An untreated BCVI leads to 10-40% risk of developing stroke which can be fatal. The overall mortality was 59%, and 80% of that death is attributed to BCVI. We report a case who presented with traumatic neck injury subsequently diagnosed with BCVI. The presentation, diagnosis and therapy are discussed. � Copyright 2018 by Gazi University Medical Faculty

Degloving injury to the colon caused by blunt abdominal trauma is an extremely rare injury. To our knowledge, this is the first reported case of degloving injury to the ascending colon in the literature which further accentuates the rarity of this case report. This is a 40-year-old gentleman who was a motorcyclist, had a road traffic incident where he was hit by a car from the back. On arrival, he was hemodynamically stable but there was tenderness over right side of the abdomen. Computed Tomography (CT) of the abdomen showed large ascending colon haematoma with contrast extravasation. An emergency laparotomy revealed a degloving injury of the ascending colon and the mesentery thus, a right hemicolectomy was performed. The postoperative course was uneventful and patient was discharged well. We describe a 40-year-old gentleman who had involved in road traffic accident, sustained degloving injury to the ascending colon and discuss its literature review. � Journal of Krishna Institute of Medical Sciences University.

Ductal carcinoma in situ (DCIS) in females is a recognized premalignant disease. However, its occurrence in males is rare. Articles describing this disease are scarce with documented occurrence is less than 7% worldwide. We report a case of 52 year-old gentleman presented with 6 months history of left breast lump. It was painless with no nipple discharge. Despite an inconclusive biopsy, lumpectomy was performed in view of the suspicion of malignant disease. Histopathology confirms DCIS. He underwent mastectomy and sentinel lymph nodes. Most treatment strategies are based on evidence on female breast malignancy and modifications are needed due to the different pathological pathway in male. � Societ� Editrice Universo (SEU).

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INTRODUCTION Solid pseudo papillary pancreatic tumour is a rare entity. The atypical presentation causes a delayed or misdiagnosis of these pathology. It commonly affects the female population in the 2nd and 3rd decade of life. The presentation varies from non-specific abdominal pain to incidental findings in asymptomatic patients. It is a low-grade premalignant condition that is curable by excision of the tumour. PRESENTATION OF CASE This paper presents a 17-year-old girl with intra-abdominal mass diagnosed with solid pseudo papillary tumour that underwent Whipple's procedure. DISCUSSION We discuss the presentations, diagnosis and pathology findings of this rare pathology. CONCLUSION The diagnosis remains an enigma in view of the nature and location of the tumour. Resection is still the best choice remains for this condition. � 2014 The Authors. Published by Elsevier Ltd. on behalf of Surgical Associates Ltd.

BACKGROUND: Post-hepatectomy bile leak may lead to undesired morbidity. Multiple methods have been employed to identify this leak but can be inconclusive and taxing. This novel white gauze test is a simple and reliable method.MATERIALS AND METHODS: This is a prospective study performed from January 2010 until March 2011. All open hepatic resection were included. Dry white gauze is compressed onto the transected surface and observed for bile staining. The leaking duct is repaired immediately upon detection. The process is repeated until negative. Drain was removed on postoperative day-5. Post-operative bile leak is defined as: 1. Bilirubin concentration of the drain fluid is 3 times or higher than serum; 2. Presence of intra-abdominal bile collection on imaging and upon drainage; 3. Bile leak demonstrated on postoperative cholangiography.RESULTS: 42 patients were recruited. Seven (16.7%) patients were cirrhotic with Child-Pugh A. White gauze test were positive for intra-operative bile leaks in 29 patients (70%), which were primarily repaired. As a result, there was no postoperative bile leak in this series. One mortality was detected in this series due to postoperative pancreatic fistula and multi organ failure.CONCLUSIONS: The White Gauze Test is a useful method for the prevention of bile leakage after hepatic resection. It is safe, quick and cheap.