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Background: The increasing age of the population and prolonged life expectancy result in a widening of age limit criteria for a variety of surgical procedures. Oesophagectomy and total gastrectomy are complex operations associated with significant risks of post‐operative complications. Methods: This is a single‐centre cohort study of patients operated with curative intent due to oesophageal or gastric cancer. Results: From 2007 to 2017, 548 patients underwent surgery with curative intent, with 122 patients (22.3%) classified as elderly (≥75 years). There was no difference in total complication rates between the groups. The adjusted odds ratio for 90‐day mortality after oesophageal resection in the elderly group was 3.65 (95% confidence interval (CI): 1.33–10.03) and after gastrectomy was 1.62 (95% CI: 0.55–4.79). The adjusted hazard ratio for 1‐year mortality after oesophagectomy was 2.29 (95% CI: 1.25–4.19), and after gastrectomy the adjusted hazard ratio was 1.48 (95% CI: 0.75–2.92). In the event of a complication with Clavien–Dindo score IIIb or higher, there was a statistically significant increase of 90‐day mortality to over 50% among elderly patients both after oesophagectomy and gastrectomy (50.0% versus 19.8%; P = 0.005 and 57.1% versus 17.4%; P = 0.012, respectively). Conclusion: There is a statistically significant increase in 90‐day mortality after oesophageal and gastric cancer surgery in elderly compared with younger patients. Post‐operative complications with high Clavien–Dindo score in patients undergoing oesophagectomy or gastrectomy, with age ≥75 years, are a dramatic risk factor for post‐operative death. [ABSTRACT FROM AUTHOR]

GLO:HWR/01mar21:ans16138-fig-0003.jpg PHOTO (COLOR): 3 Histopathological aspect of the splenic artery aneurysm. gl The final pathological report suggested an aneurysm of the splenic artery that progressed to serial several dissections and bleedings. GLO:HWR/01mar21:ans16138-fig-0001.jpg PHOTO (COLOR): 1 Abdomen computed tomography scan of the huge abdominal mass. gl The patient underwent two subsequent percutaneous core biopsies, which resulted negative for cancer cells. Aneurysms of splenic artery are reported in up to 10.4% of autopsy series.1 Giant splenic aneurysms (GSAs) are rare clinical findings. [Extracted from the article]

The article presents a case study of a 72-year-old woman presented at an emergency department with abdominal pain, fever, nausea and vomiting. Abdominal ultrasound and contrast-enhanced computed tomography revealed a mass of the right hemiliver which was consistent with characteristics of hepatic haemangioma, and middle and left hepatic veins were compressed and dislocated by the mass. The patient underwent right hepatectomy and the post&-operative course was uneventful.