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Pneumatosis Cystoides Intestinalis (PCI) is a rare condition that many physicians find challenging to diagnose. PCI is characterized by the presence of gas-filled cysts in the submucosa and serosa of the gastrointestinal system. It can develop due to trauma caused by conditions such as pyloric stenosis, peptic ulcers, ileus and endoscopic procedures. The exact etiology of PCI remains unclear. Treatment is directed towards the underlying cause. Surgical intervention should be considered only after the etiology is clarified or when acute surgical pathologies are detected. In this article, we present a 45-year-old male with a history of peptic ulcer and intermittent abdominal pain for the past 10 years. The patient was referred from an external center with a preliminary diagnosis of hollow organ perforation. During the diagnostic process, PCI and perforation were considered in the differential diagnosis. The patient developed ileus and an acute abdomen during follow-up, which necessitated surgical intervention. [ABSTRACT FROM AUTHOR]

Aim The effects of conversion to open surgery during laparoscopic resection in rectal cancer on perioperative clinical and long-term oncological outcomes are still controversial. This study aimed to evaluate and compare the impact of conversion to laparoscopic resection for rectal cancer on perioperative and long-term oncological outcomes. Material and methods Between January 2019 and December 2023, 84 consecutive patients who underwent curative surgery for rectal cancer at a single academic center were evaluated retrospectively. Patients were classified and compared as the laparoscopic (LAP-G) and converted (CONV-G) groups. Perioperative, pathological, and long-term oncological outcomes were compared. Results Of the 84 consecutive patients included, 18 were converted to open surgery, leading to a 21.4% conversion rate. Intraoperative blood loss was higher in CONV-G (180 ml vs. 80 ml, p<0.001), but early clinical outcomes were similar in both groups. The median follow-up period was 23.5 (range 3-65) and 30.5 (range 6-61) months in the LAP-G and CONV-G, respectively, and recurrence occurred in 11 (16.7%) and 3 (16.6%) patients, respectively. Three-year overall survival was 96.9% and 89.4% (p=0.609) and 3-year disease-free survival was 92.4% and 83.3% (p=0.881) in LAP-G and CONV-G, respectively, and the results were similar. Conclusion Conversion from laparoscopic rectal resection to open surgery does not have a significant negative impact on morbidity and long-term oncological outcomes., Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Dicle University Medical Faculty ethics committee for noninterventional studies issued approval 186. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Aday et al.)