Lymphatic duct lipiodol imaging by bilateral inguinal lymph node puncture had been carried out, and then we verified leakage from the main thoracic duct. On POD 11, a thoracic duct ligation done via a thoracotomy unveiled that the amount for the chylothorax had been remarkably reduced. The chest tube had been removed on re-POD 12.A 65-year-old lady underwent distal gastrectomy with D2 lymph node dissection for advanced gastric cancer tumors in November 2016. The histopathological diagnosis was pT3N0M0, pStage ⅡA, HER2-negative. In August 2019, transverse colon stenosis due to peritoneal dissemination was recognized, and an ileum-transverse colon anastomosis was performed. Postoperatively, she got chemotherapy with S-1 plus oxaliplatin. After 6 courses, CT unveiled an increase in ascites and dissemination nodules. We diagnosed her with progressive infection and started second-line chemotherapy, a ramucirumab plus nab-paclitaxel program. In the twentieth day during the fifth treatment course, she visited our hospital with acute stomach Elexacaftor pain. CT unveiled free-air, and then we diagnosed acute panperitonitis with a gastrointestinal perforation. Disaster surgery had been performed, and perforation of this appendix end and mild cloudy ascites had been seen. We performed an appendectomy and intraperitoneal drainage. Histopathological evaluation revealed perforation for the appendix, perhaps as a detrimental effect of the ramucirumab. It should be noted that angiogenesis inhibitors might cause the deadly unfavorable aftereffect of gastrointestinal perforation.An 83-year-old girl went to our disaster department with a chief complaint of abdominal pain and sickness. Abdominal computed tomography showed thickening of this wall associated with the little intestine in the right middle abdomen and marked bowel dilation and fluid retention when you look at the dental region of the tiny intestine. The patient had been clinically determined to have adhesive bowel obstruction and hospitalized for conservative treatment. However, the therapy ended up being unsuccessful, and laparoscopic surgery ended up being performed. The intraoperative findings included thickening of the wall surface and solidifying associated with obstructed part, suggestive of an intestinal tumor; hence, this component Properdin-mediated immune ring had been resected. A histopathological examination revealed diffuse infiltration of large-sized atypical lymphocytes into the tumor, and diffuse large B-cell lymphoma had been identified through immunochemical staining. The postoperative course had been uneventful, as well as the lymphoma has not recurred. Intestinal cancerous lymphoma rarely triggers bowel obstruction without invagination. Here, we report this situation and review the literature.This research Humoral innate immunity examined the effect of the amount of occlusion in colorectal cancer during the perioperative duration. The topics included 207 customers just who underwent optional colorectal cancer resection. The amount of obstruction at the first health examination was examined using the ColoRectal Obstruction Scoring System(CROSS). We categorized the topics into two groups(CROSS score 0-2, CROSS score 3-4)and assessed their associations with clinicopathological elements, health protected status, and postoperative program. Set alongside the CROSS score 3-4 group, the CROSS score 0-2 group(42 subjects [20.3%])had a greater percentage of subjects with ≥2 lesions, T4, Stage classification Ⅳ, CEA >5.0 ng/mL, prognostic health list( PNI)≤40, managing nutritional condition( CONUT) score ≥2, modified Glasgow prognostic score (mGPS)2, weight-loss rate>2.3, mini nutritional assessment-short form(MNA®-SF)score 16 days( p less then 0.05). Our conclusions declare that the amount of occlusion in colorectal cancer tumors is associated with clinicopathological and nutritional/immune elements and it is reflected by the postoperative course.We practiced a case of kidney metastasis of a gastric tumefaction. An 81-year-old guy underwent distal gastrectomy with D2 lymph node dissection and limited hepatic resection for antral gastric cyst with hepatic infiltration in July 2019. A histological evaluation revealed undifferentiated tubular adenocarcinoma. The last stage had been pT4bN1P0H0M0, Stage ⅢB. He rejected the recommended adjuvant chemotherapy. Seven months after surgery, abdominal enhanced CT revealed a hypovascular mass, 20 mm in diameter, in the correct upper pole of renal. Eleven months after surgery, CT revealed that the size had enlarged to 35 mm, infiltrated the renal pelvis, and advanced level to para-aortic lymph node metastasis. We performed a retroperitoneoscopic partial right nephrectomy and diagnosed renal metastasis associated with the gastric tumor. His right flank pain worsened, and radiotherapy(50 Gy)was performed when it comes to size and para-aortic lymph node metastasis. His right flank pain resolved. Kidney metastasis of this gastric tumor is extremely uncommon. Radiotherapy effortlessly relieves pain.A 77-year-old guy with a medical history of high blood pressure, dyslipidemia, angina pectoris, and interior carotid artery stenosis underwent laparoscopy-assisted distal gastrectomy, D2 lymphadenectomy, and Billroth Ⅰ repair for advanced gastric disease. Hematologic examination unveiled extreme anemia on postoperative day 2, and abdominal CT scan detected contrast media leakage into the remnant gastric lumen. Upper gastrointestinal endoscopy revealed mucosal necrosis and ulceration of a large range. The client recovered with traditional therapy and had been released on postoperative day 18. Endoscopic balloon dilation was needed to improve anastomotic stenosis after release, and after that the individual got adjuvant chemotherapy. The belly is resistant to ischemic changes because of the microvascular communities into the stomach wall; therefore, gastric remnant necrosis after gastrectomy is uncommon. Nonetheless, for customers with arterial sclerosis, such as for instance in this situation, physicians must look at the number of gastrectomy and repair methods.The client ended up being a 65-year-old guy for whom a right hemicolectomy ended up being carried out for transverse colon cancer tumors and numerous lymph node metastases. Peritoneal dissemination was seen for the abdominal cavity, and curative resection was not possible.