Incidence and Clinical Features of Bleeding Peptic Ulcers in Acute Upper Gastrointestinal Bleeding: -Experience of Moroccan University Hospital Unit

Introduction: Peptic ulcer disease (PUD) has been recognized as the leading cause of acute upper gastrointestinal bleeding (AUGIB). This study aims to report general features of bleeding peptic ulcers in patients who benefit of urgent endoscopy in our department after an acute upper gastrointestinal hemorrhage. Results: A total of 1809 patients were explored for acute upper gastrointestinal bleeding in our unit since 2003 to 2008. Gastroduodenal peptic ulcers were the most frequent diagnosed etiology. They present 38% of all reported causes of bleeding (n=527) (table I). 25% were located at duodenal mucosa (n= 347) and 13% were gastric ulcers (n=180). No esophageal ulcers were reported. Incidence of both duodenal and gastric ulcers decreases during the last years. Conclusion: In our department; incidence of bleeding peptic ulcer disease is decreasing but they continue to be the first cause of AUGIB

Migration intravesicale du dispositif intra-uterin a propos de cinq cas

La migration intravesicale du dispositif intra-uterin (DIU) par perforation uterine est une complication rare. Dans cette etude retrospective monocentrique; nous presentons notre experience de 5 cas colliges au sein de notre etablissement entre 2004 et 2009. L'age moyen de nos patientes est de 39 ans (32-48 ans). La symptomatologie clinique revelatrice etait dominee par le syndrome irritatif vesical. Le diagnostic a ete evoque sur le couple echo/AUSP; puis confirme par la cystoscopie. Le traitement a consiste en une lithotritie balistique du calcul avec extraction du sterilet par voie endoscopique chez 4 patientes et extraction chirurgicale chez une seule