[Ano-perianal suppurations during Crohn disease]

The authors present 26 cases of ano-perianal suppurations during Crohn disease, collected in theGastro-Enterology and Proctology unit of the CHU Ibn Rochd of Casablanca, during a period of 12 years [1977-1989]. In our series, the young adults represent 34% of the cases with a slight masculine predominance in 57.7% of the cases. The ano-peri-anal suppurations are inaugural in 38% of the cases. They are concomittant in 38% cases to an ileo-colic localization: in 50% of the cases to a colic localization, and 70% of the cases to a rectal localization. We note a predominance of the secondary lesions in 66,7% of the cases. A spontaneous cicatrization of the ano-peri-anal suppurations under a general medical treatment is obtained in 80% of the cases. The evolution of the patients under surgical proctologic treatments marked by a cicatrization of the lesion in 75% of the cases

Evaluation of endoscopy in diagnosis upper gastrointestinal hemorrhage. About 840 cases

Our study concerns 840 cases of upper gastro-intestinal bleeding collected in the internal medicine department of Casablanca university hospital. The source of bleeding has been established in 92.5% of cases by fibroptic endoscopic examination of the upper gastro-intestinal tract. The most frequent lesions were: gastro-duodenal ulcer [36%], [duodenal ulcer was found in 27.6% of cases]; acute mucosal lesions of gastro-intestinal tract [26.5%]; oesophageal varices [16.9%]. The association of medications suspected to cause upper gastro-intestinal bleeding was found in 10.6% of cases. Association of lesions was also noted. In 7.5% of cases, no specific endoscopic diagnosis was made. The source of bleeding was nearly definible when the interval from the begining of bleeding to endoscopy was short

situation of the laparoscopy in tuberculosous peritonitis. About 180 cases

Tuberculous peritonitis is still very frequent in our country. Through a retrospective serie of 180 cases, the authors relate their experience on laparoscopy in the diagnosis and compare their results to the data of literature. Laparoscopy with peritoneum and liver biopsies still have an important role in the diagnosis

Anal condyloma acuminatum. About 60 cases

In this study of 60 cases of anal condyloma acuminatum, most of the patients are from 20 to 45 years old [70%]. Most of them are males [80%]. Clinical diagnosis is generally easy; sometimes, treatment is disappointing and recurrences are frequent. It's the opinion of most of the specialists, that diathermy is the best treatment Eradication is the only garantee to avoid the exceptional cases of malignant transformation

Verneuil perianal disease. About 24 cases

Our work is a retrospective study of 24 cases of Verneuil perianal disease. It concerns 23 men and one woman. The average age is 34 years. The diagnosis is easy in front of a polyfistulated chronic form, but in the begining of the stage. The diagnosis seems to be difficult and necesstats reaserch of the other localisations of the disease. For the treatment, we insist on the "open excision" because of the various advantages

Hydatid cysts of the hepatic dome. Report of 58 cases

The periferic hydatid cysts are in general relatively simple to treat. Conservation or radical methods give in these localisation a satisfactory result. The localisation at the dome presents a high morbidity. The radical treatment should be indicated but the proximity of the hepaticocave venous confluent make this method dangerous. The hydatid cyst of the dome impose to find therapeutic alternative

Sacro coccygeal pilonidal sinus. About 32 cases

This is a retrospective study of 32 cases of pilonidal sinus. In all published series, the pilonidal sinus seems to be a young men's affection easy to diagnose, but usually unknown to the praticians. A tuft of hairs which is a the center of a fistulous orifice or a sacro coccygeal cavity is the most typical aspect. The best treatment, is the "open excision"; simple and effective; it gives the lowest ratio of recurrence [5.88% in our sery]. It's inconvenient is a longer recovery time

[Light chains type multiple myeloma and amyloid intestinal obstruction]

A case of light chain type multiple myeloma is diagnosed in a 26 year-old patient who presented a gastrointestinal amyloidosis revealed by an intestinal obstruction. The authors recall the diagnostic difficulties of non typical multiple myeloma, the links between multiple myeloma and amyloidosis and emphasize their bad prognosis when associated

Alpha heavy chains disease: an intermediate stage

The authors report a case of alpha heavy chains disease associated with a lambliasis affecting a forty-year-old Moroccan women. Histologically, the stage of this case has not been described yet. It is intermediate between the stage A and B: there is a transparietal and plasmocytic infiltration of the small bowel as well as a ganglionic and periganglionic mesenteric infiltration and without any immunoblastic participation. This particularity warrents the tetracycline and cyclophosphamid association. This study is completed with a review of literature dealing with the alpha heavy chains disease

[Persistent cholestatic hepatitis. Diagnostic and therapeutic interest]

The authors report 9 cases of persistent cholestatic hepatitis treated by corticoids. After having defined the selecting criterions of the different observations they note that the period of disappearing of the jaundice by cortico-therapy doesn't go beyond 30 days except for one patient for whom the jaundice was of an excessive long continuance. Biologically, the authors insist on the lack of normalisation of alkaline phosphatase while the other hepatic investigations become nearly normal