[Colo-urachal-cutaneous fistula in an adult]

An infected urachal cyst is an uncommon finding in adults. To report a case of a sigmoid- urachal- cutaneous fistula. A 51 years old adult male presented with fecaloid leaking from rupture of an infected urachal cyst. Definitive management consisted of resection of the urachus with a bladder cuff, along with removal of the affected bowel segments. Colo-urachal-cutaneous fistula is a rare condition; its management is rather complex

[Peripancreatic sporadic gastrinoma]

The peri-pancreatic sporadic gastrinoma represents a paradigm of digestive endocrinology. It was originally an abnormal secretion of gastrin fits the syndrome Zollinger-Ellison. The objective of our work is to clarify the diagnostic strategy and therapeutic conduct of gastrinoma. We report the case of a patient aged 42 years, hospitalized for bleeding duodenal ulcer, revealed a Zollinger-Ellison syndrome. The objective of our work is to clarify the diagnosis strategy and therapeutic conduct of gastrinoma. We report the case of a patient aged 42 years, hospitalized for bleeding duodenal ulcer, revealed a Zollinger-Ellison syndrome. The different explorations have shown that it was a primitive peripancreatique sporadic gastrinoma. In surgery, we discover a retropancreatique tumor associated to a stenosis post-bulbar ulcer. It was conducted a enucleation of the tumor with vagotomie troncular and normalization of the values of gastrinemie. The sporadic gastrinoma is rare, its emphasis in increasingly being facilitated by the technology of modern medical imaging. Treatment of pancreatic gastrinoma is multidisciplinary. Surgery is the only cure for this disease