[Post hemorroidal anal stenosis]

Anal stenosis represents a rare post hemorroidectomy complication which is difficult to manage. We report a series of eight cases, five male and three female, aged 29 to 67 years old, through a period of 12 years, in whom anal stenosis occurred 2 to 16 months after hemorroidectomy, which was of pedicular type in 5 cases, circular in one case and of a non precise type in 2 cases. We performed three sphincterotomy with anoplasty, two dilatations associated with lateral sphincterotomy, one Bellan's anoplasty and an Y-V flap's anoplasty. All our patients regained their proper anal diameter, with amelioration of the discriminatory sensibility, the medium recurrence time was three years and half [maximum 9 month and 7 years]. The anoplasties provide good results. The best treatment is prophylaxis done by choosing the safety technic and respecting the rules of hemorroidectomy

Leiomyoma of the colon [report of a case]

Leiomyoma of the colon is an extremely rare tumor. Reports are those of sessil intraluminal lesions. We report a case of extraluminal leiomyoma of the transverse colon. The diagnosis is suspected at laparotomy and confirmation of the precise nature of the neoplasm by histologic examination

Pilonidal sinus

Pilonidal sinus is a frequent benign disease, with a localization often sacrococcygeal. Its etiopathogensis is still badly clarified. Diagnosis is generally easy in typical forms: purulent flow by an opening situated at the level of inter gluteal furrow and containing some hairs. Some diagnosis traps secondary to aberrant localizations should be known. Open surgical excision and cicatrizationnn is the treatment of choice. To this effect, we report 29 cases of pilonidal sinus operated on by this method between 1990 and 1999. This pathology occupies the fourth place of proctological diseases 75% of the patients are young, aged between 20 and 40 years. Male predominance is clear with a sex ratio H/F=1,9. Chronic purulent flow is the main symptom found in 82,23 of cases. After a retreat of one to 10 years, a case of fake recurrence has been noted. A second resection without closure has been successfully done