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

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

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