[Surgical management of complicated diverticular disease of the colon]

In occidental countries, more than 50% of people aged more than 80 years have a pelvic colon [sigmoid] diverticulosis. In absence of any epidemiological study, in Morocco, this affection seems to be rare. We report here 4 cases admitted in a non urgent surgical department during 10 years, two men and two women, aged between 40-58 years old. All of them were managed for a complicated stage of sigmoid diverticulosis. These complications were presented by sigmoid stenosis, perisigmoid abcess, purulent peritonitis and acute sigmoiditis. The first three patients were operated. The first one had a non urgent recto-sigmoidal hinge resection. The other two had an urgent intervention, but the diverticular origin was not evoked except after the surgical intervention, one only of them had another intervention for resection of the recto-sigmoidal hinge. The second patient refused to be reoperated. The last patient was medically treated. For a better therapeutic management of diverticular diseases we must know the evolutional aspects of this disease

Rectal prolapse

Twenty-five interventions for rectal prolapse have been done for 23 patients during 20 years, 12 direct rectopexies, 9 Orr-Loygue procedures, 2 resections, Delorme's procedure for 1 patient and one cystectomy. We observed 4 recurrences i.e. 17,3%. Abdominal rectopexy seems to be the best treatment for rectal prolapse

Abscess retroperitoneal d'origine brucellienne [a propos d'un cas]

We report one case of retroperitoneal abscess, who complicate a brucellosis spondylodiscitis. The diagnosis of brucellosis was confirmed by morbid anatomy eram and serodiagnostic, and the spinal origin by tomography. spinal lumbar made after surgery. The evolution was good after medical and surgical treatment

Traumatismes du grele au cours des contusions abdominales: [a propos de 17 cas]

We report here a retrospective study of 17 small intestine traumatismus during abdominal contusion, seen in the hospital Avicenne from 1985 thourgh Decembre 1989. From this study, it results that: The young male adult is the most Struck down by these traumatisms. Outwards the wounded who were admitted in hemorragie shockstate by the diagnosis was based mainly on abdominal clinical sings and their course; The presence of pneumopenitoneum at radio logic examination of abdomen without preparation induce to emergency surgery. This study proves usefulness of. peritoneum puncture-wash in the difficult cases. Lf echograph is avialable in emergency it can serve substitute of peritoneum puncture-wash, if we consider relibihty of its results at the present time. The therapeutical management is well codified. The early diagnosis alone can allow to improve the prognosis

Lesgrossesses uterines aux urgences chirurgicales: [a Propos de 60 cas]

The ovula graft outside uterus is relatively frequent. Our work is unpretentions contribution to the study of extra uterine pregnancies cases, managed in the Service of Visceral Surgical Emergencies [Pr. Balafrej] of Rabat Avicennes Hospital from 13 February 1985 to June 1989

Pelvi-peritonite aigue d'origine genitale chez la femme: [a propos de 44 cas]

The peliv-peritonitis is a medical emergency, but in some cases, it can be chirurgical emergency which should not be ever looked. The diagnosis should be precise and rapidly givers: the clinic may be erronuous and does not reflect The importance of the anatomic lesions, which nessiciate the use of the caselioscopy in most cases. The caselioscopy enables one to affirm the diagnosis, to direct the etiologic diagnosis, to practise the bacteriologiie prelevements, to make a local treatment and to give a prognosis. The treatment to cure is in the first place medical, the use of which depend the cure