Isquemia intestinal por estenosis de la arteria mesentérica superior. Tratamiento con angioplastia e implante de stent / Intestinal ischemia due to stenosis of the superior mesenteric artery. Treatment with angioplasty and stent implantation

La isquemia intestinal crónica es un cuadro poco frecuente que se encuentra asociado a una alta morbilidad y mortalidad. La causa más frecuente es la arterioesclerosis. Los pacientes sufren de dolor abdominal periumbilical o en epigastrio, que aparece de 10 a 30 minutos luego de la ingestión de alimentos. Presentamos un caso de isquemia intestinal crónica diagnosticado por colonoscopia con biopsias. Se practicó arteriografía que mostró estenosis de la arteria mesentérica superior y se trató con angioplastia percutánea e implante de stent. El paciente presentó completa mejoría clínica y endoscópica. Se comentan los hallazgos clínicos, endoscópicos, radiológicos y el procedimiento terapéutico. Creemos que el tratamiento con arteriografía, angioplastia y colocación de stent es una alternativa que puede mejorar los resultados clínicos disminuyendo la morbimortalidad en esta patología.

Chronic mesenteric arterial ischemia is an uncommon condition associated with a high morbidity and mortality. It is most commonly caused by atherosclerotic occlusive disease. Patients may suffer epigastric or periumbilical post prandial pain, ten to thirty minutes after eating. A case of chronic mesenteric ischemia is presented due to superior mesenteric artery stenosis. The diagnosis was performed with colonoscopy and biopsy. We present a case report of a patient with chronic mesenteric ischemia. Mesenteric arteriography was performed and documented estenosis of the mesenteric superior artery. Then, percutaneus arteriography with angioplasty and implant of stent was performed. The patient became completely asymptomatic and normal colon mucosa is observed in a control colonoscopy. The purpose of this report is to present the case, endoscopic, clinic and radiological features and to describe the percutaneous angioplasty and implant of stent.We believe that angioplasty treatment offers an improvement in this pathology with a low complication rate, and increasing patient confort degree.

Breast cancer and pregnancy [about 10 cases]

Breast cancer is the first cancer in Morocco. Its incidence is 60 - 90/ 100 000 woman per year. It represents the most frequently associated cancer with pregnancy. The association of pregnancy and breast cancer represents a particular conflict as regards the foeto-maternal interest. In this un exceptional association, seriousness is related to frequency of advansed forms and the influence of this hormonodependent cancer. In the light of these obseved clinical cases and review of literature, our proposition is to clarify the epidemiological, clinical, prognostic and therapeutic data

Dystocia due to enlarged foetal thoracic parts: a case of non immunised hydrops fetails

The authors exposed the problem of case of a dystocia due to hydrothorax and sub-cutaneous oedema which was complicated by a uterine rupture, diagnosed at 34 weeks amenorrhoea. Authors attempt to analyse the elements at hand to be able to prevent occurance of dystocia

effect of dietary supplementation with fish oil and beef fat on plasma-free fatty acids and glucose in relation to insulin in adult male rats

Fifty mature albino male rats were divided equally into five groups. The first group [control group] was fed on a control diet, in the 2nd group and 3rd group, about 20% and 40% of the carbohydrate in the control diet were substituted by fish oil, but in the 4th, and 5th group beef fat substituted the carbohydrate in a ratio of 20% and 40% respectively. After two weeks of feeding, the animals were sacrificed, the plasma and liver samples were obtained and kept at -20 till analysis. PLasma levels of glucose, free fatty acids [FAAs], total lipids and insulin were measured, moreover, liver FFAS and total lipids were measured. The results indicated that the plasma glucose level was increased by 73% in groups [4 and 5] fed on diets containing 20% and 40% beef fat, while [FFAs] in plasma significantly increased in the same groups. On the other hand, plasma [FFAs] level revealed 40% and 50% decrease in the animal groups fed on the diets containing 20% and 40% fish oil respectively. The plasma insulin levels were significantly increased by 109% and 135% in the same respective groups. In the animals fed on the diet containing 40% fish oil, the total plasma lipids showed a significant decrease of 32%. But the level showed a significant increase of 40% and 53% in the animal groups fed on the diet containing 25% and 40% beef fat respectively. The total lipids in liver tissues was significantly increased in all tested groups. It was concluded that, feeding on the beef fat "a hyperlipidaemic fat" resulted in increased plasma glucose, FFAs and total lipids concentration without any significant changes in the insulin level. On the other hand feeding on fish oil resulted in a decrease in plasma FFAs and total lipids with significant increase in insulin level without any changes in plasma glucose in adult male albino rats