[ gastric trichobezoard: a case report]

Trichobezoar is defined as the presence of a foreign body in the stomach. This body is formed by a hair mass or fibres. The typical patient presenting with a trichobezoar is an adolescent experencing mental disturbance or retardation. A voluminous trichobezoar was discovered in a young woman aged of 23 years old. The diagnosis was easily made by computerized tomography and endoscopy. The surgery was performed without complications. Psychiatric follow-up is needed to prevent the recurrence

Mature retroperitoneal teratoma in adult [Two cases report and litterature review]

Retroperitoneal teratomas are rare tumours in adults. We report two cases of primitif mature retroperitoneal teratoma. The first, a 60-year-old woman was with general fatigue and being treated for acute pyelonephritis. The second patient, 30-year-old woman, presented with 2 years history of right hypochondral pains. The clinical exam found a mass of right hypochondrium. In both cases, the initial diagnosis with sonography and computed tomography suspected a retroperitoneal teratoma. The treatment consisted of a total tumoral excision. The follow-up was simple and no recurrence after 60 and 24 months respectively. The anathomopathologic exam concluded with a teratoma without signs from malignity in both cases. We conclude that teratoma is a rare tumour, which need histological examination to confirm diagnosis and seek an immature composent, sign of malignancy

Plummer-Vinson syndrome [report of two cases]

Plummer-Vinson syndrome is rare. It associates upper dysphagia, cervical oesophageal webs and iron deficiency. We report two cases of this syndrome collected at our department. The first case is a woman, 43 years old, and the second a man of 81 years old, both admitted for upper dysphagia. Biological investigation found iron deficiency anemia. Oesophageal transit disclosed annular stenosis of the cervical segment. Oesogastroduodenal endoscopy performed in the second patient showed regular stenosis. Our two patients beniffited from a pneumatic dilatation under radiological control in one session, iron supplementation was associated. The evolution was common after 2 years. Plummer-Vinson syndrome is rare and affected mainly young women. Its pathophysiology is still unclear. Its diagnosis is based on oesophagel transit and endoscopy. The treatment consist on iron supplementation during 3 months associated to iterative endoscopic dilatations. Pneumatic dilatation under radiological control seem to have good results. The risk of malignant transformation is estimated 10% after 30 to 40 years of evolution, requires rigourous surveillance

Pheochromocytoma [a report of 8 cases]

We reviewed a serie of 8 patients, 6 females and 2 men operated for a pheochromocytoma. Sex patients had a high blood pressure; permanent in 4 cases and paroxystic in two. Three patients had a left ventricular hypertrophy. The vanyl-mandalic-acid was elevated in 5 cases and dopamin in one case. This study confirmed the remarkable sensitivity of computed tomography [100%] for the detection of the pheochromocytoma. The ultrasonography was objectived the surrenalien tumor in 5 cases. The surgical procedure consisted on a total resection of the tumor by an anterior intraperitoneal approach. There was no mortality in our serie. Only one patient kept a high blood pressure after the resection neverthless negativity of the check-up. The pre-operative treatment is systematic and the only treatment of pheochromocytoma remains ablation of the tumor

Choledocal cyst in adult. Report of 2 cases

The congenital choledocal cyst is a rare but not exceptional affection. The diagnosis is rather easy, thanks of the clinical symptoms, the echography and the intravenous cholangiogram. The evolution with complication compulse a surgical treatment just after the diagnosis. The most complete removal of the cyst with choledocojejunostomy is the favorite technic for most authors