ABSTRACT
Gastrointestinal duplication is an uncommon congenital abnormality, usually diagnosed early in life; a minority may remain unsuspected until adulthood. Ileal duplications are the most common while colonic duplications are rare and remain asymptomatic and undiagnosed in most cases. The main symptoms include pain and/or abdominal distension. Rarely, duplications present with signs of acute abdomen or acute bleeding. We report about a case of a colonic cystic duplication in an adult revealed by rectal bleeding. This report illustrates the difficulties that can be encountered when establishing this rare diagnosis and emphasis that colonic duplication should be looked for in search for an aetiology of obscure colonic bleeding
Subject(s)
Humans , Female , Adult , Rectum , Gastrointestinal HemorrhageABSTRACT
The aim of our study is to value the quality of life [QOL] in patients with colo-rectal cancers in the region of tunisian center and to compare it to the QOL in a healthy population unhurt of cancer. Our population is made by 80 patients treated for colo-ractal cancers. The population witness includes 80 healthy individuals unhurt of cancers. The assessment of the QOL in patients is achieved with the specific colo-rectal cancer questionnaire: the FACT-C. The comparison of the QOL in the 2 populations is made by the general questionnaire of quality of life of Spitzer. The QOL in patients is good in 55% of cases, average in 44% of cases and bad in 11% of cases. The QOL is better in case of favourable socioeconomic conditions [p< 0,05], colic localization [p < 0,015], absence of metastases [p< 0,05], not mutilating surgery [p< 0,01] especially the absence of stoma [p< 0,001] and the restoring of the continuity [p< 0,002], absence of pain [p < 0,0001], absence of current treatment [p< 0,01]. The comparison of the different domains of QOL between the 2 groups [patients and healthy] finds a better QOL in healthy group, in all domains except for the relational ship domain witch turned to be comparable for the 2 samples
ABSTRACT
The purpose of our study was to determine clinical, biological or endoscopic factors that predict surgery after a glucocortico steroid treatment failure in severe attacks of ulcerative colitis. Sixty one patients were analyzed. A therapeutic response for glucocorticosteroid was defined as the absence of resort to surgery within the first 30 days after hospitalization. Predictive factors were assessed using univariate and multivariate analysis. Fifteen patients [24,6%] had a medical response. In univariate analysis, predictive factors of surgery were: male sex, tobacco, number of colitis attacks in case history, temperature over 38°C, ery-throcyte sedimentation rate over 30 mm, systolic blood pressure below 11, deep and wide ulcers. During the course, bowel movements/ day over 7, pulse over 90/mn, temperature over 38°C on day 3 after treatment initiation as well as passage of blood on day 5 were identified as predictors of surgery. In multivariate analysis, bowel movements over II day on day 3 of hospitalization was independently predicted a surgery. Bowel movements/ day over 7 on day 3 of hospitalization was the only independently predictive factor of surgery after glu-cortico steroid treatment failure
ABSTRACT
Stromal tumors of the digestive tract are undifferenciated connective tissue tumors, identified as stemming of [pace-maker] cells of Cajal related to the immunohistochimical characterization of the phenotype. Report three new cases. We report three observations of the small bowel stromal tumors reveal by anemia in one case and mass formation in two cases. The aim of this study was to discuss the anatomo clinical, prognosis and management of these tumors
ABSTRACT
A 45-year old woman presented with a recent paroxysmal hypertension and a flush syndrome. Physical examination revealed an abdominal mass with positive left lumbar contact. The urine metanephrine was high. The CT scan and the Magnetic Resonance imaging [MRI] showed a 10 cm retgroperitoneal tumour apart from the left adrenal gland and driving back the left kidney. The diagnosis of ectopic pheochromocytoma was suspected and the patient was operated. A tumour resection widened to the left adrenal gland and to the kidney was performed The specimen histology showed a well-differentiated liposarcoma associated to an adrenal medullary hyperplasia [AMH] Postoperatively blood pressure was stabilizsed at normal levels. The review of literature show that AMH mimicking a pheochromocytoma is rare and its association with a giant retroperitoneal liposarcoma has never been reported before