[Internal iliac artery aneurysms in behcet's disease, two cases report]

Behcet's disease is a vasculitis more frequent in Japan, in the Middle East and in some Mediterranean countries. It is characterized by a classical triad of recurrent uveitis, oral and genital ulcerations. It is a systemic vasculitis affecting predominantly the venous system. Arterial manifestations in Behcet's disease are less common especially aneurysms who may in some cases quickly involve the vital prognosis. We report two cases of Behcet's disease with arterial internal iliac aneurysms complicated in the two patients by a rupture

[Dermatofibrosarcoma protuberans a facial localisation]

The dermatofibrosarcoma protuberans is a rare but not exceptional tumor of the skin. It is misdiagnosed, often after multiple surgical debulking with cosmetic damage. The authors report the case of a 59 years old woman presenting a voluminous dermatofibrosarcoma protuberans located in the parotid area and not associated with facial palsy and trismus. The treatment consisted in a large surgical debulking of the sarcomatous tumor, the covering skin and the superficial lobe of the parotid. The surgeon used local flaps to repair the cosmetic damage. The post operative follow-up was of 1 year without complications and recurrence. Dermatofibrosarcoma protuberans is a cutaneous tumor characterized by local malignancy. It is seen mainly in adults regardless to sex and it is rarely seen in head and neck. This tumor has a rare propensity to metastasise and high relapse and sarcomatous transformation rates, A large debulking is the only solution to avoid a local recurrence

[Value of CT scan in acute bowel obstruction]

Bowel obstruction is a leading cause of admission in surgical and emergency units. Therapeutic modalities are based on the cause and the severity of the obstruction. This review will remind the semiology and value of Ct-scan in the diagnosis of bowel obstruction

[Intrathoracic goiters]

True intrathoracic goitres without any connexion with the cervical gland are rare. They present as tumours of the upper mediastinum. Mediastinal CT scan is the investigation of choice. Treatment is exclusively surgical because of the risk of mediastinal compression. In this report we describe a case of goitre which was diagnosed fortuitously in a 45 years old patient. Treatment was surgical with a left anterolateral thoracotomy

Adenoid cystic carcinoma of paranasal sinus - about 2 cases

Adenoid cystic carcinoma [ACC] is a fairly uncommon malignant disease that accounts for about 1.3% of all paranasal sinus cancers, and occurs most commonly in the minor salivary gl and s of the head and neck. ACC grows slowly. However, it frequently recurs and metastasizes to distant organs such as lung or bone after treatment, and the prognosis is poor. Locally advanced lesions are usually managed best by resection and postoperative radiotherapy

Pseudotumoral lateral and far lateral lumbar disc herniation - about a case report

Far lateral lumbar disk herniation [FLH] is a rare clinical and radiological entity. It can sometimes mimic other diagnosis such as tumor or radicular cyst. We report a case of a lumbar FLH with vertebral scalloping in a 48-year-old patient. The aim of this work is to insist on the utility of imaging modalities [Ct-scan and MRI] in positive and differential diagnosis of pseudotumoral FLH