[Diabetes in chronic pancreatitis- about 22 cases]

The aim of our study was to determine the diabetes profile in chronic pancreatitis, through an analysis of 22 chronic pancreatitis cases seen over 14 years in the service of gastroenterology. There were 6 men and 2 women. The average age is 50 years, the age oscillating between 20 and 67 years. The diabetes revealed chronic pancreatitis in 5 cases. These patients were alcoholic. The diabetes appeared in average after 4 years of evolution. Seven patients had pancreatic calcifications. This diabetes was insulin dependent in 4 cases. Through the reported cases, a literature review is done in order to point on features of diabetes when occurring with chronic pancreatitis

Imaging features in disseminated BCG infection. Report of two family cases

The dissemined BCG infection is a rare and serious post BCG vaccinal complication, occuring mostly in patients with immunity disorder. We presented two family cases of dessimined BCG infection with an underling chronic septic granulomatosis. Diagnosis of BCG infection was established on imaging features of a multifocal involvement: osteoarticular, visceral, and lymphadenopathy. Actually, CT scan and MRI allow diagnosis extension and etiology of multifocal involve based on puncture and/or biopsy. Usually no bacteriological evidence of Bacillus Calmette Guerin is obtained on culture in 50% of cases

[Radioclinic aspects of pediatric lumbar disc herniation. Report of 12 cases]

12 cases of disc herniation in pediatric age group are reported. All patients were teenagers [mean 14 years and 6 months]. Trauma was noted in 50 % of cases. Diagnosis was made with 4 months delay. Severe back pain with sciatica associated with spinal stiffness and pseudo-scoliotic attitude were noted in 10 cases. Imaging modalities included CT Scan and myelography demonstrated the disc herniation and radicular compression in all cases. Congenital spinal abnormalities such narrowed central canal and lateral recess were noted in 3 cases and a listel avulsion in 3 cases. L4-L5 and L5-S1 levels are the most common sites involved. 9 children had surgery and 2 hexatrione chimionucleolysis resultats were excellent in 83 % of cases. Disc herniation is a rare pathology in pediatric age group and teenagers; however, frequency is increased because of the intensevly sport practice among young people. Its main characteristics were predominance of trauma, congenital abnormalities spinal, marked physical complaints, an easy CT scan diagnosis and better therapeutic results