Adenocarcinome sur poche ileo-anale compliquant une maladie de Crohn. a propos d'un cas

We reported a case of patient born in 1967 who has been operated on in 1987 on three years after the beginning of ulcerative colitis which became severe and resistant to the medical treatment. A total colectomy with an ileo-rectal anastomosis had been performed. The pathological diagnosis carried of the specimen was Ulcerative colitis. Then a proctectomy. followed by ileo-anal anastomosis, was performed in 1993. After several episodes of pochitis and the appearance of intestinal lesions upstream the ileal pocket, the retained diagnosis was Crohns colitis. Eight years after the ileo-anal anastomosis, the patient developed an adenocarcinoma in the ileal pocket. He has been operated on in 2002 and he had abdominoperineal resection, radiotherapy and chemotherapy. He died in January 2003. The death was related to the recurrence of malignancy. Endoscopic controls with biopsies are mandatory doing to follow up dysplasia predictive of degeneration

Agenesie de la vesicule biliaire: a propos d'une cas.

Agenesis of the gall-bladder is a very rare affection. The pathogeny is correlated with abnormality affecting the embryogenesis of hepatic diverticulum which explain the frequent association with others malformations. The diagnosis is exceptionnaly made preoperatively. Laparotomy confirm the diagnosis and the surgeon must explore the habitual ectopic site by manual explorations, sonography and cholangiography before concluding at the diagnosis of agenesis of gallbladder