[Primary intestinal involvement in Hodgkin's disease]. / Localisation intestinale primitive de la maladie de Hodgkin.

The authors report two cases of primary intestinal involvement in Hodgkin's disease, the first concerning the duodenum and the second the ileum. Both patients had a stenotic syndrome. The diagnosis was made by tumor histology in the first case and of a regional lymph node in the second. Treatment involved a course of chemotherapy and radiotherapy in the first case and surgical excision and chemotherapy in the second.

[An unusual cause of dysphagia: esophageal tuberculosis]. / Une cause inhabituelle de dysphagie: la tuberculose oesophagienne.

Esophageal tuberculosis is a rare etiology of dysphagia. Such a location is also rare in comparison with other digestive tract sites of the disease (3.2%). Esophageal involvement may be secondary or primary. Diagnosis is particularly difficult in the latter situation. At any event, the diagnosis can only be histological by examination of endoscopic biopsy material. Treatment is essentially medical and leads to recovery in most patients.

[Severe forms of hemorrhagic rectocolitis. Predisposing role of the amebic graft?]. / Les formes graves de la rectocolite hémorragique. Rôle favorisant de la greffe amibienne?

Severe forms of ulcerative colitis are somewhat rare but have a severe prognosis. Apart from the usual predisposing factors, the amebic graft must be especially emphasized, at least in those countries where the parasite is endemic. Entamoeba histolytica was consistently identified in 19 cases of the severe form that we found out of a total of 126 cases of ulcerative colitis. Usually the parasite was found in the shape of massive infestation and in most cases it proved to be resistant to the amebicides currently available. The clinical picture shown by the 19 patients was identical to that given in the literature for severe forms of ulcerative colitis. Therapeutically, it was essential to combine one (or, if necessary, several) course(s) of treatment with amebicides with the usual therapeutic measures until the parasite was destroyed in the intestine. This work suggests that any attack on ulcerative colitis must automatically include an anti-amebic course of treatment, and this should strictly precede any corticosteroid therapy, even administered as enemas.

[Diagnostic and therapeutic aspects of peritoneal tuberculosis in Morocco. Apropos of 300 cases]. / Aspects diagnostiques et thérapeutiques au Maroc des tuberculoses péritonéales. A propos de 300 cas.

We describe 300 cases of peritoneal tuberculosis observed in the space of 11 years in Morocco. The most usual terrain presented is the young woman in precarious socio-economic conditions. The febrile ascitic form was observed in 229 cases. The ulcero-caseous was observed in 51 cases, and the fibro-adhesive form in 14 cases. Diagnostic was based on laparoscopy with peritoneal biopsy. A controlled prospective study done randomly on 100 patients showed that corticotherapy associated with tuberculous antibiotherapy did not speed up clinical recovery but tended, rather, to slow down the disappearance of granulations and indeed facilitate the constitution of peritoneal adherence phenomena.