Thrombus intracardiaque avec ischemie aigue et thrombophlebite des membres inferieurs lors d'une cardiomyopathie du peripartum

La cardiomyopathie du peripartum est une cardiomyopathie dilatee survenant dans le dernier trimestre de la grossesse ou dans les cinq ou six mois suivants l'accouchement. Elle est caracterisee par une dysfonction ventriculaire gauche diagnostiquee a l'echocardiographie bidimensionnelle (fraction d'ejection 45); sans aucune autre etiologie de la defaillance cardiaque. Nous rapportons dans cette etude un cas associant un thrombus intracardiaque; une ishemie aigue du membre inferieur et une thrombophlebite

[Thoracic myopericytoma in a child. A case report]. / Myopericytome à localisation thoracique chez l'enfant. A propos d'un cas.

Myopericytoma is a ubiquitous, benign tumor that is likely to be found in the muscular-cutaneous system. Symptoms are related to its location and to the mass effect it may cause on surrounding organs. Diagnosis is usually made by the pathologist and treatment is surgical. We report herein a rare thoracic location in a 4-year-old girl.

Deux observations de syndrome canalaire du membre superieur d'etiologie exceptionnelle

Les syndromes canalaires du membre superieur couvrent des pathologies variees. Les manifestations vasculaires au cours de ces syndromes sont rares mais graves. Nous rapportons deux cas atypiques d'etiologie exceptionnelle; dont un cas du syndrome de canal carpien provoque par une tumeur de type rhabdomyosarcome alveolaire; de la partie distale de la face anterieure de l'avant bras et un cas de syndrome de la traversee cervico-thoraco-brachiale du a une exostose de l'extremite superieur de l'humerus. Notre objectif est de rapporter ces deux cas et de realiser une revue de la litterature sur les aspects clinique et therapeutique de ces affections

[A case of giant malignant adrenocortical carcinoma]. / Une observation d'un volumineux corticosurrénalome malin.

Adrenocortical carcinoma is a rare disease. We report here a case of huge adrenocortical carcinoma. The aim of this study is to show the presence of this pathology in Madagascar despite its rarity, and the different steps undertaken for its diagnosis, treatment and evolution. A huge right adrenocortical carcinoma was incidentally diagnosed in a 42 year old man by ultrasonography and confirmed by computed tomography. The right adrenalectomy followed by an Op'DDD treatment gives good results in a short term. This case gave us the evidence of the usefulness of ultrasonography as a first intention investigation and the computed tomography as the only way to confirm the diagnosis. However, we can only rely on the histological findings even if the borderline between benignity and malignity is sometimes debatable. Open adrenalectomy is the main treatment, completed with an Op'DDD therapy whose efficiency is doubtful. The evolution is uncertain and the prognosis is poor.

[A rare cancer: cancers of the small intestine. 25 cases diagnosed at the Institut Pasteur de Madagascar from 1992 to 2001]. / Un cancer peu fréquent: celui de i'intestin grêle. A propos de 25 cas diagnostiqués à l'Institut Pasteur de Madagascar de 1992 à 2001.

A retrospective survey of cases of cancer of the small intestine observed in the Institut Pasteur de Madagascar (IPM), in the Centre Hospitalier de Soavinandriana (CenHoSoa) and in the Centre Hospitalier Universitaire d'Antananarivo/Hôpital Joseph Ravoahangy Andrianavalona (CHUA/HJRA), has been undertaken with the goal to find out epidemiological and diagnostical particularities, as well as the therapeutic measures and their results. Only 25 cases have been found in 10 years (from 1992 to 2001). They represent 5.4% of the digestive cancers diagnosed by the Institut Pasteur de Madagascar. They concern 14 women and 11 men with a mean age of 36 years old at the time of diagnosis. The motive of hospitalization was an acute abdomen (peritonitis, perforation, occlusive syndrome, König's syndrome) in 64.3%, and a chronic abdominal pain often associated with abdominal mass in 35.7%. The duodenum is the predilection seat of the small bowel cancers (50%), followed by the ileum (25%) and the jejunum (10%). A diffuse shape has been observed in 15% of the cases. The most frequent histological type is the lymphoma (40%) followed by the adenocarcinoma (32%).

Un cancer peu frequent : celui de l'intestin grele. A propos de 25 cas diagnostiques a l'Institut Pasteur de Madagascar de 1992 a 2001

"Cancers of the small intestine diagnosed at the Institut Pasteur de Madagascar"":A retrospective survey of cases of cancer of the small intestine observed in the Institut Pasteur de Madagascar (IPM); in the Centre Hospitalier de Soavinandriana (CenHoSoa) and in the Centre Hospitalier Universitaire d'Antananarivo/Hopital Joseph avoahangy Andrianavalona (CHUA/HJRA); has been undertaken with the goal to find out epidemiological and diagnostical particularities; as well as the therapeutic measures and their results. Only 25 cases have been found in 10 years (from 1992 to 2001). They represent 5;4"