[Digestive polyposis. Retrospective study of 20 cases]. / Les polyposes digestives. Etude rétrospective d'une série de 20 patients.

BACKGROUND: Three main polyposis syndromes are transmitted as an autosomal dominant disorder: familial adenomatous polyposis (FAP), juvenile polyposis syndrome (JPS) and Peutz-Jeghers syndrome. AIM: Evaluate this management of digestive polyposis. METHODS: Our study included 20 patients which were collected in th departements of pathology surgery and garstroenterology of MT Maarmouri's Hospital, Nabeul city. RESULTS: We reported 15 cases of adenomatous polyposis with 2 family groups. We identified a family group of JPS with 3 members and 2 cases of Peutz-Jeghers syndrome. We found 11 cases of colonic adenocarcinoma out of the 15 patients affected by adenomatous polyposes. FAP is a generalized disorder involving the entire colorectum segment with numerous extra-colonic manifestations. The risk to develop colonic cancer is 100%. JPS is characterised by the development of numerous gastrointestinal juvenile polyps and occurs usually before 20 years old, the progression to cancer is rarely observed. CONCLUSION: Peutz-Jeghers syndrome consists in hamartomatous polyps associated to a characteristic mucosal pigmentation. The patients are usually young adults and have an increased incidence of cancer in extradigestive sites.

[Krukenberg tumor: a clinico-pathological study of 5 cases]. / Tumeur de Krukenberg: etude anatomo-clinique de cinq cas.

BACKGROUND: Krunkenberg tumor is defined as the ovarian metastases of a primary digestive tumor composed of a signet ring cells. AIM: Describe the different characteristics of Krukenberg's tumor to improve diagnostic criteria and the therapeutic approche. METHODS: Five cases of Krukenberg tumor are diagnosed in 5 year period between 2002 and 2005. The clinico-pathological feature are reported. RESULTS: The patient age was ranged from 31 to 58 years. Most ovarian tumors were diagnosed synchronously (3 cases). It was a gastric carcinoma in 3 cases and a colonic carcinoma in 2 patients. Histological diagnosis wass easy. We found in 2 cases a metastasis of colonic mucinous adenocarcinoma with signet ring-cell, in 2 other cases it was a gastric adenocarcinoma with exclusively signet ring cell and in the later case it was a gastric moderately differentiated adenocarcinoma with signet ring cell component. Surgical treatment was given in only 3 patients. CONCLUSION: Prognosis is always unfavourable. The only hope for improved prognosis is to search for ovarian metastasis in all cases of digestive tumor.

[Abscess of obturator internal muscle]. / Abces du muscle obturateur interne:a propos d'un cas.

The abscess of obturator internal muscle is a rare disorder. The literature states only sporadic cases. Because of its rarity, the diagnosis is often late. Indeed, the presence of functional disability of the lower limb associated to a made septic syndrome evoke in the first of all, arthritis of the hip. We bring back (report) an observation illustrating the difficulties and the delay diagnosis of an abscess of the obturator internal muscle. It is about a ten year old girl having consulted for a septic syndrome with functional disability of the hip. The patient having been treated (handled) at the beginning for a cold of the hip. Secondarily she was operated for septic arthritis of the hip. The surgical investigation showed it self negative. It is only to the pelvien scanner realized after ten days of hospitalization that the diagnostic of abscess was reserved. The evolution has been favourable after surgical drainage and antibiotherapie.

[True aneurysm of the common hepatic artery: a case report]. / Anévrysme vrai de l'artère hépatique commune: a propos d'une observation.

We report a case of hepatic artery aneurysm suggested by the appearance of epigastric mass. The diagnosis was confirmed by doppler sonography and helical CT. Surgical excision of the aneurysm without vascular reconstruction was carried out.