Introduction: Irritable bowel syndrome (IBS) represents a real public health problem. It is a very common gastrointestinal disorder which has significant impact on the quality of life of patients. The aim of this study is to determine the frequency of irritable bowel syndrome according to the criteria of Rome III and to identify the determining factors. Methods: We carried out a prospective cross-sectional observational study with a descriptive aim among students of the Faculty of Medicine and Pharmacy of Marrakech. Forty eight students were collected in our study. Results: The prevalence of IBS is estimated at 23.07%. The average age was 22.5 years with ages ranging from 19 to 26 years. A clear predominance of females was noted with a sex ratio of 0.5 (32 females / 16 males). According to the criteria of Rome III, the subtype with predominant constipation presents 60% (N = 21), the subtype with predominant diarrhea presents 54.28% (N = 19), and the mixed form presents 14.25% (N = 5). The most common association was abdominal pain with constipation. Most of the students had intermittent minimal chronic pain, mostly epigastric, accentuated by stress and calmed by stool emission. In association with digestive signs, asthenia was present in 97.14% of patients. The majority of cases had an incorrect lifestyle: 62.5% had an unbalanced diet, and 87.5% did not practice regular physical activity. Conclusion: Irritable bowel syndrome is relatively frequent in the active population. Our study objectified that IBS represents a significant percentage within our target population. They are determined principally by stress especially during exams, gender, genetic profile and unhealthy lifestyle.
Spontaneous rupture rupture in cirrhotic patients with portal hypertension is a rare complication; however, the incidence, etiology and risk of rupture have not been established. The diagnosis is confirmed by abdominal imaging or exploratory laparotomy and treatment is essentially surgical. We report a case of atraumatic splenic rupture in a 30-year- old woman with hepatic cirrhosis associated with splenomegaly.
Leptospirosis is a zoonosis occuring worldwide, caused by pathogenic spirochaetes of the genus Leptospira. The clinical presentations of leptospirosis are variable, ranging from a simple atypical flu-like syndrome to a severe picture of multiple organ failure. We report a rare case of leptospirosis complicated by acute pancreatitis.
Radiation obstruction is a serious complication of radiation enteropathy. It occurs in patients undergoing radiotherapy for gynecological or rectal cancer. Its management requires special attention to improve the survival of these patients. Based on a case who underwent surgery for cervical cancer and who presented an occlusion on stenosis of the small intestine coves, we will describe the pathophysiology of this rare entity and illustrate the value of imaging in the management of this pathology.
Aortodigestive fistula is a rare and potentially serious cause of GI bleeding, with a very high mortality rate if not diagnosed and managed early. Upper gastrointestinal endoscopy, in addition to the CT scan, is a key examination in the diagnosis, provided that it is performed up to the third duodenum. An early and adapted surgical management remains the basis of the treatment of these fistulas, in addition to an anti-infectious treatment adapted to the identified germs, as well as all the pre- and postoperative resuscitation measures.
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