Gastrointestinal tuberculosis is quite rare, representing only 3% of all extrapulmonary cases. Involvement of the appendix is rare, only occurring in about 1% of cases. It is usually secondary to tuberculosis elsewhere in the abdomen. A prompt diagnosis depends on a high index of suspicion as clinical signs may be nonspecific and microbiological confirmation is difficult. Histopathologic examination is often the only way to reach a diagnosis and to establish specific antibiotic therapy. In these cases, due to the absence of specific symptoms and signs, the diagnosis is delayed until after surgery.
Les métastases ombilicales des tumeurs viscérales sont très rares et graves vu leur pronostic péjoratif. Elles constituent parfois le seul signe d'appel vers la tumeur primitive, ce qui rend la démarche diagnostique difficile. À cet égard, il nous semble intéressant de vous rapporter deux cas de métastases cutanées ombilicales de tumeurs gastriques colligés dans le service de gastroentérologie du CHU Mohammed-VI. Pour citer cette revue : J. Afr. Hépatol. Gastroentérol. 5 (2011).
Mots clés Métastase ombilicale · Cancer gastrique · Chimiothérapie palliativeAbstract Umbilical metastases of the visceral tumours are very rare and associated with a poor prognosis. They sometimes appear as a result of primary tumour, making the diagnosis difficult. In this article, we report two cases of umbilical cutaneous metastases of gastric tumours in the Gastroenterology Department of Mohammed VI Hospital.
intussusception secondary to IFPs of the small intestine are difficult to diagnose without recognition of its clinical and pathological characteristics. CT is useful in confirming an anatomical abnormality, histological examination establishes the final diagnosis of IFPs.
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