Background: The current treatment of locally advanced lower and middle rectum's adenocarcinoma is well codified. It is based on neoadjuvant radiotherapy (NRT) followed by surgical excision. However, two broad radiotherapy approaches are being debated: short course of hypo-fractionated radiation therapy "SRT" (5 GY × 5 days) and long course concomitant radio-chemotherapy "CRT" using higher radiation dose (45-50 GY over 5 weeks) combined with chemotherapy. The first approach allows taking care of about 4 times more patients compared to the second in a same period. SRT was introduced at a large scale at the Pierre ET Marie Curie center (Algiers) in May 2010 by a new multidisciplinary board (Rectum board), aiming to reduce long-lasting schedules.
Be called the Achilles heel of this operation. We describe a technique of sleeving the pancreaticojejunal anastomosis with a digestive cylinder from the first intestinal loop. Its aim is to decrease the importance and the frequency of pancreatic fistulas, thus reducing the morbi-mortality of duodenopancreatectomies.
Acute pancreatitis is a rare condition during pregnancy, with peculiar specificities and particular findings.
We report a series of 03 cases of pregnant women, treated for acute pancreatitis from 2016 to 2020. Their
average age was 34.33 years and the diagnosis was based on clinical-biological clues: epigastric pain with
strong elevation of lipasemia. Biliary etiology was confirmed in all patients initially by ultrasounds. Two
patients had benign pancreatitis of favorable evolution. The third patient presented with a clinically severe
pancreatitis and systemic inflammatory response syndrome, multiple organ failure syndrome with maternal
and fetal deaths. Treatment was mainly symptomatic (medical), followed by cholecystectomy after delivery.
Acute pancreatitis during pregnancy is a real threat for both the maternal and fetal prognosis and is a
differential diagnosis that must be kept in mind for prompt management.
Anorectal malignant melanomas are rare and aggressive tumors. The diagnosis is based on pathological exams. We reported the case of a 54 years old patient who underwent a surgical resection for rectal melanomas diagnosed after histological exams of rectal biopsy tissues.
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