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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 cancers digestifs posent un réel problème de santé au Maroc, leurs incidences et leur évolution restent inconnues du fait de l'absence de registre de cancers. Le but de ce travail est de rapporter l'épidémiologie descriptive des cancers digestifs dans la région de Marrakech, permettant ainsi de créer un registre des cancers de cette région. C'est une étude rétrospective descriptive des cas de cancers digestifs diagnostiqués du 1 er janvier 1997 au 31 décembre 2008. Nous avons recensé 3 838 cas de cancers digestifs occupant la première place devant les cancers gynécomam-maires avec 27,4 %. L'âge moyen est de 58,1 ans, avec une nette prédominance masculine sauf pour les localisations biliaires et le foie. Le sex-ratio est de 1,5. L'estomac est l'organe de prédilection (45,6 %), suivi des cancers colorectaux (26,4 %), de l'oesophage (9 %), des voies biliaires (8,1 %) et du foie (4,6 %). L'adénocarcinome constitue la variété la plus fréquente (82 %), suivi du carcinome épidermoïde (10 %) et des lymphomes (3,6 %). Ce travail donne une idée précise sur l'épidémiologie des cancers digestifs dans la région de Marrakech, et les données recensées vont permettre de créer un registre des cancers. Mots clés Cancers digestifs · Incidence · Registre · Région MarrakechAbstract By their frequency and severity, digestive cancers pose a public health problem in Morocco; their frequency and evolution continue to be unknown owing to the absence of a national register of cancer. This is a retrospective descriptive study of cancer cases diagnosed from 1 January 1997 to 31 December 2008. During the study period, we identified 3,838 cases of digestive cancers occupying the first place before gyneco-mammary cancer with 27.4% of all cases. The mean age was about 58 years for both males and females. A clear male predominance was observed in almost all locations except for the bile ducts and liver. The sex ratio is 1.5. The stomach (45.6%) is the favourite followed by colon and rectum (26.4%), oesophagus (9%), biliary tract (8.1%) and liver (4.6%). At histopathology, adenocarcinoma (82%) is the most common variety. This work is a clear idea on the epidemiology of cancer in the region of Marrakech, thereby creating a cancer registry.

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The reliability of the OAB-v3 is poorer than that of the OAB-v8. The OAB-v3 is poorer correlated to the OAB-q than to the OAB-v8. A short questionnaire, such as the OAB-v3 and the 1-QoL, has poor reliability and is poorly correlated to the OAB-q and is not recommended as a replacement for the standard questionnaires, such as the OAB-q and the OAB-v8. The OAB-v3 should only be used in large screening populations where there are time limits.

A 30-year-old female patient suffering from abdominal pain, nausea, vomiting and dyspeptic complaints over the past 2 days was admitted to our emergency department.process. The pain was associated with biliary vomiting. On physical examination, the temperature was normal. Her abdomen was distended with mild tenderness over the umbilical and epigastric areas. There was no surgical scar, no abdominal wall hernia and no abdominal mass.

Internal hernias, including paraduodenal (traditionally the most common), pericecal, foramen of Winslow, and intersigmoid hernias, account for approximately 0.5-5.8% of all cases of intestinal obstruction and are associated with a high mortality rate, exceeding 50% in some series. We report an extremely rare case of an internal abdominal hernia, through the right mesocolon, in a young woman with a right colon with no peritoneal fixation. This hernia was revealing by abdominal pain, nausea, and vomiting. The diagnosis of internal hernia was suggested by computed tomography (CT), but the exact type of internal hernia was confirmed by surgical exploration. The postoperative course was uneventful and the patient fully recovered after 3 days. The patient is free from symptoms and from recurrence, after 12 months of follow-up.