Cerebral venous thrombosis (CVT) has been reported as an uncommon and devastating complication of ulcerative colitis (UC), with an annual incidence varying between 0,5 to 6,7%. It is suspected to be a consequence of the hypercoagulable state occurring during disease relapse. We report a case of 22-year-old female patient presenting with CVT revealing an UC. Our case raises the awareness among health professionals about the inflammatory bowel diseases (IBD) as a rare etiology of CVT, and signifies the importance of considering antithrombotic prophylaxis in all hospitalised IBD patients, especially those with active disease.
Le trichobézoard est défini par la présence d'un corps étranger intra gastrique formé par des cheveux ou des fibres textiles. C'est une pathologie rare qui survient habituellement chez des adolescents présentant des troubles psychiques. La symptomatologie clinique est très variée et le diagnostic est souvent suspecté à la radiologie et à l'endoscopie. Le traitement est chirurgical associé à une prise en charge psychologique. Nous rapportons l'observation d'une jeune femme de 26 ans, hospitalisée au service pour une masse épigastrique. La fibroscopie oesogastroduodénale a mis en évidence un trichobézoard confirmé par le scanner abdominal. La patiente a été opérée par une gastrostomie, les suites post opératoires étaient simples. Elle a été confiée par la suite à un psychiatre pour suivi thérapeutique. Le trichobézoard est une pathologie rare qui survient habituellement chez des adolescents présentant des troubles psychiques.
The association of diabetes mellitus and insulinoma is unusual. We are reporting the case of a 58 years old patient having diabetes mellitus type 2 for several years. This patient was well balanced with oral anti-diabetic treatment. However, the diagnosis of insulinoma was discussed due to recent episodes of hypoglycemia that persisted even after stopping the treatment. Abdominal CT allowed the topographic diagnosis. The patient underwent a caudal pancreatectomy. Furthermore, the postoperative period shows that the diabetes mellitus requires the oral anti-diabetic treatment and basal insulin have to be stable. Then, the occurrence of hypoglycemia in the diabetic mellitus type 2 and, especially the persistence after discontinuation of therapy, suggest the unusual diagnosis of insulinoma as illustrated in our observation.
La tumeur à cellules géantes (TCG) est une tumeur bénigne rare de l'os. Elle se voit surtout au niveau des extrémités des os longs après la maturité osseuse. L'atteinte des os du pied est exceptionnelle. Nous rapportons un cas de tumeur osseuse à cellules géantes de l'os cunéiforme médian, survenant chez une jeune fille et révélé par des douleurs du pied. Nous discutons les différents aspects cliniques, radiologiques et les différen-tes modalités thérapeutiques.Giant cell tumour of the second cuneiform: report on an unusual site Abstract: Giant cell tumours are uncommon, benign, osseous disorders, which usually affect the extremities of long bones once they are fully-grown. They are very rarely encountered in foot bones. We report a case of giant cell tumour of the left second cuneiform in a young girl, revealed by foot pain. In this reported case, we discuss clinical and radiological aspects as well as suitable therapies for this tumour.
The Askin tumour is a highly malignant rare tumour with small cells, pertaining to the group of the primitive neuroectodermal tumours. It develops with the costs of the soft parts of the thoracic wall and it's characterized by extra and endothoracic fast extension. We report seven cases colliged in our service by specifying the role of the imagery in the diagnosis but especially the assessment of extension of these tumours.
Le pied de Madura, ou mycétome, est une pathologie infectieuse, chronique, déformante des parties molles, de la peau et des structures osseuses. Elle est caractérisée par des nodules indolores, des fistules qui laissent échapper des grains colorés. Nous rapportons deux cas de pied de Madura avec une brève discussion.Abstract: Madura foot, or mycetoma, is a localized, chronic deforming infectious disease of subcutaneous tissue, skin and bone. It is characterized by painless nodules, fistulae and discharge often containing coloured grains. We report two cases of Madura foot with a brief discussion.
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