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.
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