Videocapsule retention: role of surgical treatment (a case report)

Video capsule endoscopy (VCE) is a safe innovative tool for investigating obscure gastrointestinal diseases. The capsule is usually excreted with faeces within 24-48 h. Retention of capsule rarely occurs, and it usually  depends on the indication of VCE. Retention may long remain asymptomatic or manifest as subocclusif  syndrome. Acute complications of retention are very rare but can be life-threatening illness. Surgical approach is considered effective to retrieve the retained capsule, treat the pathology responsible and prevent acute  complications. We report the case of a 30 years old patient, followed for Crohn’s disease. She received during  the assessment reviewed by VCE that has been held for three months. The retention caused subocclusif  symptoms of which had needed surgically procedure. Treatment consisted of remove the VCE and repair of stenosis of small bowel by stricturoplasty

Paragangliome retropéritonéal: à propos d’un cas et revue de literature

Les paragangliomes rétropéritonéaux non fonctionnels sont des tumeurs rares. Ils sont définis comme des tumeurs chromaffines extrasurrénaliennes et représentent environ 1/5ème des tumeurs chromaffines. Ils sont souvent asymptomatiques et peuvent atteindre des dimensions importantes. Nous rapportons l'observation d'une patiente âgée de 34 ans opérée pour une tumeur rétropéritonéale géante et dont l'examen anapath a conclu à un paragangliome. Les formes malignes, plus fréquentes que les formes bénignes, présentent un envahissement locorégional et métastasent tardivement. La prise en charge des paragangliomes doit être multidisciplinaire mais seul le traitement chirurgical est curatif. Il n'existe par contre pas de consensus sur l'utilité des thérapeutiques complémentaires qui peuvent néanmoins constituer un appoint à titre symptomatique. Les paragangliomes présentent un caractère génétique dans 25% des cas. Une enquête génétique doit être systématiquement proposée.Pan African Medical Journal 2015; 21

Total rupture of hydatid cyst of liver in to common bile duct: a case report

Rupture of hydatid liver cyst into biliary tree is frequent complications that involvethe common hepatic duct, lobar biliary branches, the small intrahepatic bile ducts,but rarely rupture into common bile duct. The rupture of hydatid cyst is serious life threating event. The authors are reporting a case of total rupture of hydatid cyst of liver into common bile duct. A 50-year-old male patient who presented with acute cholangitis was diagnosed as a case of totally rupture of hydatid cyst on Abdominal CT Scan. Rupture of hydatid cyst of liver into common bile duct and the gallbladder was confirmed on surgery. Treated by cholecystectomy and T-tube drainage of Common bileduct. Key words: hydatid liver cyst, Rupture, Common bile duct (CBD),jaundice