Lithiase géante sur enterocystoplastie

La formation des lithiases est une complication fréquente des entérocystoplasties après cystectomie radicale pour tumeur de vessie infiltrante. Le délai d'apparition dépend des facteurs de risque favorisants notamment les infections urinaires. Néanmoins la survenue de lithiase géante sur néovessie reste exceptionnelle, seulement 5 cas ont été rapportés dans la littérature. Nous rapportons dans ce travail, le cas d'une lithiase géante compliquant une entérocystoplastie chez un malade suivi pour tumeur de vessie infiltrante

Place de la laparoscopie dans la prise en charge des anomalies de différenciation sexuelle: à propos de 4 cas

Les troubles de la différenciation sexuelle sont à l'origine d'une discordance entre le sexe proprement dit (phénotypique) et le sexe génétique (génotypique) ce qui pose un problème de détermination du sexe. Dans les pays de faible niveau socio-économique où le diagnostic anténatal est souvent absent et les plateaux techniques insuffisants, la prise en charge médico-chirurgicale est difficile. Le but de ce travail est de préciser la place de la laparoscopie dans la prise en charge de l'ambiguïté sexuelle à travers l'observation de 4 cas et une revue de la littérature.Pan African Medical Journal 2016; 2

Accumulation and Tissue Distribution of Domoic Acid in the Common Cuttlefish, Sépia Officinalis from the South Moroccan Coast.

Domoic acid (DA) is a phycotoxin produced by some diatoms, mainly from the Pseudo-nitzschia genus, and has been detected throughout the marine food web. In Morocco, many mollusc species are subject to regular monitoring of levels of contamination by toxins via Network Observation of the safety of the Moroccan coast (RSSL) implemented by National Fisheries Research Institute (INRH). Among these toxins, AD which has been frequently found in the bivalve molluscs, little known about DA accumulation  in cephalopod.This study presents the first data showing concentrations of DA that exceed health limits detected in the common cuttlefish, Sepia officinalis from the south Atlantic coast of Morocco.  Domoic acid was found throughout 2014 and 2015 in the digestive gland and flesh of cuttlefish reaching concentrations of 50 mg DA kg-1. The highest DA values  were  detected during autumn month. Evaluation of DA tissue distribution showed elevated DA concentrations in the digestive gland. The common cuttlefish, like other cephalopod species, plays a central position in the food web and might be a new DA vector to top predators like marine mammals.  Human intoxications are not expected as long as DA was only detected in the flesh at levels (16 mg DA kg-1) not exceed regulatory value. However, in some countries, whole juvenile animals are consumed (without evisceration), and in this case they might represent a risk to human health as the AD accumulation is more significant in the digestive gland than in the flesh. This study reveals a new member of the marine food web able to accumulate DA in Morocco