Ischemic Colitis Revealing Polyarteritis Nodosa

Ischemic colitis is one of the most common intestinal ischemic injuries. It results from impaired perfusion of blood to the bowel and is rarely caused by vasculitis. We report a case of ischemic colitis revealing polyarteritis nodosa (PAN) in a 55-year-old man. Histological examination of the resected colon led to the diagnosis of PAN

Oral sensitivity to oleic acid and food behaviors in athletes

International audienceThe purpose of this study was to test the hypothesis that fat oral-intensity perception may be associated with level of physical activity, food preferences and consumption of fat-rich foods. METHODS: 52 top athletes from different discipline (weightlifting, kayaking, athletics…) of both sexes (27 male, 25 female) underwent anthropometric measurement, assessment of body composition, and completed a 4-day diet record and physical activity diary. In addition, they were screened for oral sensitivity to oleic acid (0.375 mM, 0.75mM, 1.5mM, 3mM, 6mM, 12mM) using triplicate sensory evaluations for each concentration. According to the threshold of fat perception, subjects were allocated to three groups G1 (0.375mM-3mM), G2 (6mM-12mM), G3> (12mM). Further, food habits and behaviors (food habits and behaviors questionnaire) were also established. RESULTS: Male athletes; BMI, 25,3±4,4kg/m², age, 18,88±1,53 years, BF%, 12,52±9,2, TEE, 3763,1±460 kcal . Female athletes; BMI, 24,17±4,54 kg/m², age, 16,11±1,93 years, BF% 21,70±7,4, TEE, 3106±310,05 cal. 85%. (n = 44) of subjects were classified as hyposensitive and nonsensitive (G2, G3). These subjects differed from those who were classified as hypersensitive (G1). Hyposensitive and nonsensitive subjects have a higher training volume, and total energy expenditure. They consumed significantly more energy, fat, saturated fat, fatty foods, , compared to hypersensitive subjects (all P < 0.05). CONCLUSION: An inability to perceive low concentrations of fatty acids in foods was associated with higher training volume and greater consumption of fatty foods. Our results suggest the probability of criminalization of physical activity in the regulation of orosensory fat taste perception and therefore fat intake

Laparoscopic repair of a left paraduodenal hernia

Paraduodenal hernias are the most common internal hernias. Their diagnosis is usually made after complication as strangulation or intestinal obstruction. Diagnosis is easily made with abdominal CT scan. 45 years-old woman with no medical history was presented to the emergency department of our hospital with two-days of abdominal pain particularly in the left upper hemi-abdomen. The pain was associated with nausea and bilious vomiting. Abdominal examination revealed an abdominal distension with left upper quadrant tenderness. A CT scan of the abdomen was performed which demonstrated the same encapsulated cluster of jejunal loops having a radial arrangement located in the omental bursa. Their meso and vessels converged towards the transverse mesocolon and pushing back the stomach towards and the pancreas backwards with a distension of the duodenum upstream. Patient underwent emergency laparoscopic surgery under general anaesthesia with the patient placed in supine split-leg position. The patient was discharged on postoperative day second