Predictive factors of morbidity after surgical treatment of hepatic hydatid cyst.

Introduction: Surgery remains the basic treatment of hepatic hydatid cyst (HHC). However, it is associated with significant morbidity. The aim of our study was to evaluate mortality and morbidity of surgery of the HHC and to highlight the risk factors.

Prognostic factors in gastric carcinoma after R0 resection with DII lymph node dissection. Tunisian experience.

Background: Curative resection with adequate lymph node dissection is the treatment of choice for gastric cancer.

Aim: To determine the prognostic factors after R0 resection with DII lymph node dissection.

Methods: We retrospectively assessed 126 patients who underwent R0 resection with DII lymph node dissection for gastric cancer (excluding the upper third of the stomach) in a single institution between 1991 and 2006 with median follow-up of 38.

Laparoscopic-assisted versus conventional ileocolectomy for primary Crohn's disease: results of a comparative study.

Introduction: The laparoscopic approach is becoming the gold standard in the surgical treatment of primary Crohn's disease. The aim of this study was to compare laparoscopic-assisted and open ileocolic resection for primary Crohn's disease.

Methods: We conducted a non-randomized, comparative, retrospective analysis of a prospective database from 1998 to 2010.

[The Caroli's disease. Report of 16 cases].

Background: Caroli's disease is a congenital dilatation of the intrahepatic biliary duct.

Aim: To analyse and discuss diagnostic and therapeutics difficulties through 16 patients with Caroli's disease.

Methods: Between January 1990 and September 2010, 16 patients underwent surgical procedure for Caroli's disease.

[Recurrence of hydatid cyst of liver: predictive factors: Tunisian experience].

Cystic echinococcosis is a public health problem. Surgery represents the basic treatment and the surgeon is regularly faced with the choice of the appropriate surgical procedure (radical versus conservative surgical approach). The conservative procedure is safe and easy but can lead to a recurrence in the site of residual cavity.

[Hyperbaric oxygen in the treatment of perineal Crohn's disease era of infliximab: a renewal interest?].

Background: Despite the growing number of therapeutic methods and the recent introduction of new drugs more active in the therapeutic arsenal, lesions of the ano-perineal Crohn's disease remains difficult to support. Hyperbaric oxygen (HBO) was made before the era of infliximab, an interesting therapeutic approach in which the current position remains unclear.

Aim: To assess HBO efficacy in the treatment of anal fistulas refractory Crohn's disease.

Idiopathic megacaecum: clinical features and diagnostic approach.

Congenital megacaecum is a rare entity and difficult to diagnose. The pathogenesis of this malformation is not well known since there are very few cases reported in the literature. The purpose of this observation is to describe the functional signs that may suggest this rare diagnosis and the means to confirm it.

Surgical management of intra-abdominal cystic lymphangioma. Report of 20 cases.

Background: Cystic lymphangioma (CL) is a benign rare malformation of lymphatic vessels. Its discovery in adults is rare. Although it can affect any organ, the common forms found in adults are mesenteric and/or retroperitoneal CL.

[Totally implantable venous access ports by cephalic vein cut-down for patients receiving chemotherapy].

Background: The use of an implantable room has become indispensable in the clinical practice for the cancer patients. The increasing use of these devices was associated with a greater incidence of complications.

Aim: To verify the feasibility of the cephalic vein cut-down technique for placement of venous access devices.

Pancreaticojejunostomy vs. pancreaticogastrostomy following pancreaticoduodenectomy: results of comparative study.

Aim: Several techniques have been proposed for reconstructing pancreatico-digestive continuity, which the first goal is reducing the rate of pancreatic leakage after pancreaticoduodenectomy. Only a limited number studies have been carried out. Our objective is to compare the results of pancreaticojejunostomy versus pancreaticogastrostomy following pancreaticoduodenectomy.

[Colo-urachal-cutaneous fistula in an adult].

Background: An infected urachal cyst is an uncommon finding in adults.

Aim: To report a case of a sigmoid- urachal- cutaneous fistula.

Case Report: A 51 years old adult male presented with fecaloid leaking from rupture of an infected urachal cyst.

[Anatomic variations of the hepatic artery : a study of 33 cases and review].

Background: The hepatic artery is prone to numerous anatomic variations dictated by certain variables of the organogenesis. Aim : To research study the anatomic variations of the hepatic artery as well as their implications within surgical practice.

Methods: Study of a post-mortem series of 33 cases of dissection of the hepatic pedicle with fresh corpses (deaths amounting no longer than 24 hours), carried out in conditions that are quite close to those met with the living ones.

[Malignant intraductal papillary mucinous tumours of the pancreas. A three cases report].

Background: Intra ductal papillary mucinous tumors of pancreas are rare and are characterized by a risk of malignant transformation.

Aim: To clarify their clinical presentation and the performance of different imaging examinations to determine their benign or malignant and achieve their staging.

Cases: We report three cases of degenerate intra ductal papillary mucinous tumors of pancreas.

Acinar cell carcinoma of the pancreas: a rare tumor with a particular clinical and paraclinical presentation.

Acinar cell carcinoma (ACC) of the pancreas is a rare tumor with an extremely low incidence rate. While the number of reported patients with ACC is relatively small, a long-term survival rate has been noted in patients with neuroendocrine differentiation. A 39-year-old woman visited our emergency department for upper gastrointestinal bleeding.

[Acute peritonitis complicating Crohn's disease: epidemiologic and physiopathological characteristics].

Background: An uncommon event in the natural course of Crohn's disease is the spontaneous perforation. It's the most serious intestinal complication.

Aim: To report the incidence of this complication and to discuss the mechanism of the perforation.

[Tomodensitometric diagnosis of internal herniation: report of 3 cases].

Aims: To study the value of the CT scan in the diagnosis of internal herniation and to evaluate its performance comparing its features to preoperative data.

Cases: We report 3 cases of patients with internal hernias (two men and one woman whose age is 23, 45 and 60 years) hospitalised in emergency for a small bowel obstruction. There were no previous abdominal surgeries or trauma, The three patients underwent CT scan.

[Mesenteric panniculitis simulating malignancy].

Background: Panniculitis mesenteritis is a rare, benign, and chronic fibrosing inflammation disease with unknown aetiology that affects the mesentery of small bowel and colon.

Aim: To report a new case of this entity and to highlight its diagnostic difficulties especially when it affects the mesocolon.

Case Report: A 37 years-old women presented with chronic abdominal pain; physical examination found mass of left ilaca fossa.