Pellagra revealing a congenital duodenal diaphragm in an adult.

Pellagra is a nutritional disease caused by the deficiency of niacin. It is a clinical syndrome characterized by four "D's": diarrhea, dermatitis, dementia and ultimately death. We describe a case of pellagra as the initial presentation of congenital duodenal diaphragm.

[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.

[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.

[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.

[Early gastric adenocarcinoma].

Aim: the purpose of this study was to determine the epidemiological and clinical behaviour of the superficial adenocarcinoma of the stomach, to clarify its pathological characteristics, its therapy and prognosis.

Methods: Over a period of 14 years (1990-2004), 16 patients were operated for a superficial gastric adenocarcinoma among 155 gastric cancers treated during the same period in the service of general surgery "A" La Rabta.

Results: The superficial gastric adenocarcinoma represented 10.

[A case of an acute pancreatitis after endoscopic band ligation of esophageal varices: a strong association or an unusual complication?].

Background: Endoscopic band ligation is considered as the gold standard of treatment for oesophageal varices. Fewer and often mild complications can occur.

Aim: To report and to discuss an association between oesophageal variceal endoscopic band ligation and actue pancreatitis.

[Rupture of hydatid cyst of the liver into the duodenum. A case report].

Background: Rupture of hydatid cyst in the digestive tract is a rare complication even in endemic areas.

Aim: Authors report a case of a hydatid cyst of the left hepatic lobe ruptured in the duodenum

Case: was discovered at the occasion of epigastric pain and vomiting. Ct-scan revealed presence of air in a calcified hydatid cyst of the left liver lobe and a fistulous tract between the cyst and the duodenum.

Percutaneous drainage of suppurative pylephlebitis complicating acute pancreatitis.

Suppurative pylephlebitis is a rare condition with a significant mortality rate, ranging from 50% to 80%. We report a case of suppurative pylephlebitis complicating acute pancreatitis treated by percutaneous drainage in a 40-year-old woman. The patient had an uneventful recovery.

[Solitary fibrous tumor of the pancreas. A case report].

Solitary fibrous tumour (SFT), a rare mesenchymal neoplasm usually arising from the pleura, may also occur in many other extra pleural sites. It has exceptionally been described in the pancreas. This report describes the case of a benign SFT of the pancreas occurring in a 41-year-old man who presented with a solid epigastric mass.