Hypertransaminasaemia and Addison's disease.

A 37-year-old man with hypertransaminasaemia, astenia, anorexia and weight loss is presented. After a search for the usual causes of hypertransaminasaemia, without a positive result, finally Addison's disease was diagnosed. This is an association that is very rarely published.

[Acute abdomen caused by jejunal perforation as a clinical presentation of MEN-1 syndrome].

We present a case of acute abdomen due to a jejunal perforation. The final diagnosis was concluded a multiple endocrine neoplasia type I. In the literature reviewed, no similar clinical presentation was found.

[Bacterial overgrowth secondary to intestinal diverticulosis].

Jejunal diverticulosis is an unusual finding. We present the case of 70-year-old man with bacterial overgrowth secondary to multiple diverticula of the small intestine. The diagnosis was based on clinical events, x-ray films and mainly on the optimal answer to antibiotic treatment.

Hydatid cyst of the head of the pancreas with spontaneous fistula to the duodenum.

Primary pancreatic hydatidosis is exceptional. Only 12 cases have been reported in Spain up to 1982. In large series of patients with hydatidosis, pancreatic involvement occurs in 0.