Mohammed Bouziane

Pancreatic GIST with pancreas divisum: A new entity

INTRODUCTION Gastrointestinal stromal tumours (GISTs) are uncommon intra-abdominal tumours. These tumours tend to arise with a higher frequency in the stomach and the small bowel. In fewer than 5% of cases, they originate primarily from extra-gastrointestinal tumours (EGISTs). Gastrointestinal stromal tumour of the pancreas is very rare. Only few cases have been published. We report the first case of stromal tumour of the pancreas with concomitant pancreas divisum. PRESENTATION OF CASE A 39-year-old male who presented with constipation and abdominal pain. A computerized tomography demonstrated a 9cm pancreatic mass, without liver lesions. A Whipple procedure with segmental colectomy was performed with success. After 24months follow up, the patient is doing well and disease-free. DISCUSSION Mesenchymal tumours of the pancreas are extremely rare, accounting for less than 1% of all pancreatic tumours. The endoscopic ultrasound is helpful for diagnosis. Surgical resection with negative pathologic margins remains the treatment of choice. CONCLUSION in our knowledge, this is the first case of pancreatic GIST with pancreas divisum. Although pancreatic GISTs are uncommon tumours, they must be considered in the differential diagnosis of solid pancreatic lesions. Even though the tumour can be evaluated as high risk, treatment must be aggressive in order to improve survival rate.

Primary tuberculoma of the liver: a case report and literature review

We report the case of an immunocompetent patient with an isolated tuberculoma of the liver, which was diagnosed by percutaneous US-guided liver biopsy. The patient received an antitubercular therapy, and there has been no relapse to date.

Tuberculose mammaire: à propos d’un cas

Breast tuberculosis is rare. It poses a problem of differential diagnosis because it may be mistaken for breast cancer as clinical examination and diagnostic imaging are not specific. Breast tuberculosis should be suspected especially in endemic countries or in immunosuppressed individuals. We report the case of a menopausal woman with breast tuberculosis in order to raise concern for diagnosis.

Graves' disease allied with multiple pheochromocytoma.

Pheochromocytoma is an uncommon cause of high blood pressure touching adults. The combination of severe hypertension in the triad of headache, sweating, and tachycardia should suggest this diagnosis; this clinical picture is similar to that of hyperthyroidism. We report the case of a 22-year-old patient with multiple pheochromocytoma associated with Graves’ disease revealed by malignant hypertension and discussed the difficulties of the diagnosis and the treatment approach.

Rupture post-traumatique d’un kyste hydatique du foie : à propos de deux cas

La rupture de kyste hydatique du foie dans la cavite peritoneale est un accident rare realisant des tableaux cliniques polymorphes. L’examen tomodensitometrique et l’echographie permettent le plus souvent un diagnostic facile et precis de cette complication. Le traitement demeure chirurgical en urgence. Nous rapportons deux cas pour lesquels la rupture du kyste est survenue apres traumatisme abdominal.