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1.  Anévrysme de l'artère hépatique révélé par une pancréatite - à propos d'un cas et revue de la literature 
Les anévrysmes de l'artère hépatique sont rares et pourvoyeurs de complications graves. La pancréatite est reste une mode de révélation inhabituel. À travers une observation d'un anévrysme de l'artère hépatique propre et les auteurs font une mise au point sur les anévrysmes de l'artère hépatique, les auteurs discutent le rôle de la chirurgie et le rétablissement du flux hépatique artériel dans le traitement de ces lésions vasculaires.
doi:10.11604/pamj.2014.18.324.5108
PMCID: PMC4250012  PMID: 25478045
Anévrysme; artère hépatique; chirurgie; embolisation; aneurysm; hepatic artery; surgery; embolization
2.  Paragangliome rétropéritonéal non secrétant: une cause rare d'occlusion intestinale haute 
Les paragangliomes sont des tumeurs neuroendocrines rares diagnostiquées le plus souvent chez le jeune adulte. Nous rapportons le cas rare d'une jeune femme de 20 ans présentant un paragangliome rétropéritonéal situé sur la face antérolatérale de l'aorte et comprimant l'angle duodéno-jéjunal responsable d'un syndrome subocclusif haut. Dans les formes non sécrétantes, la symptomatologie est souvent déroutante. Le diagnostic n'est généralement fait qu'après examen histologique de la pièce de résection. Le traitement de choix repose sur une chirurgie carcinologique intégrant une concertation multidisciplinaire.
doi:10.11604/pamj.2014.18.312.5140
PMCID: PMC4247906  PMID: 25469205
Paragangliome; tumeur rétropéritonéal; chirurgie; concertation multidisciplinaire; Paraganglioma; retroperitoneal tumor; surgery; multidisciplinary concertation
3.  Giant Malignant Cystic Pheochromocytoma: A Case Report 
The Indian Journal of Surgery  2012;74(6):504-506.
Cystic malignant pheochromocytomas are uncommon. Differing from solid pheochromocytomas, which produce catecholamines and present adrenergic syndrome, cystic pheochromocytomas, may not produce these. Preoperative diagnosis may be difficult. Ct scan is useful for preoperative management. In this report, we describe a case of a giant malignant cystic pheochromocytoma in a young woman (17 years old) which presented as giant abdominal mass. The malignancy was confirmed by the presence of liver metastasis. Two years after curative resection, the patient is in good health with no recurrence.
doi:10.1007/s12262-012-0719-x
PMCID: PMC3538001  PMID: 24293913
Neuroendocrine tumors; Malignant Pheochromocytoma; Adrenalectomy; Chemotherapy
4.  Giant Liposarcoma of the Omentum Mimicking an Ovarian Tumor. A Case Report  
The Indian Journal of Surgery  2012;74(5):425-427.
Liposarcomas are common soft tissue of the retroperitoneum and the limbs. They are rarely found in the greater omentum. Once in the peritoneum, these can become enormous and can be mistaken for ovarian mass. The authors report a case of giant omental liposarcoma revealed by an abdominal mass and genital prolapse due to the compression syndrome. A complete macroscopic resection of the omental tumour was performed. A post operative chemotherapy was also prescribed. A description of this clinical presentation in the preoperative assessment, the characteristics of this tumour, together with the use of adjuvant chemotherapy are discussed in this report.
doi:10.1007/s12262-012-0718-y
PMCID: PMC3477403  PMID: 24082602
Liposarcoma; Great omentum; Surgery; Chemotherapy
5.  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 9 cm pancreatic mass, without liver lesions. A Whipple procedure with segmental colectomy was performed with success. After 24 months 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.
doi:10.1016/j.ijscr.2012.09.007
PMCID: PMC3537933  PMID: 23123418
EGITs; Pancreas; Whipple procedure; Pancreas divisum
6.  Kyste hydatique primitif du sein 
Le kyste hydatique du sein est une parasitose rare même dans les pays endémiques. Nous rapportons une nouvelle observation d'une patiente de 30 ans qui présentait une masse du sein gauche. Le diagnostic de kyste hydatique du sein a été évoqué devant les données de l'examen clinique et de la mammographie couplée à l’échographie. Le geste chirurgical a consisté en une kystectomie. L'examen anatomopathologique de la pièce opératoire a confirmé le diagnostic.
PMCID: PMC3489387  PMID: 23133704
Kyste hydatique; sein; échographie; mammographie; hydatid cyst; breast; echography; mammography
7.  Giant Trichobezoar of Duodenojejunal Flexure: A Rare Entity 
Bezoars are concretions of undigested material in the gastrointestinal tract, most commonly in the stomach. Duodenojejunal localization of bezoars is exceptional. We report a case of a 27-year-old woman who experienced nausea, vomiting and severe abdominal pain for one week. By palpation a mobile and sensitive mass, 15 × 15 cm, was detected, which filled the upper quadrant. Results of gastric endoscopy were normal. X-ray and ultrasonography suggested a bezoar. A laparotomy revealed that the jejunum was fissured by the trichobezoar ball. This trichobezoar mass was totally excised by intestinal resection.
Conclusion:
To our knowledge, this is the first reported case of duodenojejunal fissuration caused by trichobezoar in an adult. Among patients with high subocclusif syndrome, duodenojejunal bezoar should remain a possibility in differential diagnosis.
doi:10.4103/1319-3767.65198
PMCID: PMC3003208  PMID: 20616419
Duodenojejunal flexure; intestinal partial obstruction; surgery; trichobezoar

Results 1-7 (7)