Physiology and Anatomy

The detection rate of pancreatic cystic lesions has increased since the current use of high resolution imaging. CT-scan, MRI and echo-endoscopy are diagnostic modalities. The pseudocyst is the most common lesion. It is benign and can be managed by endoscopic treatment. Pancreatic cancer accounts for 2% of all tumors, yet it is the fifth leading cause of cancer death. The surgical treatment of these lesions should be discussed within a multidisciplinary team. The interest of this observation lies in the rarity of the published case, both in terms of the location of the tumor and the clinical and radiological presentation leading to a benign tumor of the pancreas which sometimes poses diagnostic difficulties and justifies a discussion multidisciplinary.

Takayasu's disease is an inflammatory arteritis particularly rare in children and is often difficult to diagnose due to the large clinical polymorphism and the absence of specific biological criteria. We report a rare case of takayassu disease revealed by pyoderma gangrenosum in a child. The diagnosis was confirmed by imaging, which showed multifocal arterial damage suggestive of vasculitis. 

Gardner's fibroma is a rare benign soft tissue tumor most commonly occurring between infancy and adolescence. Approximately 70% are associated with familial adenomatous polyposis (FAP) and Gardner’s syndrome which are inherited in an autosomal dominant manner. We report the observation of a young 16-year-old patient who underwent surgical resection of a large right lateral cervical mass, whose anatomopathological analysis of the operative specimen confirmed the diagnosis of Gardner's fibroma. Considering the association between this histological type and the FAP, a family survey and an endoscopic digestive exploration in search of a recto-colic polyposis coming back negative. The diagnosis is an isolated sporadic Gardner's fibroma.

Hepatic artery pseudoaneurysm is a rare complication of traumatism of the bile duct. The objective of this work is to be able to suspect this complication in case of hemobilia or hepatic colic and to make the diagnosis by hepatic Computed tomography angiography. Endovascular treatment is the least invasive method and should be considered urgently.We report a case of a young boy whose diagnosis was established by computed tomographic angiography of the hepatic artery after having presented Quincke’s triad.

The infectious disease pulmonary tuberculosis (PTB) and the non-infectious disease diabetes mellitus (DM) constitutes major health problem in the society. Many research studies acknowledging the negative health impacts of DM on patients with PTB. In this study 500 PTB patients with DM had been subjected to screen for anemia. Hb % had been studied to evaluate their anemic status. The study results had been strongly proving about…% of the PTB patients were found to be affected by anemia. From this study results, it has been concluded that the patients with DM and PTB had been documented with mild to severe type of anemia . These patients require special care to treat anemia which in turn helps in the management of PTB and DM.

Pseudo-Ludwig's phenomenon, a rare clinical entity, is characterized by non-infectious upper airway obstruction resulting from spontaneous hematoma in the sublingual area. We describe a case of pseudo-Ludwig's phenomenon in patient on anticoagulants with deranged coagulation profile.

Sarcomatoid variant of urothelial carcinoma (SVUC) is an uncommon histological variant of urothelial carcinoma. Sarcomatoid carcinomas are aggressive malignancies with poor prognosis, which by definition are biphasic neoplasms with both an epithelial and a mesenchymal component. There is no consensus opinion on the best treatment modalities for this tumor. Herein on are reported 5 cases of SVUC with a brief review of the literature. The data was collected from the medical records in the Department of Urology, at the University Hospital Center of Rabat Morocco during the period from January 2014 to December 2017.

The authors have retrospectively studied 42 cases of tibiocalcaneal arthrodesis using large cannulated AO screws, staples and iliac crest graft mixed in treatment of fixed equinovarus deformity of the foot in adult patients. There were 25 men and 17 women aged 22 to 70 (mean, 45) years. All patients were reviewed with an average of 5 years. The operations were performed between 2005 and 2012.Preoperatively, all patients had 50° of the mean calcaneal varus deformity and 75° (60-90°) of equinus deformity on Meary’s radiological. There were 24 idiopathic, 8 post traumatic,6 neurologic associated with IMC,4 polio. Clinical and functional outcome was assessed with the kitaoka score, the x-rays included an AP and lateral view of the ankle and Meary view .Resultats were excellent in 73% , good in 18 % , fair in 9%. X-rays showed 3 nonunions after 2 years and were reported. We noted 2 postoperative cutaneous necrosis; the shortening was an average 2 cm. After a mean follow-up duration of 5±2.93 years; All patients stated that they improvement of pain and function. 40 patients returned to independent ambulation, wearing custom-made shoes with molded insoles. We belive that the tibiocalcaneal arthrodesis should be used to treat the fixed equinovarus deformity in the adult whatever its etiology.

The term Coarctation can be defined as the stricture or narrowing of the aorta, it affects both child and adult, but is seen mostly in children. Coarctation can be either be preductal or postductal. Depending on the severity of the condition and the time of diagnosisthe treatment can be determined in an individual.Identifying this condition very early in life is also beneficial to the patient even though there would be a few complications that would be faced depending on the form of treatment one choses. The present study aimed to understand the embryological basis and its clinical significance.

In the present paper we have formulated the renal blood flow along the capillaries in case of renal disease Diabetes . keeping in the view the nature of renal circulatory system in human body. P.N.Pandey and V.Upadhyay have considered the blood flow has two phased one of which is that of red blood cells and other is plasma. According to Fahreaus-Lindqvist effect the blood flow in two separated layers while passing through capillaries. The plasma layer which flows along the surface of the capillaries contains almost no blood cells. The second layer the core layer containing blood cells which flows in plasma along the axis of capillary. We have collected a clinical data in case of Diabetes for hematocrit v/s blood pressure. The graphical presentation for particular parametric value is much closed to the clinical observation. The overall presentation is in tensorial form and solution technique adapted is analytical as well as numerical. The role of hematocrit is explicit in the determination of blood pressure drop in case of renal disease Diabetes