Metastatic colon involvement from primary adrenal gland angiosarcoma: a case report.

Introduction: Angiosarcoma is a rare and aggressive malignancy accounting for 1-2% of soft tissue sarcomas. Primary adrenal angiosarcomas are exceptionally rare, with fewer than 60 cases reported.To our knowledge, this is the first documented case of an adrenal angiosarcoma presenting as a colonic metastasis.

Impact of Immersive Virtual Reality During Outpatient Sedation-Free Colonoscopy: A Randomized Prospective Controlled Study.

Background And Aims: Colonoscopy is the gold standard for accurate exploration of the colon. Thus, it must be performed as efficiently as possible. The patient's tolerance considerably affects the quality of sedation free examinations.

Tubulointerstitial Nephritis in ANCA-Associated Vasculitis as a Rare Adverse Effect of Adalimumab: A Case Report.

Background: Patients with inflammatory disease treated with biological agents are at an increased risk of developing various adverse effects. However, little is known about the risk of nephrotoxicity, such as induced tubulointerstitial nephritis and immune-mediated inflammatory diseases involving the interstitium and renal tubule.

Case Report: We herein describe a case of biopsy-proven tubulointerstitial nephritis, induced by PR3-ANCA-associated vasculitis following adalimumab therapy in a patient with Crohn's disease and ankylosing spondylitis.

A cholecystectomy revealing sarcoidosis: A case report.

Introduction And Importance: Sarcoidosis is a multisystemic, non-caseating granulomatous disease of unknown etiology, predominantly affecting the lungs and lymph nodes. Gastrointestinal involvement, especially in the gallbladder, is rare. Here, we presented a unique case of granulomatous lymphadenitis in a gallbladder-associated lymph node, revealing systemic sarcoidosis.

Pernicious anemia presenting with dysphagia and melanoderma: a confusing manifestation.

Vitamin B12 deficiency is widely recognized as a common cause of anemia. However, symptoms such as dysphagia, melanoderma, and pancytopenia, although less frequent, can also be associated with this deficiency. We report the case of a 47-year-old Caucasian man presented with dysphagia to solids associated to high heart rate, dyspnea and melanoderma.

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Helicobacter pylori infection is the most common infectious disease worldwide. It is associated with duodenal and gastric ulcer disease and the risk of gastric neoplasia. The management of helicobacter pylori infection currently represents a real challenge for clinicians, given the ever-increasing rate of resistance of Helicobacter pyolori to various antibiotics.

EncephalApp Stroop Test for covert hepatic encephalopathy screening in Tunisian cirrhotic patients.

Covert hepatic encephalopathy (CHE) is underdiagnosed and is difficult to detect. The EncephalApp Stroop test is validated for its screening. The aim of the study was to define Tunisian norms for the test based on healthy controls norms and to estimate the prevalence of CHE in cirrhotic Tunisian patients.

Iatrogenic orbital hematoma: an exceptional complication of upper gastrointestinal endoscopy.

Iatrogenic orbital hematoma is a rare event, most often manifested by a painful exophthalmos that could compromise the patient's visual prognosis. We report the case of a 51-year-old female patient with a history of non-ischemic dilated cardiomyopathy and high blood pressure, who developed a painful exophthalmos following an upper gastrointestinal sedation-free endoscopy. The diagnosis of an intra-orbital hematoma was made by computed tomographic scan and a conservative attitude was adopted after a thorough ophthalmological examination.

Intestinal pseudo-obstruction: Unusual presentation of systemic lupus erythematous.

Systemic diseases should be always considered when managing unexplained intestinal pseudo-obstruction. Intestinal pseudo-obstruction related to systemic lupus erythematosus is often responsive to corticosteroid therapy when promptly treated.

Sleep-Related Painful Erections in a Patient With Obstructive Sleep Apnea Syndrome.

Sleep-related painful erection (SRPE) is a rare sleep disorder characterized by recurrent, painful penile erections occurring when awakening from rapid eye movement sleep, while erections are painless during wakefulness. Almost 35 cases have been reported worldwide, and only two of them had an associated obstructive sleep apnea syndrome (OSAS). We report a new case of a 61-year-old man suffering from SRPE associated with OSAS.

[Frequency and predictive factors of colectomy and restorative colo-proctectomy in ulcerative colitis].

Aims: To determine the frequency and the predictive factors of colectomy and restorative colo-proctectomy in patients with ulcerative colitis.

Methods: We conducted an 11-year retrospective study based on hospitalized ulcerative colitis patients followed up for more than 6 months.

Results: From 1995 to 2005, 115 patients were included (50 men, 65 women, mean age: 38.

[Steatosis in chronic viral hepatitis C: frequency, risk factors and relationship with fibrosis].

Aims: To evaluate the frequency and the severity of hepatic steatosis in chronic hepatitis C patients, to identify the associated factors with the presence of steatosis and to determine the relationship between the presence of steatosis and severity of hepatic fibrosis.

Methods: Lecture of hepatic biopsies was performed blindly by the same histopathologist, using the METAVIR grading. Hepatic steatosis was graded as macrovacuolar or microvesicular.