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The authors report an exceptional case of collision tumor comprised of a gastric calcified stromal tumor and a pancreatic adenocarcinoma. The pancreatic tumor was detected fortuitously on the histological exam of resection specimen.

The hepatic tuberculosis is rare. The interest of this Knowledge consists in the diagnostic problems particularly in its primitive and macronodular forms. It touches all ages with a peak of frequency during 17 -50 years old, and a female prevalence. The clinical picture is polymorphous but it is still dominated by the prolonged fever and the alteration of the general state. Case report: 30-year-old female was admitted to our hospital with painless swelling on the right side of chest and feeling of pressure in the right upper quadrant of abdomen. She has no history of fever, weight loss, and night sweating or poor appetite. On clinical examination, the patient was in good general condition. The inflammatory tumefaction of the right chest wall was marked. The palpation of the abdomen revealed a sensitive hepatomegaly. A CT scan revealed a large cystic liver. The laboratory investigations were normal. This appearance was suggestive of a hydatid cyst of the right liver and a surgical management was decided. But the histological study revealed granulomatous inflammation consisting of tuberculoid type granuloma with caseous necrosis. However, abscess of the liver due to MT was highly suspected and anti-tuberculosis therapy was started, the patient responded well. Conclusion: The analysis of this observation and the data of the literature make it possible to retain the rarity; the polymorph expression and not very suggestive of this location.

Study Objective: The colostomy is not used systematically for the treatment of Fournier’s gangrene. Through our study, we compared two groups of patients who had faecal diversion and those how did not .we tried to get the advantages of this method and his impact on wound healing and duration of hospitalization Patients and Methods: This is a 14-years retrospective study from 1st January 2005 to 31st December 2018. We collected 86 cases of Fournier's gangrenes, of which 30 patients benefited from a derivative colostomy, done by the same surgical team. We divided the two groups by aetiology and morbidly-mortality. Results: In the group with colostomy, prevalent disease was perianal suppurations with the presence of risk factors in75% of cases such as diabetes, immunosuppressive therapy or patients age over 70 years old .While these factors are found only in 52% of the other group. The average days of hospital stay in the group with colostomy was 25 days and 32 in the other group, 67% of patients had a colostomy with hyperbaric oxygen therapy against 70% in the other group. Mortality was 30% in first group with colostomy, an 12.5% in the second one, the overall mortality was19% globally in the two groups. Conclusions: In our series only 35% benefited from a colostomy: Patient with major deterioration and the presence of others diseases. But overall mortality in our series is comparable to that of teams practicing colostomy systematically.