Duodenal tuberculosis is a rare clinical entity. The authors report and emphasize the lack of special clinical, radiological and endoscopic signs of duodenal tuberculosis. The diagnosis is affirmed, at laparotomy, out of the findings of peritoneal granulations or histology of lymphatic nodes. We report our experience of two cases of duodenal tuberculosis presenting with proximal intestinal obstruction and review the available literature.

Introduction : Behcet’s disease is a systemic disorder linked to occlusive vasculitis and of a relatively unknown pathogenesis. Ocular manifestations of the disease mainly comprise uveitis in 60-80% of cases, followed by retinal vasculitis and then retinal vein occlusion.The aim of this study is to analyze ocular manifestations of patients with confirmed Behcet’s disease, their complications, treatment and evolution in our tertiary care unit of Morocco. Patients and methods : It is a retrospective study of patients with confirmed Behcet along with ocular manifestations, hospitalized in the department of ophthalmology at the teaching hospital of Rabat from Juin 2002 to June 2012. Results: A total of 133 patients were included in the study, being 29,5 years-old on average. Visual acuity is very low before treatment: 56% had less than 1/10. Ocular manifestations included mainly uveitis with 89.96%, followed by retinal vasculitis 73.6% and maculopathy 22%. The percentage of the eyes of which the VA was inferior to 1/10 became 35.9% after the treatment. Conclusion : The most frequent clinical presentation in our context is a total uveitis with a posterior predominance associated with a vasculitis. Pupillary seclusion is the most frequent complication. Corticotherapy and immunosuppressive drugs are the therapeutic methods used the most in our context.

Nous rapportons l'observation d'un patient de 52 ans sans antécédents pathologiques notables, qui présente depuis 10 mois un flou visuel de l’œil droit et des métamorphopsies au niveau de l’œil gauche, suivies de troubles visuels très gênants et baisse importante de l'acuité visuel du coté droit, motivant une consultation. Le bilan oculaire a mis en évidence des métastases choroïdiennes bilatérales; le bilan d'extension révèle des métastases multifocales dont le site primitif est inconnu, notre patient a décédé durant les jours d'explorations.

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Introduction: Malignant tumors in children are rare but serious conditions as they can impair function and survival. Tumors in pediatric patients can originate from the orbit. Rarely, the tumor spreads to the adjacent areas and occasionally it may metastasize. Objectives: The objective of this study is to present the common symptoms and the clinical and radiological characteristics of most common malignant orbital tumors in children. Materials and methods: Through the discussion of 4 clinical cases of children presenting with exophthalmos due to a tumor, the authors highlight that clinical symptoms are usually less specific, and that imaging has an important role in diagnosis, determining location, and local and regional expansion of the tumor in order to find the adequate therapy. Results: Our patients' ages ranged from 2 to 5 years. The revealing sign in each case was a unilateral exophthalmos due to a tumor, which could only be reduced minimally or not at all. Its evolution has been rapidly progressive. Orbital imaging and histologic study, if biopsy was possible, allowed guiding the positive diagnosis of the malignant nature and its local and regional spreading, as well as the adequate treatment. Conclusion: Orbital tumors are rare in the pediatric population. However, due to recent remarkable progress obtained through both complimentary diagnostic tools and treatments, these malignancies deserve the attention of both the ophthalmologists and the pediatricians.