Objective: It was the aim of this study to report clinical characteristics and treatment of thyroid tuberculosis (TT). Methods: During 16 years, 2,426 patients have been operated on the thyroid in the surgical department ‘A’ in Ibn Sina Hospital, Rabat, Morocco. Anatomopathological results of the removed thyroid were analyzed for evidence of tuberculosis. Results: Eight cases of TT were diagnosed. Five patients had a goiter and 3 patients had an isolated nodule of the thyroid. In one case, fine-needle aspiration cytology gave the diagnosis of TT. This patient had a complete drainage of the abscess. In all other patients, the diagnosis was given after surgery. All patients received additional antituberculous drugs for 6 months, and follow-up was satisfactory. Conclusion: TT does not have any consistent symptoms. Fine-needle aspiration is the best method for diagnosis and can result in the avoidance of surgery.

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Internal hernias are defined as the protrusion of abdominal viscera through an aperture in the intraperitoneal recesses, they are considered as a rare cause of intestinal obstruction. The paraduodenal hernias are the most common type of congenital hernia especially the left-sided ones. We report a case of a 46 year-old man presenting a left paraduodenal hernia with acute small bowel obstruction, which was firstly (preoperatively) assigned to a tumoral cause.

Introduction : Les schwannomes sont des tumeurs bénignes neurogènes localisées dans la région sacrée dans 1 à 5 % des cas. Les auteurs rapportent un cas de neurinome présacré. Observation : Une patiente de 55 ans a consulté pour des douleurs pelviennes évoluant depuis un an sans signes de compression digestive ou urinaire. Les touchers pelviens avaient objectivé une masse rétrorectale avec une muqueuse rectale saine. L'imagerie avait évoqué le diagnostic de neurinome. L'exploration chirurgicale avait permis d'objectiver une masse tissulaire rétrosacrée qui a bénéficié d'une exérèse en monobloc. L'histologie a conclu à un neurinome bénin. Discussion : Les schwannomes présacrés géants sont des tumeurs rares. Du fait de leur symptomatologie pauvre, leur diagnostic est souvent retardé. L'imagerie, TDM mais surtout IRM, est intéressante dans le diagnostic des neurinomes ainsi que leurs rapports avec les organes de voisinage ; elle permet de déceler également des signes d'agressivité de la tumeur mais ne peut affirmer de façon formelle la nature bénigne ou maligne de la tumeur. Le traitement repose sur l'exérèse ou l'énucléation de la tumeur. Le pronostic est bon, mais entaché par la survenue de récidives. Conclusion : Devant des douleurs pelviennes, le diagnostic de neurinome présacré est rarement posé. L'imagerie (IRM) permet le diagnostic et guide la stratégie thérapeutique. Mots clés Schwannome présacré · TDM-IRM-traitementAbstract Introduction: Presacral schwannomas are rare benign tumors, representing 1% to 5% of all schwannomas. We report a case diagnosed by imaging modalities (CT-MRI) and treated by complete surgical resection. Case report: A 55-year-old female has had a history of abdominal pain since one year without compressive signs. A pelvic retrorectal mass has been discovered clinically. CT and MRI were very suggestive of a presacral schwannoma. Histological examination after complete surgical removal of the mass confirmed the diagnosis of a benign schwannoma. Discussion: Giant presacral schwannomas are rare pelvic tumors. Often asymptomatic, they are diagnosed lately. CT and MRI are very useful in assessing the diagnosis and evaluating the extent of the tumor. Surgery is the therapeutic modality of first choice. Prognosis is good if the tumor is benign but recurrence is frequent. Conclusion: Presacral schwannoma can cause pelvic pain. Imaging modalities (MRI++) often guide surgical resection.

Acute intestinal invagination is the pathology of infants and small children. Its occurrence in adults is rare, and it represents 1 to 5% of intestinal occlusions often leading to the discovery of an organic cause that may be tumor. We report the case of a 72-year-old patient admitted to the emergency room of Ibn Sina Rabat, Morocco, for intestinal occlusion. The abdominal CT scan showed a voluminous intestinal invagination on a very probable heterogeneous digestive mass. The treatment was an open right hemicolectomy. The histopathological examination of the surgical specimen concluded a colonic well-differentiated adenocarcinoma with a 30% mucinous component. By review of literature, we discuss diagnostic and therapeutic procedures in emergency.