[Chronic calcifying pancreatitis revealing a primary hyperparathyroidism]. / Pancréatite chronique calcifiante révélant une hyperparathyroïdie primaire.

INTRODUCTION: The association of pancreatitis and hyperparathyroidism is rare. CASE RECORD: A 41-year-old man had consulted for a strong abdominal pain reliant to a chronic calcifying pancreatitis. A major hypercalcaemia led to a primary hyperparathyroidism diagnosis. The evolution was favourable after parathyroid adenoma surgery. DISCUSSION: The hypercalcaemia activate the transformation of trypsinogen into trypsin which is toxic for the pancreas. The role of parathyroid hormone remains unclear.

[Tropical pyomyositis simulating septic arthritis in AIDS patients. Two cases]. / Les myosites tropicales simulant une arthrite septique chez les patients vivant avec le VIH (deux observations).

Tropical pyomyositis (TP) is an acute bacterial infection of skeletal muscles characterized by rapid formation of abscesses. Since the beginning of the AIDS epidemic, interest in TP has increased because of its rising incidence in association with HIV infection and of the problems that it poses for differential diagnosis. Occurrence of TP is a criterion for classification of HIV infected patients in WHO disease stage III. The purpose of this report is to describe two HIV-infected patients who presented TP simulating septic arthritis of the hip and knee respectively. Medical imaging was particularly useful in establishing accurate topographic diagnosis and needle drainage in decreasing the duration of hospitalization and avoiding the need for surgical debridement. Needle puncture must be guided by ultrasound or scan imaging.

[Heterotopic pregnancy: report of three cases]. / Grossesse héterotopique: à propos de trois observations.

The association of intra-uterine and extra-uterine pregnancy has increased steadily with the widespread use of infertility treatment. Diagnosis of extra-uterine pregnancy may be delayed as a result of visualization of an intrauterine gestation sac, leading to a less favorable diagnosis than for simple extrauterine pregnancy. The purpose of this report is to described three heterotopic pregnancies observed in a series of 25 simple extrauterine pregnancies managed in the Gynecology Department of the El Rapha Clinic in Libreville Gabon over an 18 months period. A review of the literature is included to provide more background on this association.