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PubMed2002

[Pancreatic abscess].

With the report of a pancreatic abscess, the authors make a review of the literature. A 70 years old female patient was seen with peritoneal syndrome lasting 72 hours. Surgical exploration done 3 weeks later after a medical treatment found a purulent collection in the omental bursae. A surgical drainage of the collection associated with an antibiotherapy improved perfectly the general conditions of our patient seen 5 months later without any infectious recurrence. The ultrasound exam, revealed a pseudocyst and an uncomplicated cholecystic lithiasis for which an operation is planed. They emphasized the nosologic problems with this pathology, the rarity of this particular complication and the diagnostic and therapeutic difficulties. In spite of the progress in antibiotherapy, pancreatic abscess never heals without surgical drainage.

Abscess↗

PubMed1998

[Epidemiological and clinical aspects of pancreatic cancer in Senegal].

The objective was to verify if the introduction of ultrasonography in our practice has entailed modifications of the epidemiology and the clinic of pancreatic cancer in Senegal. We have performed a retrospective study of cancer of the pancreas diagnosed on the basis of clinical signs, ultrasonography, surgical findings and necropsy from March 92 to October 97. The chi-square test according to Mantel-Haenszel has been used to compare qualitative variables. The routine practice of ultrasonography has allowed to establish the diagnosis of 107 cases of pancreatic cancer within 5 years and half. The sex ratio was 1.05 and the average age was 60 years +/- 13 without significant difference according to the sex. The mean period of diagnosis was 5 months. However the classic form associating thinness and cholestatic jaundice or palpable abdominal mass dominated the clinical symptoms (74.5% of cases). A very deep alteration of the general status has been noticed in 25.5% of cases. At surgery, according to the TNM classification, 22% of our patients were at stage II and 78% from stage III to IV. In Senegal, the prevalence of pancreatic cancer is increasing since the introduction of ultrasonography. This technique has shown that the male predominance is less than reported in previous studies. Nevertheless the diagnosis remains late. As far as we cannot identify risk groups, recent appearance of digestive disturbance even atypical after 50 years old, is enough to suspect the diagnosis.

Adult↗