A 66-year-old female patient presented on our emergency department in hemorrhagic shock with a blood pressure of 70/50 mmHg and a hemoglobin level of 9.1g/dl after routine colonoscopy. The patient had severe abdominal pain and a tense abdomen. Computed tomography showed splenic rupture with haemoperitoneum. By means of volume, erythrocyte transfusion and tranexamic acid the patient became stable in circulation. Control computed tomography after 24 showed no ongoing bleeding. Splenic rupture is a rare complication after colonoscopy and can be treated conservatively.

A 12-year-old girl is refered to our ORL department. The disease started in childhood with the appearance of multiple hyper pigmented skin macules. Dermatological exam showed of hyper pigmented skin macules on the chest and back, multiple pigmented spots with diameter> 1.5 cm (Figure 1), axillary freckling.

We carry out a review of the world literature, regarding the role played by the Intestinal Microbiota (IM), -when transplanted- in the decrease and disappearance of diarrhoea, in many conditions. Some acute and most chronic. Also, we show our little experience regarding the effect of Intestinal Microbiota Transplant (IMT), also known as Fecal Microbiota Transplant (FMT). We refer how patients with Irritable Bowel Syndrome, Diarrhoea variety, Anxiety, Systemic Lupus Erythematosus, Pseudomembranous Colitis, Intestinal Malabsorption Syndrome, Amyotrophic Lateral Sclerosis and Retroperitoneal Cancer operated on 4 occasions, secondary to left seminoma and right testicular teratoma (excised). We show that in all of them, the diarrhoea was reduced substantially and that the complications that appeared were minimal; without relevance or significant effect.

The aim of the study is to show the etiologies and the follow-up of our AKI cases. This was conducted in our hospital, between 2015 and 2018. During this period we included 26 children with AKI (64% femals) with a median age of 7 years (range 40 days to 15 years). In the majority of the cases revealed by digestive signs and that related to the etiology of AKI (Hemolytic Uremic Syndrome post diarrhea). In our study, 44% of the patients have thrombocytopenia associated with AKI. The etiology of AKI is : Nephropathy glomerular in 37% hemolytic and uremic syndrom in 54% and obstructive nephropathy in 9%. Patients survived in 92 % of the cases and 58% of them have recovered normal kidney function, 7% of death. Peritoneal dialysis is the most commonly used emergency treatment for AKI in children at a frequency of 37%., hemodialysis was used less.

The aim of the study is to show the prevalence and risk factors of HCV at our hemodialysis (HD) center , in a study carried out on chronic hemodialysis patients during the year 2019, we identified eight cases out of 87 patients infected with HCV, or 9%. The average age in this population is 48 years, dialysed for an average of 15 years. Viral infection was discovered on average 12.5 years after the start of hemodialysis, during a routine screening examination. In this series, the genotype 1b was found in 2 cases (25%). Seven patients were treated out of the eight HCV hemodialysis patients, received dual therapy with sofosbuvir 400mg and daclar 60 mg for three months, with an early virologic response. A study done during a previous period, between 2015 and 2018, in the same center, looking at the risk factors for HCV transmission: 11 cases out of 134 hemodialysis patients infected with HCV. Among these cases, we noted the following factors; Blood transfusion: 3 cases (27.2%), surgery: 4 cases (45.4%), dental care: 2 cases (18%), no obvious cause: 2 cases (9%). Serologically ; HCV antibodies positive: 11/134, i.e. an 8.2% seroprevalence, PCR-viral RNA was positive in 10 out of 11 patients, i.e. a prevalence of 7.4% by PCR, number of copies: Above 1.03x 1, 000,000 (100%), number of Logs: Sup to 3.32 (100%), negative PCR: 01 patient.