[Penile glans amputation during non-hospital circumcision: about two cases]. / Amputation totale du gland lors de la circoncision en milieu non hospitalier: rapport de cas.

Penile glans amputation during circumcision is a tragic operator-related complication. Standard treatment is based on microsurgical reimplantation with vascular and nerve anastomosis. We here report two cases of penile glans amputation in two children. The first patient was aged five years and was admitted urgently after circumcision. Penile glans was reimplanted without microsurgical anastomosis within one hour of the date of the accident. The other patient was aged 11 years and was received 3 years of the date of the accident. During these three years he had received psychological therapy. He was scheduled for plastic surgery. In the first patient, urinary, sensitivity and cosmetic results of the glans were good as well as erectile function.

[Mesenteric abscess due to Chryseobacterium meningosepticum revealing mesenteric Castleman´s disease in an immunocompetent young adult]. / Abcès mésentérique du au Chryseobacterium meningosepticum révélant la maladie de Castleman à localisation mésentérique chez un jeune adulte immunocompetent.

Mesenteric abscess caused by chryseobacterium meningosepticum is an extremely rare clinical entity, most often found in immunodeficient patients. Castleman disease can manifest as a mesenteric abscess. We here report the case of a 23-year-old patient admitted with generalized acute peritonitis evolving over the last 2 weeks. Abdominal ultrasound showed hypoechoic mass in the intestinal loops, without any further details. During laparotomy, pus was found in the large cavity, a mesenteric abscess was detected in the mesentery of the jejunum 35 cm from the angle of Treitz, without loop perforation and mesenteric adenopathy was found in corresponence with the abscess. Pyoculture isolated chryseobacterium meningosepticum. Histological analysis of mesenteric adenopathy biopsies showed structural anomalies, suggesting hyaline vascular type of Castleman disease. Treatment was based on incision and drainage of the abscess, with pyogenic membrane removal and abdominal cavity lavage with physiological saline solution. Chryseobacterium meningosepticum was only susceptible to Ciprofloxacin. The postoperative course was simple and the patient was discharged on postoperative day 10 after surgery. Clinical and paraclinical follow-up at 12 months did not show any other lymphadenopathy or recurrence. The purpose of this study is to show an extremely rare case of mesenteric abscess due to chryseobacterium meningosepticum associated with isolated mesenteric Castleman disease in an immunocompetent patient and management approaches.

[Recurrent hernia of the Jean Louis Petit triangle: a case study]. / Récidive d'une hernie primaire de Jean-Louis Petit: à propos d'un cas.

Hernia of the Jean Louis Petit triangle and hernia of Grynfeltt's quadrilateral space can be classified as lumbar hernias. Its clinical diagnosis is confirmed by computed tomography and, possibly, by ultrasound or x-ray. There is a formal indication for surgery including swelling or functional discomfort but, above all, the risk of strangulation. We here report a rare case of recurrence of primary hernia of the Jean Louis Petit triangle in a 65-year old man.

[Delayed management of anorectal malformation with rectouretrobulbar fistula: a case study]. / Malformation anorectale avec fistule recto-uretro-bulbaire prise en charge tardivement: à propos d'un cas.

Ano-rectale malformations (ARM) are a spectrum of heterogeneous abnormalities in the development of the rectal canal. Its incidence is usually low and it is a little higher in some developing countries. Boys are more affected than girls and rectobulbar fistula associated with atresia of the anal canal is the most frequent disorder among them. We report the case of a 10-months old infant of male sex, whose mother lived in a mining area and had been complaining of fecaluria since the birth of her child. Physical examination showed fingerprint 1 cm below the intersection of the median raphe and the bi-ischiatic line. Paraclinical examinations showed no other associated malformation. Patient's management was based on anorectoplasty through abdominal and perineal approach with lower abdominoperineal reconstruction. In the post-operative period, the patient received antibiotic treatment and intravenous analgesia as well as dilations, which continued after discharge 2 weeks after surgery. No complications were observed and outcome was favorable.