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1.
Pan Afr Med J ; 42: 214, 2022.
Artigo em Francês | MEDLINE | ID: mdl-36258900

RESUMO

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.


Assuntos
Amputação Traumática , Circuncisão Masculina , Pênis , Criança , Humanos , Masculino , Amputação Cirúrgica , Amputação Traumática/cirurgia , Circuncisão Masculina/efeitos adversos , Pênis/cirurgia , Reimplante/métodos
2.
Pan Afr Med J ; 41: 99, 2022.
Artigo em Francês | MEDLINE | ID: mdl-35465379

RESUMO

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.


Assuntos
Abscesso Abdominal , Hiperplasia do Linfonodo Gigante , Chryseobacterium , Infecções por Flavobacteriaceae , Linfadenopatia , Peritonite , Abscesso/complicações , Adulto , Hiperplasia do Linfonodo Gigante/complicações , Hiperplasia do Linfonodo Gigante/diagnóstico , Infecções por Flavobacteriaceae/etiologia , Infecções por Flavobacteriaceae/microbiologia , Humanos , Mesentério , Peritonite/complicações , Adulto Jovem
3.
Pan Afr Med J ; 36: 54, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32774629

RESUMO

Cystic hygromas are congenital malformations affecting the lymphatic system. These are rare benign dyssembryoplastic lesions mainly affecting the head and neck, in particular the posterior triangle of the neck. They usually occur during childhood and exceptionally in adults. We here report a clinical case of cystic hygroma of the neck in a 22-year old subject.


Assuntos
Neoplasias de Cabeça e Pescoço/patologia , Linfangioma Cístico/patologia , Humanos , Masculino , Pescoço , Adulto Jovem
4.
Pan Afr Med J ; 33: 223, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31692853

RESUMO

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.


Assuntos
Malformações Anorretais/cirurgia , Fístula Retal/cirurgia , Fístula Urinária/cirurgia , Analgésicos/administração & dosagem , Antibacterianos/administração & dosagem , Humanos , Lactente , Masculino , Fatores de Tempo
5.
Pan Afr Med J ; 33: 184, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31565144

RESUMO

We here report a case of bladder urothelial carcinoma, a rare tumor in subjects less than 40 years, as well as our therapeutic experience. The study involved a 37-year old patient with a history of urinary tract infection and of staying at a riparian area (bilharzia) presenting with hypogastralgia and total macroscopic hematuria. Clinical and paraclinical assessment showed voluminous bladder mass suggesting infiltrative tumor without local or distant lymph node or organic involvement. Surgical management was based on resection of bladder tumor and biopsy followed by total cystectomy with substitutive ileal enterocystoplasty. The postoperative course was uneventful. The patient also underwent adjuvant chemotherapy and vitamin B-12 therapy. Clinical and paraclinical assessment, performed after 6 and 12 months, showed no recurrence.


Assuntos
Carcinoma de Células de Transição/cirurgia , Cistectomia/métodos , Neoplasias da Bexiga Urinária/cirurgia , Procedimentos Cirúrgicos Urológicos/métodos , Adulto , Carcinoma de Células de Transição/diagnóstico , Carcinoma de Células de Transição/patologia , Quimioterapia Adjuvante/métodos , Seguimentos , Humanos , Íleo/cirurgia , Masculino , Recidiva Local de Neoplasia , Resultado do Tratamento , Neoplasias da Bexiga Urinária/diagnóstico , Neoplasias da Bexiga Urinária/patologia , Vitamina B 12/administração & dosagem
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