Strangulated rectal prolapse in adult: Altemeier cure about two cases and literature review.

INTRODUCTION AND IMPORTANCE: Rectal prolapse is the protrusion of the rectum through the anus. It is a rare condition in young adults. Strangulation is rare but it's a serious complication imposing emergency surgery. Altemeier's recto-sigmoidectomy seems to be an appropriate surgical method for strangulation. The aim of our work was to evaluate this technique in two cases of strangulated rectal prolapse in young adults. CASE PRESENTATION: This report is of two men aged 37 and 29. They were seen for the management of irreducible rectal prolapses. They both men gave a long history of constipation and rectal prolapse since childhood. The physical examination found complete rectal prolapse of 13 cm and 15 cm in length respectively. One person had necrosis of the rectal mucosa. The manual reduction failed, why perineal recto-sigmoidectomy was performed. Postoperative course was uneventful. After 24 months follow-up, there was no disorder of anal continence or recurrence. CLINICAL DISCUSSION: Strangulated rectal prolapse is rare. This makes consensus in treatment difficult. The risk of necrosis explains the need for surgical excision of the rectum. CONCLUSION: Altemeier's technique is a good procedure for the management of strangulated rectal prolapse.

Meckel's diverticulum complicated by acute intestinal obstruction: a case report.

Introduction and importance: Meckel's diverticulum is a rare congenital intestinal anomaly that can sometimes cause serious complications. The authors' aim is to review the literature on this condition by reporting the clinical case of a young adult with Meckel's diverticulum complicated by acute intestinal obstruction. Case presentation: This was a 24-year-old young man, operated on for open bladder stones received for occlusive syndrome. Abdominal computed tomography (CT) suggested a flange occlusion. Surgical exploration found a Meckel's diverticulum creating a flange around the last one. An intestinal resection was performed with direct anastomosis with simple consequences. Clinical discussion: Meckel's diverticulum is a rare congenital intestinal anomaly. It is discovered incidentally or in the face of serious complications such as intestinal obstruction. Intestinal resection with one-stage anastomosis emerges as a standard and safe management approach. Conclusion: A Meckel's diverticulum can be complicated by acute intestinal obstruction mimicking a postoperative flange that can err the diagnosis.

[Giant lipoma of the back: a case report and litterature review]. / Lipome géant du dos: rapport de cas avec revue de la littérature.

Lipoma is a benign soft tissue tumour. It is a benign proliferation of mature adipocytes. It is described as giant when its weight exceeds 1 kg or its diameter exceeds 5 cm. Functional and aesthetic impairment may be a major reason for surgical excision. It can be located everywhere, but it mainly occurs in the posterior segment of the chest. We here report a case of giant lipoma of the left posterior-superior segment of the chest.

[Superior mesenteric artery syndrome in gastric cancer: a case report]. / Syndrome de la pince aorto-mésentérique sur cancer gastrique: à propos d'un cas.

Superior mesenteric artery syndrome or Wilkie syndrome is due to the compression of the third duodenum between the superior mesenteric artery and the aorta. It causes acute or chronic upper bowel occlusion. Abdominal CT scan facilitates the diagnosis. Severe malnutrition is its main etiological factor. Medical treatment can be based on aspiration of gastric contents and parenteral nutrition. If this fails, surgery is necessary. We here report the case of a 46-year-old patient, with a history of smoking, presenting with profuse postprandial bile and food vomiting. He had had weight loss of 7% over a period of 6 months. Upper GI endoscopy revealed non-stenotic antro-pyloric tumour mass. Histological examination showed poorly differentiated tubular gastric adenocarcinoma. Staging was without any peculiarity and allowed for the detection of superior mesenteric artery syndrome at an angle of 8°C. The patient received parenteral nutrition for 10 days, followed by inferior pole gastrectomy and gastrojejunal anastomosis (omega loop). The postoperative course was uneventful. Adjuvant chemotherapy was indicated.

Cystic mesenteric lymphangioma: A case report.

INTRODUCTION: Cystic lymphangioma is a benign malformative tumor. The abdominal localization is rare. The diagnosis is not easy in preoperative period. The surgery is the choice in the abdominal and symptomatic localization. PRESENTATION OF CASE: We report a 26 years old women. She consulted with left hypochondrial pain. The exam found left hyphochondrial swelling with 10 cm of diameter. The biologic screeming was normal. The ultrasound showed a multiloculated cyst which measured 130*80 mm. the CT scan showed a mesenteri cyst mass measured 15 cm. A fine needle aspiration cytology guided by abdominal ultrasound was realized and the cytology doesn't show malignant cell. A median laparotomy found a mesenteric cystic mass measured 15 cm of diameter. A resection was realized. The histologic exam membranous fibrosis cyst limited by an endothelium. CONCLUSION: Mesenteric localization of cyst lymphagioma is rare. The surgery is safe and efficiency for the treatment.