[An exceptional malformative association: situs inversus totalis and retro-costo-xyphoidian hernia]. / Une association malformative exceptionnelle: situs inversus totalis et hernie rétro-costo-xyphoidienne.

Retro-costo-xyphoidian hernia is a rare congenital malformation. It accounts for 3% of all the diaphragmatic hernias. It can be isolated or associated with other malformations. We here report a very rare case of Morgagni-Larrey hernia and situs inversus totalis detected after neonatal respiratory distress.

[Caudal regression syndrome: about a case]. / Syndrome de régression caudale: à propos d'un cas.

Caudal regression syndrome is a rare malformative syndrome associated, to varying degrees, with agenesis of sacral and coccygeal vertebrae, lower limb shortening and gastrointestinal, genitourinary and cardiovascular abnormalities. Its relationship with gestational diabetes is well established, but its exact cause is poorly established. We here report a rare case of caudal regression syndrome in a 8-month old infant of diabetic mother with polymalformative syndrome and chronic constipation.

Retroperitoneal Ectopic Pregnancy: Diagnosis and Therapeutic Challenges.

BACKGROUND: Retroperitoneal ectopic pregnancy is extremely rare. This unusual location represents a great challenge for clinicians due to the difficulties of diagnosis and high risk of life-threatening complications. CASE REPORT: We report the case of a spontaneous early pregnancy of undetermined location in a patient with a history of previous laparoscopic surgery. Diagnosis steps using clinical examination, ultrasound, and magnetic resonance imaging led to the localization of the pregnancy, in the left side of the para-aortic region, in the retroperitoneal space. CONCLUSION: Retroperitoneal ectopic pregnancy is an uncommon entity with rather complex pathogenesis. Clinicians should carefully interpret clinical signs, biological findings, and imaging features and be aware of unusual locations such as the retroperitoneum for ectopic pregnancies. Early diagnosis and appropriate management strategy are conditio sine qua non for successful treatment outcomes.

[Spontaneous uterine rupture due to uterine leiomyosarcoma]. / Rupture utérine spontanée sur léiomyosarcome utérin.

Uterine sarcomas are rare cancers characterized by clinical and histological polymorphism. They are malignant tumors of poor prognosis. Inaugural manifestation of acute abdomen with hemo-pneumoperitoneum and spontaneous uterine rupture remains exceptional. The authors report the case of a uterine leiomyosarcoma manifesting itself as an inaugural generalized acute peritonitis in a 43 year old woman. Uterine rupture due to malignant tumor was suspected during urgent preoperative imaging (ultrasound and CT scan) and confirmed histologically.

[Vascular malformations in the Williams-Beuren syndrome: report of three new cases]. / Malformations vasculaires au cours du syndrome de Williams-Beuren: à propos de trois nouvelles observations.

The Williams-Beuren syndrome is a rare genetic disease. It combines classically specific facial dysmorphism, cardiovascular malformations and specific neuropsychological profile. We report three cases of Williams-Beuren syndrome in children with particular emphasis on vascular abnormalities observed on CT angiography and MR angiography.

Rectal atresia: a rare cause of failure to pass meconium.

Rectal atresia or stenosis is an extremely rare anorectal malformation associating a normal anal canal with a stricture or a complete rectal atresia. We describe a case of rectal atresia in a newborn female presenting with an abdominal distension and failure of passing meconium.

Neonatal epididymo-orchitis caused by Pseudomonas aeruginosa: a case report.

Epididymitis and epididymo-orchitis are an uncommon causes of acute testicular pain in neonatal boys, epididymo-orchitis is infection or inflammation of epididymis and testis it's may be associated with urinary tract infections or reflux of urine predisposed by an underlying vasal anomaly. Pediatricians should examine the testicles meticulously after a baby is born.We report a 7 day-old boy with urinary malformations (ureteral duplication, ureterocel and right hydro-ureteronephrosis) who presented with acute scrotum. The ultrasonography exploration of the testis showed findings consistent with epididymo-orchitis, confirmed by the needle scrotal aspiration of the pus. Further radiological investigations of urinary tract showed the multiples malformations. Epididymo-orchitis should be suspected initially with abnormal physical signs and laboratory findings. Prompt prescription of antibiotics is mandatory, and appropriate therapeutic measures (antibiotics) should be undertaken to prevent recurrences and sequelae.

Imaging for Hepatic Vascular Injury from Blunt Trauma in Children-Nine Cases Report.

INTRODUCTION: Hepatic vascular injury (HVI) is an uncommon complication of blunt abdominal trauma (BAT) in children. Diagnosis and management must be done by imaging. METHODS: A retrospective review of pediatric patients over a seven-year period (2000-2007). Of 25 files of liver injuries (LI), 9 cases of HVI were diagnosed. All of our cases were explored by sonographic, duplex sonography and computed tomography. RESULTS: Of twenty-five cases of LI, nine cases of HVI were recorded. Sex ratio male/female = 1.25 with mean age = 7.88, five cases of vein injuries, two cases of traumatic hepatic artery pseudoaneurysm, and two cases of arteriovenous fistula. CONCLUSION: HVI affects 36% of liver injuries. Those injuries are often lethal, so systematic detection and treatment in emergency is essential. The role of imaging is both diagnosis and therapeutic.