Strangulated obturator hernia: a case report with literature review

Obturator hernia is rare. It occurs when part of the pelvic contents protrude through the obturator foramen. It is a diagnostic challenge in the emergency department since the signs and symptoms are non-specific. It often occurs in elderly, emaciated and chronically ill women. The clinical picture include intestinal obstruction with abdominal pain, nausea and vomiting. The treatment is only surgical. Delayed diagnosis of this condition usually leads to a high mortality rate. We report the case of an 83-year-old woman with a strangulated obturator hernia. The hernia was discovered early by computed tomography and was treated by emergency laparotomy. We emphasize on the rule of CT scan to establishing a prompt preoperative diagnosis of an obturator hernia, appropriate planning of surgical intervention and thus optimizing the outcome

Influence of light intensity and salinity on growth and antioxidant machinery of Thymus vulgaris L.

323-335Thymus vulgaris L. commonly known as Thyme or Garden Thyme, is important medicinal herb used for their wide-ranging therapeutic properties. Agriculture practices of thyme plants influence their growth and biochemical composition. Here, we have evaluated the effects of two production systems and irrigation with saline water on growth, physiological characteristics and antioxidant capacity of T. vulgaris. Two levels of salinity stress (50 and 150 mM) were applied for 2 and 4 weeks under shade enclosure or open field. The results showed that NaCl-treated plants grown in shade enclosure showed reduced total dry weight and relative water content, photosynthetic characteristics and leaf pigments when compared to full sunny conditions. However, the shade conditions enhanced glucose and fructose accumulation mainly after a short period of NaCl stress application. The reduction of Ca2+ and K+ was lower in NaCl-stressed plants grown under open-field conditions. Besides, under sunny conditions, plants showed significant increase in malondialdehyde (MDA) and H2O2 contents. Our results demonstrated that these plants in open field have higher contents of reduced ascorbate (ASC) and reduced glutathione (GSH) than plants grown in shade enclosure, which could be related to enhanced activity of APX and GR. An increase in superoxide dismutase (SOD) and catalase (CAT) activity was also recorded. Moreover, activities of dehydroascorbate reductase (DHAR), monodehydroascorbate reductase (MDHAR) were mainly dependent on the intensity of NaCl stress

Orbital varix: rare cause of blepharospasm

Orbital varix (or varicose) is an exceptional pathology with poor clinical sign. The blepharospasm can be a revealing cause. The long-term risk is optic atrophy and blindness. Magnetic resonance imaging is the best diagnostic tools. The rise of lesion dimensions by Valsalva maneuvers and prone position is characteristic. We report the observation of a 42-year-old young man, consulting for a blepharospasm of the left eye evolving for two years. Imaging investigations made the diagnosis of orbital varicose

Antenatal diagnosis of extralobar pulmonar sequestration

Extralobar pulmonary sequestrations (ELS) are masses of non-functioning lung tissue that are supplied by an anomalous systemic artery and do not have a bronchial connection to the native tracheobronchial tree. On prenatal ultrasonography, an ELS appears as a well-defined echodense, homogeneous mass. Detection by color flow Doppler ultrasonography of a systemic artery from the aorta to the fetal lung lesion is a pathognomonic feature of fetal ELS. MR imaging may help in the diagnosis of pulmonary sequestration by  demonstrating a solid, well-defined mass, and the feeding artery. In this case report, we describe the sonographic and MR diagnosis of an ELS in a fetus at 22 weeks gestation with a review of the available literature.Key words: Extralobar pulmonary sequestration, antenatal diagnosis, ultrasonography, MR

Teratome mature de la parotide : a propos d’une observation

Le tératome de la parotide est une malformation tumorale vestigiale rare contenant des dérivés plus ou moins différenciés, des trois feuillets embryonnaires. A la lumière d’une nouvelle observation et des données de la littérature, on se propose de mettre l’accent sur les aspects cliniques, histologiques et thérapeutiques de cette affection exceptionnelle dans cette localisation.Mots-clés : tératome, glande parotide, chirurgie, matureTeratoma of the parotid is a rare remnant malformation tumor containing undifferenciated derivatives of three germ layers. Through a new observation and literature review, authors proposed to focus on the clinical, histological and treatment of this lesion in this exceptionallocation.Key-words : teratoma, parotid gland, sugery, matur

Penile hair coil strangulation of the child

AbstractWe report the case of a child with a delayed presentation of penile strangulation with a coil of hair that resulted in a complete transection of the urethra. Hair coil strangulation of the penis is uncommon. It is also known as penile Tourniquet syndrome. It has been reported with circumcised and uncircumcised penises and it can lead to serious complications like the amputation of the penis. Prompt diagnosis and treatment are necessary to prevent complications

Fistule carotido-caverneuse post-traumatique

Introduction : La fistule carotido-caverneuse (FCC) est une complication rare, mais grave des traumatismes craniofaciaux pouvant engager le pronostic fonctionnel oculaire et le pronostic vital. elle réalise une communication anormale entre le système artériel carotidien et le sinus caverneux.Buts : Rapporter un cas de FCC directe post-traumatique et étudier les aspects cliniques, diagnostiques et thérapeutiques de cette pathologie.Observation : Nous rapportons un cas de FCC apparue dans les suites d’un traumatisme craniofacial et survenue chez un homme de 25 ans ayant été victime d’un accident de la voie publique. Le diagnostic a été suspecté devant l’apparition, au 19ème jour d’hospitalisation, d’une exophtalmie unilatérale gauche pulsatile associée à un important chémosis et à une pupille aréflectique. Une artériographie cérébrale pratiquée 9 jours après la constatation de l’exophtalmie a objectivé une large FCC gauche. Une embolisation au moyen de deux ballonnets intravasculaires largables et de l’injection de colle biologique a été réalisée au même temps sans incidents permettant d’obtenir l’occlusion complète de la fistule. L’évolution a été marquée par la régression de l’exophtalmie et du chémosis et par l’amélioration partielle de l’acuité visuelle.Conclusion : Le traitement des FCC est urgent et est principalement basé sur la neuroradiologie interventionnelle. en effet, l’angiographie cérébrale constitue l’examen clé et possède un double intérêt diagnostique et thérapeutique.Mots clés : fistule carotido-caverneuse, traumatisme craniofacial, artériographie cérébrale, embolisation