Physiology and Anatomy

We report case of a patient of 19 years who introduced a pencil in intra-bladder via the urethra. The urinary tract without preparation (AUSP) objectified and ultrasound had a strong allure foreign body. Cystoscopy diagnostic and therapeutic purpose was performed. Given the particular psychological profile of the patient, it came in psychiatry. This kind of disease is rare in the professional life of the urologist, he help of a literature review on its merits, its complications and its management

Chronic oesophagitis dissecans secondary to lichen planus is a rare and often unrecognized pathology. The diagnosis is based on clinical (recurrent dysphagia and presence of cutaneous or genital lesions of lichen planus) endoscopic (desquamative esophagitis with proximal or multiple stenosis) and histological features. The treatment is still not well codified and the long-term prognosis remains unknown. We report a case of a woman with this affection with a 5 years follow up.

Medulloblastoma is one of the most common type of pediatric brain cancer, it is a primary neuroectodermal tumor located in the cerebellum and 4th ventricle. The treatment is based on surgery, chemotherapy and radiotherapy. The survival rate of children treated for this brain tumor has improved significantly in recent years thanks to the progress of various therapies. The neurocognitive sequelae secondary to the occurrence of a medulloblastoma have been the subject of numerous studies. We report the case of a 12-year-old boy with medulloblastoma of the posterior fossa, he underwent surgery and received radiotherapy and chemotherapy. Subsequently, he began to present school difficulties and memory disorders for this reason his pediatrician sent us for management. 

Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by persistent difficulties in social communication and interaction and restrictive, repetitive, and stereotyped patterns of behavior, activities, and interests. Children with autism also experience sensory processing issues and it is a part of diagnostic criteria for Autism. The executive functions are fundamental cognitive skills for achieving good performance in life, as well as in the school and social environment, allowing people to face new and complex situations and the major components of executive functions are working memory, inhibition, and cognitive flexibility. executive functions in an early age evaluating a group of ASD preschool children and confirmed the presence of a significant deficit in some aspects of executive functions in subjects with ASD. The research indicated that children with ASD are often reported problem in executive function in order to have poor working memory capacity, difficulties in switching attention between tasks, and inhibition response problems, which can seriously affect their school performance and everyday functioning. An attempt has been made to review on executive functions in children with autism.

Cystic parotid lymphangiomas are benign vascular tumors that rarely appear in adults; they are usually detected in the first two years of life. Their appearance is due to an abnormal development of the lymphatic system during embryogenesis. Herein we report on two cases of intra-parotid cystic lymphangioma that occurred in teen age. A six year girl and a young girl of 13 years age were admitted in our unit because of an indolent and renitent isolated mass occupying the right parotid region. The diagnostic of an intra-parotid cystic lymphangioma was clinically advocated on echographic and CT imaging findings and then definitely proven after histopathologic studies of the ablation fragments. A total parotidectomy was made, removing the entire tumor. The parotid localization of cystic lymphangioma makes their surgical management difficult because of the development of lymphangioma between the branches of the facial nerve. The question of the benefit / risk ratio makes the therapeutic decision more complex because the aggressiveness of the radical tumor resection encounters a benign tumoral origin. It opposes two fundamental principles, first that of being radical on the tumor which is very recurrent and on the principle of remaining functional while preserving the function of the facial nerve.

Normally, in the heart of a fetus, there is a ductus arteriosus (DA) which is to close after birth at most three months. Because DA closes, it becomes ligamentum arteriosum. When DA does not close after birth, it is known as patent (open) ductus arteriosus (PDA). The left PDA occurs more than the right PDA. The size of the PDA determines the severity of the condition. Should be diagnosed and treated early in life. It can be treated either with drugs or surgery. When left untreated for a long time, it turns into Eisenmenger syndrome.

Malignant triton tumor (MTT) is an extremely rare variant of malignant peripheral nerve sheath tumor (MPNST) with rhabdomyo-sarcomatous differentiation. We report a case of a 14-year-old male without history of neurofibromatosis presented for post-traumatic abdominal pain. Ultrasonography and contrast-enhanced computed tomography (CT) revealed a large heterogeneous intraperitoneal mass near the vascular structures and repressing the adjacent organs. Surgery and anatomopathological examination revealed a malignant triton tumor. MTTs are highly aggressive tumors that are fast-growing with a tendency to recur locally and metastasize early. To date, there is no treatment consensus available yet and the overall prognosis remains dismal.

The luxation of the eyeball is the dislocation of the globe outside its orbit associated with an incarceration of the eyelid by an orbicular spasm. We report a rare case of traumatic luxation of the eyeball. Patient of 70 years old, followed for heart failure, fell down from his own height and hit the forehead and the left orbital area against the concrete floor so he was transported to the hospital with a left orbital trauma in a context of anxiety. An orbital scan reveals orbital floor fracture accompanying medial wall fracture and a preseptal tissue thickening in the left orbit without damage to the optic nerve. The reduction of the globe was performed under general anesthesia, associated with antibiotic and corticosteroid. The evolution is marked by a complete recovery of ocular motility and normal eyelid function and Improvement in visual acuity.

Objectives: We compare the analgesic efficiency of the endo-rectal instillation of xylocaine gel compared to peri-prostatic infiltration xylocaine biopsies before transrectal ultrasound guided prostate. Patients and Methods: Between November 2013 and March 2014, candidates for prostate biopsies were randomized into 2 groups. In group 1, 10 ml of Xylocaine 2% gel was instilled in the rectum 10 minutes before biopsy, while patients in group 2 benefited from the periprostatic infiltration of 5 ml injection of Xylocaine 2% in two equal injections , 4 min before prostate biopsies. A visual analogue scale possible to assess pain during anesthesia (VAS 1) and during prostate biopsies (VAS 2) and finally 30 min after the end of these (VAS 3). Results: 69 patients were included in the study, 35 in group 1 and 34 in group 2. The pain experienced by patients was statistically lower in Group 2 for the VAS 2 score (3.5 in group 1 vs 1.5 in group 2) and the VAS score 3 (0.5 in group 1 vs 0.1 in group 2). No major complications were reported. Conclusion: periprostatic block infiltration of xylocaine, allows better patient comfort during biopsies and 30 min after the end thereof

Context: Despite the seriousness of domestic violence and its consequences, it is largely underestimated, and many female victims cannot receive appropriate assistance. Despite the psychological consequences of domestic violence, women who are victims of such violence are not primarily intended for the psychiatrist. Objective: To study the profile of women who have been victims of domestic violence and to assess their psychopathological impact. Methods: Cross-sectional study carried out for 76 women victims of domestic violence recruited in the ANNAJDA help center in Rabat during a period from March 2017 to May 2017. The instruments used were: a data collection sheet for socio- demographic, clinical and violence characteristics, the PCL-S scale was used to assess Post-Traumatic Stress Disorder (PTSD), the Hospital Anxiety and Depression (HAD) scale was used to assess anxiety and depression and the DSM 5 criteria were used to assess addiction. Results: 76 female victims of domestic violence were included in the study. The average age of the mothers was 34.62 years. 47.3% have a low socio-economic level. 63.2% of the victims were unemployed. All our victims have been subjected to psychological violence. 68.4% of our sample has a post-traumatic stress condition. 82.9% of victims show definite anxiety. 61.8% of women have a definite depressive disorder. 14.5% a dependence on a substance. There was a significant association between sexual violence and anxiety and drug use, between financial violence and drug use, between physical violence and depression. Keywords: domestic violence; women; consequences; psychopathological impact.