Physiology and Anatomy

Traumatic diaphragmatic hernia are often undiagnosed, and can be discovered in case of complications such as obstruction.We reported a case of delayed presentation of post traumatic diaphragmatic rupture with herniation and strangulation of stomach, transverse colon, and the jejunum of a 52-year-old patient who had a fracture of acetabulum six month back following road traffic accident. The diagnosis was suspected based on the clinical features of obstruction and air- filled viscera in the left hemithorax. Diagnosis was confirmed by an abdominal and thoracic computerized tomography (CT) scan.Exploratory laparotomy revealed a diaphragmatic rupture with strangulation of the stomach, transverse colon and the jejunum. The treatment consisted of the reduction of the herniated organs and closure of the diaphragmatic defect.

Takotsubo cardiomyopathy is characterized by transient systolic dysfunction of LV apical midventricular segments in the absence of obstructive coronary artery disease. Inverted Takotsubo is a very rare variant in which a patient’s transthoracic echocardiogram that we report revealed the characteristic basal and midventricular segmental kinetic disorders. The non-association with coronary artery disease can be differentiated with the use of echography by evaluating the temporal changes of akinetic areas and coronarography by showing the normality of the coronary arteries

Peritoneal pseudomyxoma, sometimes called a gelatinous disease of the peritoneum or gelatinous ascites of the peritoneum, is a rare disease. Peritoneal pseudomyxoma is defined by the presence of extracellular mucin in the peritoneal cavity. The objective of our work is to study, through a case of pseudomyxomeperitoneal and a review of the literature, the semiological, diagnostic and therapeutic features of this pathology.

Subcapsular hematoma of the liver represents an unusual clinical phenomenon in the pregnancy and postpartum period. Serious complications can be devastating in terms of fetal and maternal mortality. We present a case of a multiparous patient of 44 -year-old at 37 weeks of gestation, admitted for preeclampsia. The woman underwent an emergency Cesarean section (C-section) with the extraction of a live foetus. Few hours after delivery, she complained of intense abdominal and epigastric pain. Diagnostic work-up was suggestive of a subcapsular right lob hepatic hematoma which was successfully managed conservatively in a multidisciplinary team. We will try through this case to highlight the interest of imaging (ultrasound and scanner) for an early diagnosis at the non-ruptured stage, a prerequisite for a good prognosis.

Gallbladder herniation is a complication of patient with antecedent of abdominal surgery. We report an old patient with history of appendectomy several years ago, consulting for abdominal swelling. Patient performed a CT scan. Patient diagnosed as gallbladder hernia. Patient was treated surgically and discharged in good clinical condition. Gallbladder hernia is a very rare condition that can occur at any age and can be treated surgically.

Foot surgery is characterized by intense postoperative pain, difficult to control even when using balanced multimodal analgesia associating paracetamol, anti-inflammatory drugs and opioids. Ankle blocks were all but abandoned. Complications are rare using regional anesthesia for postoperative analgesia even after extensive foot surgery, however the consequences of motoric or sensory deficits can be extremely devastating as it impacts mobility.Revival of ankle blocks are a perfect example of the high impact of new technological advances in improving ambulatory surgical care after foot surgery.

Intracranial metastases from prostate cancer are unusual. It appears frequently in advanced castration- resistant prostate cancer. Their prognosis is very poor and mediane of survival does not exceed 4 months at maximum. Few systemic treatments cross the blood brain barrier. We report two cases of patients with two different localisations of intracranial metastases from adenocarcinoma of prostate cancer.

The Objective of the study was to compare the % maximal heart rate achieved by the subjects at the end of each test to verify whether or not % maximal heart rate achieved by post 6 minute step test is more than 6 minute walk test 6MWT and 6MST were performed according to the American Thoracic Society guidelines. Blood Pressure, Respiratory Rate, Oxygen Saturation, Heart Rate and %Maximal Heart Rate were measured and recorded. The Cross Sectional Observational Study performed on Local Football Club , Pune. The heart rate post 6MWT increased significantly but within normal range (p <0.04).The mean % MHR pre-test was 38% and post-test was 42%. The heart rate post 6MST increased significantly too but within normal range. The mean %MHR pre-test was 37% and post-test was 47%. (p <0.01). As there is a significant increase in the %MHR post 6 minute step test in football players, it can be concluded that the two tests i.e. 6 minute walk test and 6 minute step test are not interchangeable in the following population. This also concludes that the 6 minute step test can be used to increase the cardiovascular endurance in Football Players.

The kidney transplant is above all a social project, based on a gift of generosity and solidarity. The specific activity of kidney transplantation from a living donor requires close collaboration between clinicians and biologists.Living-donor renal transplants are further characterized as genetically related (living-related) or non-related (living-unrelated) transplants, depending on whether a biological relationship exists between the donor and recipient.It’s the interest of this review with in the last part the path of the donor and the recipient for a possible kidney transplant with a donor living in the renal transplant department at the military hospital of Rabat.

Intestinal cystic pneumatosis is a rare, benign and often an asymptomatic disease. It is considered to be one of the main causes of non-surgical pneumoperitoneum. We report the case of a 53 year-old woman with diffuse pneumatosis cystoides intestinalis revealed by a pseudo-occlusive syndrome and whose diagnosis was suggested by imaging. The evolution under medical treatment was simple and without having to resort to surgery.