Physiology and Anatomy

Intra-orbital foreign corps is relatively rare cause of consultation in neurosurgical and ophthalmologic emergencies. Anatomical contiguity between the orbit and the middle cranial fossa is the reason why a neurosurgical approach could be necessary, for the extraction of a foreign body. This case report is about a06 years old girl, admitted to ophthalmologic emergencies, for intra-orbital foreign body, through a wound located at the inner corner of the left eye. The extraction, of a pencil of 06 cm, has been carried out jointly by neurosurgeons and ophthalmologists by a sub-conjonctival approach. The medium-term follow up is 12 months, a surgical wound healed, but no functional recovery of vision or eye movement. Foreign intra-orbital corps are rare in neuro-ophtalmological emergencies, require vigilance in clinical diagnosis as they may go unnoticed. Adequate imaging, and relevant therapeutic approach aimed at “surgical” extraction, are necessary, because, foreign corps are exposed to the infection, panophtalmitis, brain abscess, or even very serious complications).

Retrocaval ureter is a rare disease found most often in young adult males, the usual clinical manifestation is right lumbar pain due to obstruction of the upper urinary tract. The diagnosis is based on CT and the treatment is mainly laparoscopic as our observation shows.

Survivability studies are integral part of cancer research and are particularly important in testicular cancer (TC) studies as TC appears to affect young adults most and is the most curable of all cancers leaving a long life ahead for TC survivors. Numerical models were developed correlating several different parameters documented in SEER (Surveillance, Epidemiology and End Results) database to survivability of TC patients and comparing the model predicted results with actual survival times. The study demonstrates the importance of tumor markers AFP, hCG, and LDH in maintaining strong correlations.

Cloacal malformation is a rare but important anomaly. The cloacal anomaly is characterised by the persistence of a common channel draining the urinary, genital and alimentary tracts through a single orifice. It results from abnormal compartmentalization of features that are normal in the primitive female embryo. Abnormal embryology and cloacal anatomy are described in detail. Cloacal abnormalities are usually diagnosed promptly in the neonatal period

Patients are expected to adhere to physician treatment recommendations. Noncompliance to prescription medication is however often problematic in the elderly for different reasons. The consequence of failure to follow medical treatment may lead to increased medical costs, hospitalizations, and even death. The elderly average 12.7 prescriptions per year, consume 30% of prescription medications, spend $15 billion annually, and receive eight or more medications per day. This qualitative study involved a phenomenological design, as the aim was to explore pharmacological noncompliance by those under the treatment of a licensed medical practitioner. The participants included a purposeful sample of 20 elderly African Americans for this study, from the state of Wisconsin in the United States, drawn from the congregation of an inner city Church. The open-ended nature of the questions facilitated participants to provide insights into a personal medical condition and deeper conversations associated with medication compliance. The normative decision-making theory served to underpin the study and aid acquiring a deeper understanding of the motivations that drive, or constrain compliance to medication. The analysis of the data took place after completion of the interviewing process. The interviews conducted were recorded, coded, transcribed, and categorized to facilitate the analysis of the data using an appropriate qualitative data analytical software program. The findings of the study drawn from an analysis of the interviews of patient, aided in gaining a deeper understanding of compliance to physician directives in pharmacologic treatment by participants in this study.

The cholesteatoma of the middle ear is a chronic otitis qualified as dangerous because of the risk of evolution of potentially serious complications. Labyrinthine fistula represents an erosive loss of the endochondral bone overlying the labyrinth. Labyrinthine fistula occurrence is one of the most common complications in chronic otitis media with cholesteatoma(2-3). Very commonly , the fistula is seen in the lateral semicircular canal(6-7). But very rarely cases of lysis for the three semicircular canals. We report the case of 30-year-old man admitted to the emergency for right fetid purulent otorrhea and rotary type vertigo for 15 days, who presented a chronic right sided otorrhea 8 years ago and homolateral hypoacousis. Computed tomography shows lysis of the 3 semicircular canals. The treatment is essentially surgical with open technique. Regression of vertigo and dry ear is the benefits.

Elephantiasis results of chronic lymphedema due to a variety of obstructive diseases of the lymphatic system. It’s a rare disease outside areas where filariasis is endemic. Peno-scrotal Elephantiasis is characterized by gross enlargement of the genitalia and legs. Observation: We return a case of a 45-year-old patient referred for a giant scrotum for 10 years. The disease become disabling in that it makes sexual relations difficult, affects urination and also limited the patient mobility. He underwent a complete surgical resection of pathological tissue and peno-scrotal reconstruction, with good functional and aesthetic results. Pathology of the specimen was suggestive of either a non-specific fibrosis. We update through a review of the literature aspects of the diagnostic and therapeutic care of the peno-scrotal elephantiasis.

Dandy-walker syndrome is a rare disorder characterizsed by complete or partial agenesis of the vermis, cystic dilatation of the fourth ventricule and an enlarged posterior fossa. The precise aetiology is unknown, although there have been reports of associations with risk factors like maternal virus infections (rubella, toxoplasma and cytomegalovirus) and alcohol consumtion [1]. It describe a rare case of five months old boy with acute respiratory distress with the exploration objective a Dandy-walker syndrome.A five months old boy with no medical history was admitted to the intensive unity care fot an acute rispiratory distress, the exploration of the respiratory distress lead as to realising a cerebral CT scan which objictived dilatation of the ventricular system and enlargement of the fourth ventricular and vermin hypoplasia related to Dandy-walker syndrome.A dandy walker is a rare condition and the image found may not be the cause of the acute respiratory distress. Clinical presentation and prognosis depends on the prenatal and early diagnostic dering the first year of live and the treatement is surgical

Leiomyoma of the urethra is a rare benign tumor composed of smooth muscle tissue often overlooked by most practitioners. This tumor results in a variety of clinical signs, diagnosis is histological. This pathology can generates significant repercussions on the social life of the patient.

Mycotic aneurysms are a uncommon presentation may be with rupture or sepsis. Disease management is often required to prevent catastrophic complications .Bacterial endocarditis is one of the classic causes of infected aneurysm. We report a case of a 14 8 mm mycotics plenics artery aneurysm secondary to endocarditis. Our patient have aortic and mitral valve replacements for acute articular Rheumatism, the disease management for our patient is a active surveillance of the aneurysm without complications. Our methodology is to review english and frensh articles from PubMed and cochran.