Search

Résumé: L'anévrisme mycotique est une affection rare compliquant dans environ 2,5 à 10 % des cas les endocardites infectieuses. Ces anévrismes peuvent se développer aux dépens de nombreuses artères : l'aorte, les artères cérébrales, viscérales et périphériques. Les localisations viscérales sont dominées par les anévrismes de l'artère splénique, suivis de ceux de l'artère hépatique et de l'artère mésentérique supérieure. Le diagnostic doit être précoce du fait du risque important de rupture et de décès. Il est suspecté devant la triade fièvre, masse pulsatile et douleurs abdominales. L'échographie et surtout l'angioscanner abdominal permettent d'identifier la nature anévrismale de la masse et de rechercher les complications. L'angiographie permet de confirmer le diagnostic et de réaliser un geste thérapeutique. Nous rapportons le cas d'un jeune patient ayant présenté une endocardite infectieuse compliquée d'un énorme anévrisme splénique et d'un anévrisme de l'artère mésentérique supérieure, rompus à 17 mois d'intervalle et traités par embolisation à la colle biologique et aux coils. A mycotic aneurysm is a rare complication occurring in about 2.5 to 10 % of infectious endocarditis cases. The condition can develop on a variety of arteries such as the aorta, cerebral, visceral or peripheral arteries. Aneurysms occurring respectively in the splenic, hepatic and superior mesenteric arteries account for the majority of visceral locations. An early diagnosis is a must, since it significantly reduces the risk of rupture and death. An abdominal aneurysm is usually suggested when the patient presents the following triad : a fever, a pulsating mass and abdominal pain. Abdominal ultrasonography and CT angiography help identify the aneurysm along with any potential complications, while angiography both confirms the diagnosis and allows for therapeutic action. The following article is a case report of a young male presenting with infectious endocarditis, complicated with splenic and superior artery aneurysms, both rupturing 17 months apart. Treatment involved embolization using biological glue as an embolic agent, and endovascular coiling. [ABSTRACT FROM AUTHOR]

Résumé: Les anévrismes infectieux de l'aorte sont rares ; ils représentent moins de 3 % de l'ensemble des anévrismes aortiques [1]. L'origine syphilitique est encore plus rare. Nous rapportons le cas d'un anévrisme aortique d'origine syphilitique chez une femme âgée de 80 ans, ayant accusé une dysphonie évoluant depuis trois mois, aggravée par l'installation d'une dyspnée. L'exploration biologique et radiologique a permis de poser le diagnostic de cette entité qui s'est manifestée par une symptomatologie peu commune. À travers cette observation, nous analysons les aspects cliniques, diagnostiques et thérapeutiques de cette entité, tout en insistant sur le fait que l'origine infectieuse, particulièrement syphilitique, doit être considérée parmi les diagnostics différentiels des anévrismes aortiques. Infectious aortic aneurysms are rare, being responsible of less than 3 % of aortic aneurysms. Syphilitic origin is even rarer. We report the case of a 80 years old woman with syphilitic aortic aneurysm complaining three months of dysphonia, aggravated by the installation of dyspnea and low abundance hemoptysis. The biological and radiological explorations helped to confirm the diagnosis which was manifested by an unusual symptomatology. Through this case, we analyze the clinical, diagnostic and therapeutic aspects of this disease and remind colleagues that the infectious origin, particularly syphilitic, must be considered among the differential diagnosis of aortic aneurysm. [ABSTRACT FROM AUTHOR]

We here report the case of a 06-year old girl treated for Kawasaki disease admitted with right tender and painful inguinal swelling. Ultrasound images suggested cystic lymphangioma. TDM showed fluid-filled mass in the right iliac fossa (RIF) in contact with the external iliac vessels, the sigmoid colon and a few small bowel loops extending downward from a dehiscence of the inguinal canal into the large lip. It had localized thickening of the wall measuring 5 mm in thickness at the level of the inguinal orifice. The diagnosis of cyst of the canal of Nuck (female hydrocele) was retained and surgically confirmed (Figure 2). The cyst of the canal of Nuck is caused by incomplete closure of the canal, resulting in fibrous vestigial structure of the peritoneal-vaginal duct which connects the peritoneal cavity with the large lip. This usually closes at birth or during the first month of life, with resultant formation of a cystic lesion bordered by mesothelium, which is predominantly flattened and sometimes hyperplastic, located in the anterosuperior portion of the large lips and/or the inguinal canal. Surgical treatment for cyst of the canal of Nuck is the same as for hernia. [ABSTRACT FROM AUTHOR]

Copyright of Pan African Medical Journal is the property of Pan African Medical Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Coeliac artery compression stenosis caused by the median arcuate ligament can lead to aneurysm formation in the pancreatico-duodenal arteries that can eventually result in a spontaneous rupture leading to retroperitoneal haemorrhage. In this case series, we describe the cases of three patients, all presenting with sudden epigastric pain, diagnosed as spontaneous haematoma, complicating a median arcuate ligament syndrome., Competing Interests: The authors declare that they have no financial or personal relationships that may have inappropriately influenced them in writing this article., (© 2021. The Authors.)

The neuropathic osteoarthropathy are ectopic ossifications, developed near the joints, secondary to a process of neo-osteogenesis in the case of central neurological lesions and rarely peripheral lesions. We report the case of two patients aged of 7 years and 35 years, for whom the CT scan allowed us to make the positive diagnosis, and an accurate preoperative assessment, by studying the seat, the vessels and nerves, allowing an adapted and precocious management. We propose an update of neuropathic osteoarthropathy based on data from the literature.