ObjectiveTo determine the efficiency of the interscrotal approach to inguinoscrotal pathologies.Patients and methodsWe report the use of the interscrotal approach in 21 boys, from September 2012 to November 2013, operated using an interscrotal access through a vertical incision on the median raphe.ResultsThe approach was used for bilateral inguinal hernia (48%), bilateral ectopic testis (19%), torsion of the spermatic cord (19%), testicular biopsy (10%) and webbing of the penis (5%).ConclusionInter-scrotal access is an option for inguinoscrotal pathologies, with the advantages of a single incision, much less dissection and disruption of tissue, and greater comfort for the ‘day-case’ child.

Background The echinococcosis and tuberculosis of the lungs are both endemic in Algeria. The coexistence of echinococcosis and tuberculosis in the same lobe of the lung is exceptional. Case presentation A 10-year-old girl was admitted with a history of productive cough, fever, and chest pain. Chest examination revealed decreased air entry at left lower lobe. Chest X-ray demonstrated a round left lower lobe with an air fluid interface. Chest CT scan with intravenous contrast showed a lingual hydroaeric formation measuring 5×6 cm with a detached membrane image. A diagnosis of a complicated hydatid disease of the lung was made and the patient was subsequently started on oral albendazole before undergoing exploratory thoracotomy where partial cystectomy and the obliteration of the pericyst cavity. Histopathology was notable for echinococcosis membrane characteristics. After 2 months, the patient re-presented with complaints of cough, hemoptysis, and dyspnea. Radiographic images favored repermeabilization of bronchopleural fistulas. The management was the closing of the bronchial openings. Histological findings include image characteristic of the echinococcosis and tuberculosis. The patient continued on albendazole and an anti-tuberculosis regimen, with concurrent functional physiotherapy sessions. During the following 3-year follow-up, drastic clinical, radiographic, and functional improvement was noted. Conclusion Concurrent tuberculosis and echinococcosis infection should be taken into consideration when patients present with persistent bronchopleural fistula in endemic areas. A multidisciplinary approach of different medical teams facilitates diagnosis and rapid treatment.

Background The parasitic disease known as the cystic echinococcosis (CE) is brought on by cysts made up of the larval forms (metacestodes) of Echinococcus tapeworms. In North Africa, it is greater in rural regions. This is unusual for a primary supravesical position. Case presentation We report a case of a 6-year-old boy who had a palpable abdominal mass with hypogastric abdominal pain. A pelvic ultrasound examination demonstrated a voluminous intra-abdominal supravesical cystic formation with clear limits and regular contours of heterogeneous anechogenic echostructure and the presence of multiple hyperechoic septa separating the cubicles (daughter vesicles) in a honeycomb pattern. Computed tomography confirmed a cystic echinococcosis stage III of the pelvis. After a laparotomy surgery with total cystectomy, the patient was discharged with prescribed albendazole 10 mg/kg/day. Cystic echinococcosis was established by histological analysis. The aim is to demonstrate that from a literature search, we think this is the first case of cystic echinococcosis of the detrusor in children. Conclusion Primary pelvic cystic echinococcosis is uncommon and even less common among children. Cystic echinococcosis must be taken into account in the differential diagnosis when there is an abdominal mass, particularly in locations where it is prevalent.