Le diverticule de Meckel est un reliquat du canal omphalomésenterique. Ce diverticule peut se perforer, s'enflammer aussi créer une occlusion. Les auteurs rapportent le cas d'un homme âgé de 30 ans, hospitalisé et pris en charge dans les cliniques universitaires de Lubumbashi pour occlusion intestinale et dont le constat per opératoire était un volvulus du grêle sur diverticule de Meckel avec nécrose intestinale. Son évolution était bonne après l'intervention chirurgicale.

Le lymphangiome est une lésion bénigne de vaisseaux lymphatiques. C'est une affection pédiatrique rare et exceptionnelle chez l'adulte. Le site habituel est le cou, l'aisselle et l'abdomen. La localisation mammaire est exceptionnelle. Nous rapportons l'observation d'une patiente âgée de 18 ans reçue en consultation pour une masse du sein gauche évoluant depuis 23 mois. La prise en charge était chirurgicale par une exérèse complète. L'examen anatomo-pathologique a conclu à un lymphangiome du sein. Son évolution a été bonne et sans récidive après 10 mois de suivi.

Objective: To analyze the practices of general practitioners (GPs) in terms of recommendations on individual screening for prostate cancer (PCa). Methods: An anonymous cross-sectional survey using a pre-established questionnaire was conducted among 193 GPs in the city of Lubumbashi from May 1st to July 31st, 2020. The questionnaire included three parts: identity criteria of GPs, screening practice and the opinion of GPs on the recommendations. Results: The participation rate was 79%. Eighty-two-point nine percent of respondents said they offered screening for PCa; 42.5% of them said they offered this screening to all men within a certain age limit, ranging between 50 to 75 years in 38.8% of the cases. Only 12.5% of GPs provided complete prior information to their patients. Thirty-six-point three percent of GPs reported combining digital rectal examination with total PSA testing, but in the presence of an abnormality, 60.6% reported that they referred their patients directly to the urologist without ordering other additional investigations (first or second line). Finally, 32.7% of GPs found that the recommendations disseminated were appropriate for their practice. Conclusion: Individual screening for PCa is widely proposed; but there are differences between the practices reported by GPs and official recommendations of learned societies. Our study highlights the need to popularize the recommendations of learned societies to GPs.

Cancers of the oral cavity and the pharynx represent 75% of cancers of the head and neck and are the 4th most cancer in men. Histologically the epidermal carcinoma is the most common. The alcohol-smoking couple is widely accused of its occurrence, justifying its highfrequency in men, althoughthere is currently an increasein the female population following the feminization of the two main risk factors. We present a rare case of epidermal carcinoma of the veil of the obstructive palate in a 48-year old patient who came to consult the university clinics of Lubumbashi at the stage of dysphagia and dyspnea after having crisscrossed for five years in different medical centers and traditional healers. The extension assessment did not reveal any metastasis or any lymph node. The surgical management consisted in a total removal of the tumor in intraoral with curettage of the infiltrated right maxillary sinus. The immediate post-surgery follow-ups were simple and the iatrogenic cleft palate created was covered by the use of palatal plate allowing the patient to feed quickly. The patient had thus been transferred to Lusaka (Zambia) for post-adjuvant radiotherapy. After six months of follow-up, the patient was still alive and had no metastases. The aim of this work was to share our experience on this type of surgery, which is practically not practiced in our city for lake of specialist, and to encourage practitioners on the early transfer of theses patient because the prognosis depend on it.

The authors report a case of epididymo-cutaneous fistula complicating epididymo-testicular tuberculosis collected in the urology department of the university clinics of Lubumbashi. This is a 34-year-old patient, with no particular predisposing factors, admitted for isolated swelling of the right hemi-bursa causing pus to weld through a slit for several months without a tendency to dry up, the patient wore a urinary catheter gauge 16 indicated for previous retention of urine, several times treated with antibiotic therapy without success, no sign of tuberculous impregnation had been highlighted. The diagnosis was made by the isolation of the tubercle bacillus in the testicular fistulization pus, HIV serology was negative.