Introduction: Spina bifida is the most common neural tube defect. Uterine prolapse is an exceptional presentation of its complications. We aim to describe the clinical and progressive features of uterine prolapse in a newborn baby with spina bifida. Observation: 19-day-old newborn. Admitted for spina bifida. The clinical examination showed an anal gaping, the presence of uterovaginal prolapse and bilateral equine varus clubfoot. The particularity was that this prolapse had a spontaneous resolution but appears with screams. We made a compression bandage at the time of resolution. After a 6-month of follow-up, the baby is in good general condition and, there is no recurrence of the prolapse. Conclusion: Uterine prolapse is a rare complication of spina bifida. The main therapeutic component remains the prevention of spina bifida.

Post-traumatic injuries of the gall bladder are rare. We report through a clinical description of its physio-pathological and evolutionary aspects. A 14-year-old boy was received 48 hours after a stabbing attack. After initial haemorrhage, the patient presented clinical improvement; then a sudden deterioration with vague symptoms and disturbance of the hepatic balance. The abdominal CT scan revealed a perivesicular hematoma with a focus on hepatic contusion. Laparoscopy showed a penetrating sore of the liver, but the exploration was limited by an important inflammation of the digestive tract. The diagnosis of gall bladder perforation was made during the operation. We performed a cholecystectomy by laparotomy. Postoperative evolution was simple, removal of the slides at D + 4 and discharged at D + 7 postoperative after improvement. At the 6th month, he presented an acute intestinal obstruction on bridles, managed at emergency by open surgery. After one year of follow up, the patient has no symptoms. We note that the vague clinical presentation and the limit of imaging examinations made the early diagnosis of a vesicular perforation a real challenge for the clinician. Cholecystectomy remains the optimal treatment.

Background: Tuberculosis is still a public health problem in the third world. The peritoneal localization is common even in pediatric patients. The macroscopics aspects of the peritoneal and/or intestine granulations are pathognomonic. However, its diagnosis by an inguinal hernia is exceptional. Our work aims to discuss the particularities of this unusual presentation of peritoneal tuberculosis. Case report: A 10-year-old girl who presented with a painless inguinal hernia. In per operatory, there was a granulomatous inflammation of the vaginalis process. The diagnosis of tuberculosis was confirmed by histopathologic study and the patient started the anti-tuberculosis drugs. After one year of follow-up, the girl is good and has no symptoms. Discussion: Opinions are divided when to cure the hernia. Is it necessary to do a laparoscopic exploration and biopsy then to secondarily cure the hernia; or go through the inguinal way to cure the hernia and do a peritoneal biopsy? In our case, we performed by the same surgical time the cure of the hernia and the biopsy and it did not impact negatively the follow-up. Conclusion: This revelation mode of peritoneal tuberculosis by inguinal hernia is exceptional but possible.

Introduction: Appendicitis is the most common surgical emergency in childhood. It's a common surgical disease that can be presented with a wide variety of atypical clinical features. Clinical Case: We report a case of a 7-year-old female patient admitted for abdominal pain dating back 20 days, radiological exploration suggested a right ovarian teratoma, while laparoscopic exploration has objective an appendicular abscess. Conclusion: This case has allowed us to clarify an atypical case of complicated appendicitis, and also to show the contribution of laparoscopy.

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