Acute intestinal intussusception remains a surgical emergency in infants and young children aged 3 months to 3 years. It results from the incarceration of the upstream intestinal segment in the downstream segment. In the majority of cases it is idiopathic, but can be secondary to certain pathologies notably Meckel’s diverticulum. The site is most often ileo cecal. The symptomatological triad is made up of pain, vomiting, and rectal bleeding. The diagnosis is confirmed by imaging, dominated by ultrasound which remains the reference imaging. We report the case of a 3 year-old boy, followed for a malformation who presented with abdominal distension, abdominal pain, and rectal bleeding. The diagnosis of acute ileo-ileal intussusception was made. After an attempt at hydrostatic reduction under ultrasound guidance, he underwent surgical management. The postoperative period was simple and uncomplicated. Intestinal intussusception remains a pathology with a low morbidity and mortality rate of 0% to 1% due to delayed diagnosis and delayed therapeutic management.
Idiopathic granulomatous mastitis is a rare chronic benign inflammatory mastopathy occurring mainly in young women. With a non-specific imagery, it is considered as a diagnosis by exclusion and has a challenging treatment. Histologically, it is characterized by the predominance of polynuclear neutrophils and the absence of caseous necrosis. The breast carcinoma is the main differential diagnosis at the clinical stage, and imagery plays an essential role in its diagnostic approach. Its treatment combines antibiotics, anti-inflammatories, corticosteroid therapy, and surgery. We report a 42-year-old woman who presented a breast lesion diagnosis as granulomatous mastitis based on magnetic resonance imaging, ultrasound, and histology examinations. She received a treatment with different drugs (antibiotics, anti-inflammatories). The outcome treatment was successful with a good healing of breast lesions.
Uterine malformations are developmental abnormalities of the Müllerian ducts. It is a heterogeneous group of pathology and anatomy whose diagnosis must be accurate. Imaging plays an essential role in the diagnosis with 2D/3D ultrasound and magnetic resonance imaging (MRI) is the gold standard in accurate diagnosis. We reported two cases of uterine malformations about Mayer-Rokitansky-Küster-Hauser syndrome in a 20-year-old patient and 22-year-old patient. These anomalies are associated with renal malformations. The diagnosis was made by chance, by MRI which was performed in these patients. The management of these uterine malformations includes a psychological support component. There is a non-surgical treatment, but also, depending on the malformation, a surgical treatment. The complications of these malformations are dominated by recurrent miscarriages and infertility.
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