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Renal vein thrombosis (RVT) in the post-partum period is rarely reported. It is majorly a complication of the hypercoagulability associated with both pregnancy and postpartum state. We report the case of a primiparous 19-year-old woman, who presented to the Emergency Department complaining of acute right flank pain. Doppler ultrasonography revealed thrombosis of the right renal vein with extension into the inferior vena cava (IVC). Contrast-enhanced abdominal computerized tomography (CT) confirmed the diagnosis. The outcome was favorable after anticoagulation therapy by Heparin was initiated. Practitioners need to be aware of the diagnosis of RVT. Imaging tests, especially contrast CT scans play a major role in the diagnosis and post-therapeutic assessment.

Le syndrome de Leriche, ou syndrome d´oblitération aorto-iliaque, est une entité particulière d´artériopathie oblitérante des membres inférieurs qui consiste en une occlusion thrombotique du carrefour aorto-iliaque. Nous rapportons le cas d´une patiente âgée de 20 ans, sans antécédents pathologiques particuliers connus, qui s´est présentée avec un tableau d´ischémie aiguë des deux membres inférieurs. L´écho Doppler des membres inférieurs a retrouvé une diminution globale des flux artériels sans visualisation de matériel endoluminal. Ceci a motivé la réalisation d´un angioscanner des membres inférieurs qui a objectivé une thrombose artérielle étendue de l´aorte abdominale aux artères iliaques externes bilatérales. La patiente a par la suite bénéficié d´un pontage aorto-bi-iliaque avec une bonne évolution, ainsi que d´une démarche diagnostique étiologique à la recherche d´un éventuel terrain thrombogène.

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Cystic lymphangiomas are benign tumors of the lymphatic vessels. It is characterized by its clinical polymorphism. Its retroperitoneal localization is rare. Its diagnosis relies mainly on imaging but needs histological confirmation. Its treatment is surgical. It can have an adverse evolution, especially when its volume causes compressive complications. We report the case of a 65-year-old male patient who presented abdominal distension and pain, whose abdominal scan showed a voluminous retroperitoneal mass. The interest of our case resides in the impressive volume of the tumor, its expressive scanographic semiology and its favorable evolution.