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Background :Intestinal malrotation is a rare congenital abnormality occurring in 0.2–1% of the population.Cases diagnosed in adulthood are even rarer, thus constituting a diagnostic challenge. Case presentation : we report a case of 43 year-old patient presenting with an exceptional combination of left paraduodenal hernia and complete common mesentery whose management was performed laparoscopically. Conclusion :This case documented a rare anatomic variant, combining two abnormalities of intestinal rotation diagnosed in adulthood.

Stevens‐Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are acute, life‐threatening and rare severe cutaneous adverse reactions induced by drugs in most cases. The drugs most often reported to be implicated in inducing TEN/SJS are allopurinol, antibacterial sulfonamides, antiepileptic drugs and oxicam. Pristinamycin is an oral streptogramin antibiotic with bactericidal activity against Gram‐positive bacteria that is rarely linked to TEN. Typically, this condition develops 4‐28 days after drug exposure, Herein, we report a case of a 71‐year‐old female who developed TEN within 3 days of administration of pristinamycin and was managed successfully with supportive care, including intravenous fluids, pain control, prophylactic antibiotics and intravenous methylprednisolone. This case of rapidly developing SJS/TEN after administration of pristinamycin highlights the possibility that these complications can develop within only a few days following ingestion of drugs thought to be probably safe.

We report a case of TEN probably related to Pristinamycin

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