Gigantomastia is a rare mastopathy of unknown cause. It affects mostly young women at the time of puberty and is often manifested by a bilateral increase in breast size. Hormone levels are usually normal and the breast biopsy shows an increase in mesenchymal tissue. The mechanical and psychological complications related to the excessive weight and volume of the breasts impose a rapid and effective surgical treatment whose goal is to obtain physical and psychological results rarely equaled in conventional medicine. Therefore contributes to a complete state of physical, mental and social well-being to patients. We will report two cases of juvenile gigantomastia; discuss the therapeutic possibilities and the prognosis.

With the technological progress of humans and the need to stay connected by various means of communication including laptops and smartphones, security measures must follow the qualities of computers as well as their chargers. Explosion burns of electronic gadgets are rarely reported in the scientific literature. We report three cases of explosive burns of electronic gadgets including one by explosion of a laptop computer. The aim of our work is to explain the explosion mechanism and emphasize the safety measures to be followed to limit this type of accident, which can be serious and sometimes fatal.

Introduction: We report the experience of the National Center of Burns and Plastic Surgery of Ibn Rochd University Hospital of Casablanca in the coverage of defects secondary to Fournier’s gangrene. Materials and Methods: We retrospectively collected and analyzed clinical, therapeutic, and scalable data of patients referred for perineal coverage after Fournier's gangrene, during a period of 3 years (from January 2018 to December 2020), including age, gender, medical background, Charlson comorbidities index; cause, period of coverage, Performance Status score, the extent of the defect and affected sites, Anesthesia, Surgical technique, and post-operative suites. Results: 46 patients were identified: 43 males (93%) and 3 females (7%); mean age was 53 years. Diabetes was the most common comorbidity (58%). The major cause was proctologic (60.9%). The average consultation time was 44.15 days. The patients presented with defects measuring between 4 cm2 and 800 cm2, mostly affecting the scrotum (80%). Several surgical techniques have been employed and added together, depending on the extent and topography of the defect. 20 were treated by suturing due to sufficient skin laxity, 13 were covered by skin grafting of the penis and/or for an extensive and/or oozing defect. 20 were covered by a scrotal advancement flap for a defect not exceeding half of the scrotum. The fascio-cutaneous flaps, namely the VY advancement flap was performed in 14 patients (uni or bilateral), and the medial thigh flap which was performed in 3 patients, for defects involving the perineum and/or more than half of the scrotum. Seven patients (15.21%) presented coverage technique complications. Conclusion: Adequate coverage of the perineum and external genitalia after the Fournier's gangrene prevents functional sequelae and reduces aesthetic sequelae.

Extravasation is defined as the leakage of fluid from a blood vessel into the surrounding area at the injection site. These accidents occur during injection for diagnostic or therapeutic purposes, carried out through the peripheral or central venous lines (Chemotherapy, metabolites, or contrast agent for radiographic examination). They can be the cause of skin necrosis able to progress to significant functional, cosmetic, and psychological sequelae.  The saline washout technique is the emergency surgical treatment of choice for extravasations of certain products, allowing the elimination of the toxicant and the preservation of the skin. In the event of skin necrosis, covering techniques such as directed healing, grafts and flaps allow healing.  The difficulty of the therapeutic management of these lesions and their unpredictable evolution, require prevention, by the development of protocols for the installation and monitoring of the venous catheters, and by the continuous training of the nursing staff to know the symptoms of extravasation, and their immediate management.  The aim of this work is to present a review of the existing literature, allowing to know the diagnostic criteria, insist on the means of prevention, and propose a protocol of management.

Elastofibroma dorsi is a rare soft tissues benign tumor with very slow evolution, seen predominantly in females and elderly, It mostly occurs in the infrascapular region, and can be bilateral. The diagnosis is based on clinical presentation and imaging features but pathological study after excision is necessary for confirmation. We present the cases of 3 patients with bilateral elastofibroma dorsi to clarify the clinical features, radiological and therapeutic modalities to improve management, along with a literature review.