Situs inversus is a rare congenital anomaly referring to the mirror image of the abdominal and thoracic viscera. It can be discovered routinely or on the occasion of a complication related or not to situs inversus. We report a case of Situs inversus discovered incidentally during surgery for acute intestinal obstruction caused by an iatrogenic uterine perforation.

Aïnhum or spontaneous dactylolysis is a progressive constriction of the digito-plantar fold of the fifth toe which leads after several years of evolution to a spontaneous amputation of the toe. Classically, a distinction is made between "true Aïnhum" of unknown cause, which affects only blacks and those of African (sub-Saharan) descent; "pseudo-Aïnhum", which follows various causes such as an inflammatory flange or foreign body constriction; and finally, palmo-plantar keratoderma, of genetic origin, such as Vohwinkel disease. We report a case of Aïnhum received at stage III of the pathology and who benefited from an amputation of the fifth toe.

Objectives: To study surgical site infections (SSI) in the general surgery department of the Fousseyni Daou Hospital in Kayes. Material and method: This was a prospective study carried out from November 1, 2015 to April 30, 2016 on patients who underwent surgery and were hospitalized for at least 48 hours in the general surgery department. Results: During the study period we consulted 677 patients, of which 325 were hospitalized and 300 operated. of the 297 patients who survived after surgery, 12 developed a surgical site infection, a frequency of 4.16%. Of the 12 patients, 11 were male, the mean age was 39 years with a standard deviation of 14.9. The most common type of infection was superficial infection of the surgical wound with 66.66% of cases followed by deep infection in 33.3% of cases. We proceeded to local care with antiseptic such as Dakin, polyvidone iodine, association (Chlorhexidine + Chlorocresol + Hexamidine) and hydrogen peroxide. Conclusion: Surgical site infections are frequent and serious because of their morbidity and mortality and the cost of their management. The rigorous respect of the measures of asepsis per and post operative as well as a good antibiotic therapy based on the antibiogram allow to minimize them.

We report the observation of a patient with acute intestinal obstruction by left para-duodenal hernia without necrosis of the incarcerated small intestines for one patient, treated by reduction of the incarcerated small intestine and resection of the hernial sac. We discuss in this case the diagnostic and therapeutic features of this rare condition.

Lesions resulting from duodenal involvement are rare. Their diagnosis and management remain difficult because of the topographic location of most of the duodenum in the retroperitoneum. We report a case of isolated duodenal rupture. At the time of the first operation, the duodenal lesion had gone unnoticed. During our management, we discovered a rupture of the lower knee of the second duodenum and we performed a triple anastomosis after the closure of the ends (proximal and distal). The immediate postoperative course was complicated by the death of the patient on the second day of surgery. Duodenal lesions have much mortality which is increased by the delay in diagnosis and management.