Sternal clefts are infrequent congenital malformations, particularly in their complete presentation. There are less than 100 descriptions of these defects published in the literature worldwide. We report a clinical case of lower sternal cleft associated with congenital laparoschisis in a 2-year-old boy. Surgery was performed because of recurrent pneumopathy and the risk of cardiorespiratory decompensation in the midterm. A semi-resorbable prosthesis was used for sternal closure. We have not observed any complications with this sternal closure system in our patient. This approach is easy, safe, effective and not harmful to a child's growth.
Alveolar rhabdomyosarcomas (ARMS) are rare entities that occur predominantly on the extremities and represent 20% of rhabdomyosarcomas. Other common locations include the peri-rectal and perineal regions, head and neck, and genitourinary system. To our knowledge, this presentation is the first case of alveolar rhabdomyosarcoma of the chest wall reported in the literature. Here, we describe a case of a 64-year-old man with alveolar rhabdomyosarcomas who underwent a chest wall resection. The defect was reconstructed with polypropylene mesh and latissimus dorsi muscle. Our patient did not show recurrence ten months after complete resection. The present paper describes our surgical approach to a case of primary alveolar rhabdomyosarcoma of the chest wall in an adult. The authors discuss the principal judgment criteria for successful surgical resection and prognosis, highlighting the relevance of chest wall reconstruction and their complementary aspects in the multimodal management of this rare entity.
Introduction. Les plaies pénétrantes du thorax sont fréquentes et nécessitent une prise en charge spécifique. Les objectifs de cette étude sont de décrire les aspects épidémiologiques, cliniques, thérapeutiques et évolutifs des plaies pénétrantes par arme blanche. Matériel et méthodes. C'est une étude rétrospective portant sur 73 patients ayant une plaie thoracique par arme blanche hospitalisés dans le Service de Chirurgie Thoracique du Centre Hospitalier Universitaire (CHU) Joseph Ravoahangy Andrianavalona (JRA), Madagascar, du 01 janvier 2015 au 31 janvier 2018. Résultats. La moyenne d'âge était de 31,5 ans, avec une prédominance masculine (89,04%). La plupart des patients étaient dans le secteur tertiaire (56,16%). La majorité des cas étaient des agressions criminelles
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