No abstract

Imperforate hymen is a fairly uncommon genital disorder where the hymen completely obstructs the vaginal opening. Several authors have ruled out its co-occurrence with other congenital anomalies. In this report, we discuss the exceptional case of a late diagnosis of imperforate hymen associated with bilateral hydronephrosis of a horseshoe kidney in a 19-year-old female patient. To our knowledge, an association of imperforate hymen and horseshoe kidney has never been reported.

This is the case of a 28-year-old male patient with no particular pathological history who presented with an inflammatory swelling of the right cheek with pus in an infectious context. Cervicofacial CT with contrast injection allowed the diagnosis of a right cervicofacial cellulitis, associated with a jugular venous thrombosis extending to the superior vena cava. It also revealed septic pulmonary metastases in the form of multiple excavated pulmonary nodules. The analysis of the pus sample allowed the isolation of Staphylococcus aureus as the causative germ. This led to the diagnosis of a Lemierre-like syndrome, which is a variant of the Lemierre syndrome. Despite appropriate antibiotic treatment and anticoagulation, the patient died after 16 days of hospitalization.

CT is a medical imaging technique that uses X-rays to provide three-dimensional reconstructed images of the explored anatomical region. Its sensitivity has already been demonstrated in the exploration of pulmonary lesions of traumatic, neoplastic and especially infectious origin. In this chapter we present and highlight the usefulness of CT-scan imaging for diagnosis and management of the thoracic involvement of the COVID-19 pandemic. We also present the use of CT in extra-thoracic involvement, in particular, the angio-CT of the limbs in cases of suspected arterial thrombosis of the limbs during COVID-19. Finally, we evoke the other tools such as artificial intelligence which coupled with the CT-scan allows a greater accuracy and thus are to popularize in order to reinforce the CT as a tool of first plan in the fight against future pandemics with thoracic tropism.

Portal cavernoma is the cavernous transformation of the portal vein. It is the consequence of chronic portal vein thrombosis and occurs when collateral branches develop to bypass the portal occlusion. The clinical presentation includes hematemesis due to variceal bleeding, ascites or anemia, and splenomegaly. Herein we present images of a 37-year-old male patient received in our department for abdominal ultrasound, following 2 episodes of hematemesis. This case illustrates the ultrasound aspect of a voluminous portal cavernoma with portal hypertension signs.