Le but de notre étude est de décrire les mécanismes lésionnels et les aspects anatomo-cliniques des traumatismes par accident de cyclomoteur. C'est une étude transversale menée au niveau du Centre Hospitalier Régional de Kaffrine sur une période de 12 mois. Elle portait sur les patients admis au service d'accueil pour accident de la voie publique impliquant un cyclomoteur. Il s'agissait de 129 patients (112 hommes et de 17 femmes). L’âge moyen était de 30,5 ans. Soixante-treize patients étaient conducteurs de cyclomoteur, 31 piétons et 25 passagers arrière. Le mécanisme le plus fréquent était une chute de moto. Les lésions prédominaient au niveau des membres. Les accidents de cyclomoteur sont un problème de santé publique.
Introduction: Soft tissue tumors are benign or malignant lesions developing from connective tissue and its varieties. Case Report: A 35-year-old patient referred to us for management of a voluminous pelvic-perineal mass. The clinical and para clinical data were in favor of a malignant lesion. The treatment consisted of a wide excision of the tumor. The post-operative period was complicated by an anal incontinence needing a protective left iliac colostomy. A perinioraphy, sphincter refection, and re–establishment of the digestive continuity were performed later on. The cytological examination of the excised mass revealed a conclusive involute hyanilised leiomyoma. Conclusion: This contrast between the clinical, para clinical and histologic data in our patient confirm the diagnostic challenges of soft tissue tumors, hence the need for special technic to assure diagnostic certitude to avoid mutilating surgical approaches for a benign lesion.
Strangled rectal prolapse, the rare disease, is a proctological emergency. Its management is controversial. When it is not reducible and signs of ischemia are present, the Altemeierperineal rectosigmoidectomy remains the best treatment. This study aimed to report our experience on the management of strangled rectal prolapse about 1 case in a 45-year-old man, a holder of a rectal prolapse for 2 years. On admission, he had strangled prolapse for 24 hours with edema. After a vain attempt of manual reduction and installation of necrosis after 48 hours, he had an Altemeier rectosigmoïdectomy. The postoperative course was uneventful and the patient was discharged on the 6th postoperative day. The results were very good, after one year follow-up.
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