Volume 4

1. Abstract We report on an adolescent affected by a progressive primary angiitis of the central nervous sys- tem (PACNS) and constantly normal high-resolution brain magnetic resonance imaging (MRI) and cerebrospinal fluid (CSF) exam. A 15-years-old-male came to our attention for a severe diffuse headache, associated with re- current episodes of vomiting, consciousness impairment and […]

Maydl’s hernia is one of the few causes of strangled inguinal hernia. It is characterized by the pres-ence in the sac of two intestinal loops connected by an intra-abdominal intermediate loop called retrograde, all drawing a “W” or an omega. The risk of this anatomical form is the necrosis of the intra-abdominal loop. Therefore, careful

Among the causes of small bowel obstruction, the incarceration of a bowel loop through uterine perforation is extremely rare. The purpose of our report is to illustrate the contribution of sonography in diagnosing this unusual surgical emergency through the case of a 28-year-old patient who was referred to our department a month after dilation and

A case of successful replantation of thumb at the proximal phalanx level is presented in this report. There were associated injuries of the index and middle fingers which were also managed with good functional outcome. The procedure was done with operating loupes and supra clavicular block with minimal facilities in a resource constrained environment of