Meckel's diverticulum-pathology About 11 cases

The authors are reporting 11 cases of MECKEL'S divertioulum. 81,9% of the patients are boys, and two are newly born. In 8 cas, MECKEL'S divertioulum was discovered after complications [4 invaginations, 2 occlusions en bridles, 2 divertiolitis one of which was perforated]. In the recent cases, the MECKEL'S divirtioulum was found while exploring the small tripe in front of two omphaloc‚les, and one intestinal occlusion. The authors proposed to do a clinical, paraclinical and th‚rapeutic analysis of the different cases and they insist on the systemic research of this malformation

Neonatal hydrocolpos

Neonatal Hydrocolpos is a congenital lesion corresponding to a liquid distention of the vagina which is caused by a retention of the cervical and the vaginal secretions upstream of a vaginal Stoppage. The authors present here two observations of hydrocolpos reported in the neonatal surgery department of "C.H U Ibn Sina, Rabat, Morocco" This relatively rare disease has an easy diagnostis if we think about it while facing a vulval tumefaction Ultrasound has a major contribution. The early treatment avoids many genital and urinary complications

La nephroblastomatose: a propos de deux cas

Rare entity recently individualized, Nephroblastomatosis refers to the finding of accumulations of metanephric blastema in infants and children at any time beyond 36 weeks gestation or in an abnormal location or quantity in younger infants. Two subtypes: -Multifocal superficial Nephroblastomatosis; -Diffuse Nephroblastomatosis Malformations associated could lead to emphasize the hypothesis of genetical abnormality. It may be confused with bilateral Nephroblastoma. Our purpose will be to describe the clinical, radiological, pathological features and the prognosis of Nephroblastomatis in one hand, and in the other hand the close embryogenic and encogenic relationship between Nephroblastoma and Nephroblastomatosia

Les duplications gastriques: a propos de deux observations

From our study of the gastric duplications, it result that they are cystic or tubular formations which can communicate with the gastric lumen and their detection often is in infancy. We noted a female prevalence two cases for one male case. The clinical signs which are the most frequently encountered are vomotings, abdominal mass palpation, abdominal pains and, unfrequently a weight loss, an anemia and digestive hemorrhages We frequently find co-existent malformations which essentially are digestive malformations on one hand and vertebral on the other hand The complications increase according the patient's age. they essentially include ulcerations of duplications wall with or without perforation and ulcerations of digestive duct leading to digestive hemorrhanges. The differential diagnosis concerns the real congenital diverticula of the stomach and all the abdominal tumors.we reported the different etio-embryologic theories. They are numerous and no one is completely satisfying. Nevertheless, we think that the "SPLIT NOTOCHORD'S SYNDROM" is the most tempting. Our two gastric Duplications, managed Child Surgery of Rabat U.H.C. during the last years, present clinical, radiological an therapeutic signs which are the most frequently reported literature. Lastly, to recognize a gastric Duplication isn't at the present time an exceptional diagnosis. It constitutes a reality we must take into consideration in infantile abdominal pathology. A best knowledge of this malformation pattern the present time, allows an early surgical management which leads in almost cases to a definitive recovery