Appendicitis in strangulated femoral hernia: a case report

Herniation of the appendix into a femoral hernia also called De Garengeot hernia-is a rare but well-recognized entity. It is typically discovered incidentally during hernia repair. Acute appendicitis in a strangulated femoral hernia is even more uncommon. Report a new case. We report on a patient admitted for a painful groin mass. She underwent emergency surgery. Exploration identified acute appendicitis in a strangulated femoral hernia sac. Appendectomy associated with Mac Vay's herniorrhaphy were performed. The outcome was uneventful. Surgeons should be aware of the existence of this infrequent and atypical presentation of appendicitis and femoral hernia

[Seminal vesicle abscess: report of a new case]

Seminal vesicle abscess [SVA] is a rare pathologic entity, usually diagnosed by transrectal ultrasonography and computerized tomography scan. Report a new case. We report the successful management of a serminal vesicle abscess with percutaneous transvesical drainage in a 60 year old diabetic patient. Computed tomography scan has been used for the diagnosis and the guidance of the percutaneotz drainage. Seminal vesicle abscess is a very rare pathology with no specific symptoms. Transvesical drainage can be proposed successfully

[Emphysematous pyelitis: epidemiological, therapeutic and evolutive features]

Emphsematous pyelitis is an uncommon form of acute pyelonephritis. It has been reported sporadically in the literature. Our objective is to study the epidemiological, clinical and therapeutic characteristics of emphysematous pyelitis. The-data-of six patients- managed-for emphysematous-pyelitis were collected and analyzed. The mean age was 55 years. Urinary lithiasis and diabetes were the most common co-morbidities. Febrile lumbar pain and general health impairment were the presenting symptoms in five patients; the remaining case presented with septic shock. Urine and blood culture grew E. Coli in 4 and 3 cases respectively. Computed tomography of the abdomen led to diagnosis by showing gas images in the collecting system. Treatment consisted of antibiotics associated with collecting system drainage. It avoided emergent nephrectomy in all cases. The treatment of the calculi was held at distance from the infection. Nephrectomy was done in one patient presenting a thinned - dedifferentiated - renal parenchyma. Outcome was good. Emphysematous pyelonephritis is a rare upper urinary tract infection. Risk factors include diabetes and urinary obstruction. The diagnosis is made by computed tomography. Efficient antibiotics administration associated with collecting system drainage allow soon recovery and avoid nephrectomy

Technique and indications of elbowarthroscopy: a twelve-cases report

Describe the technique of the elbow arthroscopy and discuss their indications through a series of 12 cases and a review of the literature. We report a retrospective study of a short series of 12 cases of elbow arthroscopy performed on 4 years. The indications of this technique were loose bodies in 7 cases, parcellar displaced fracture of radial head in 3 cases, fracture of coronoid process in one case and osseous impingement in one case. We have noted no complications and at a mean follow up of 18 months [6 to 40 months] our results were almost satisfactory. Elbow arthroscopy is an effective but delicate technique. Its indications are not frequent. They are dominated by loose bodies