Right ventricle pierced by a traditional sharp hair straightener: a case report.

The case presents a traumatic ventricular perforation of a girl, accidentally felt on a sharp instrument. The uniqueness of the case presented is due to the very high infrequency of injuries with this type of sharp object. The 7-year-old girl was transported to the hospital after accidentally falling on a sharp instrument. The child had no signs of heart failure. On opening the chest, it was found that the metal object was lodged in the right ventricle. Quickly proceeded to remove the object and suture the entry hole. After a short hospitalization, the child was discharged completely cured.

[Bochdalek hernia with intrathoracic liver herniation in an adult patient treated with robotic surgery: a case report]. / Hernie de Bochdalek avec issue hépatique en intrathoracique chez un adulte, traitée par voie robotique: à propos d´un cas.

This study reports the case of a 45-year-old female patient presenting with isolated pain in the right hypochondrium radiating to the back, evolving over the last several years. The patient had no medical history. Physical examination was normal. Computed tomography (CT) scan showed right-sided diaphragmatic hernia (Bochdalek hernia) with a part of the liver protrunding into the chest. The patient underwent robotic surgery. The postoperative course was simple. The patient had no recurrence at 1-year follow-up. Bochdalek hernia with intrathoracic liver herniation is rare in adult patients. It can be treated by robotic surgery.

[Tourniquets, a drama in the infant: about 3 cases]. / Les garrots de prélèvement, un drame chez le nourrisson: à propos de 3 cas.

The time limit for the removal of a tourniquet is short; any delay in tourniquet deflation, especially if it exceeds the 3 hour limit, exposes to amputation hazards. Our objective was to report three cases of ischemic limb gangrene, caused by having forgotten to take a tourniquet off after a blood sampling, to inform healthcare professionals about the risk associated with that negligence. We encountered 3 cases of infants (2 three-month-old infants and 1 five-month-old infant), hospitalized in intensive care unit of Yalgado Ouédraogo University Hospital for upper-left limb swelling. Their medical history shows that there was a delay in tourniquet deflation after a blood sampling of 24 hours in two cases and of 48 hours in one case. Physical examination revealed a diffuse edema associated with upper limb gangrene spread to the mid-third of the upper arm, abolition of the ulnar and radial pulse as well as loss of sensation in the hand in 2 cases. In one case clinical signs were attenuated. The diagnosis of ischemic limb gangrene was confirmed in all cases. Laboratory examinations were normal. Two cases needed urgent trans-humeral amputation and one case needed debridement plus amputation of four fingers. The evolution was simple in all cases. Iatrogenic dry gangrene caused by a delay in tourniquet removal should never happen at hospitals. This can be guaranteed only by tightening up health management and by performing regular and accurate patient monitoring.