ABSTRACT
We here report a case of bladder urothelial carcinoma, a rare tumor in subjects less than 40 years, as well as our therapeutic experience. The study involved a 37-year old patient with a history of urinary tract infection and of staying at a riparian area (bilharzia) presenting with hypogastralgia and total macroscopic hematuria. Clinical and paraclinical assessment showed voluminous bladder mass suggesting infiltrative tumor without local or distant lymph node or organic involvement. Surgical management was based on resection of bladder tumor and biopsy followed by total cystectomy with substitutive ileal enterocystoplasty. The postoperative course was uneventful. The patient also underwent adjuvant chemotherapy and vitamin B-12 therapy. Clinical and paraclinical assessment, performed after 6 and 12 months, showed no recurrence.
Subject(s)
Carcinoma, Transitional Cell/surgery , Cystectomy/methods , Urinary Bladder Neoplasms/surgery , Urologic Surgical Procedures/methods , Adult , Carcinoma, Transitional Cell/diagnosis , Carcinoma, Transitional Cell/pathology , Chemotherapy, Adjuvant/methods , Follow-Up Studies , Humans , Ileum/surgery , Male , Neoplasm Recurrence, Local , Treatment Outcome , Urinary Bladder Neoplasms/diagnosis , Urinary Bladder Neoplasms/pathology , Vitamin B 12/administration & dosageABSTRACT
Meckel's diverticulum is a remnant of the omphalomesenteric channel. Diverticulum may result in perforation, inflammation an even in occlusion. We here report the case of a 30-year old man, hospitalized and treated for bowel obstruction at the university clinics of Lubumbashi. Intraoperative findings showed small bowel volvulus due to Meckel's diverticulum associated with intestinal necrosis. Patient's outcome was favorable after surgery.