[A case of extravaginal twisting of spermatic cord]. / Un cas de torsion supravaginale du cordon spermatique.

Extravaginal twisting of the spermatic cord is rare and its management is still open to debate. We report the case in a 12-day-old boy with right testicular pain evolving since birth. Scrototomy revealed a complete twist of the extravaginal spermatic cord. The testis was already necrotic and the intervention consisted in orchidectomy and orchidopexy. Twisting of the extravaginal cord remains a surgical emergency, which allows contralateral orchydopexy.

[Paratesticular tumors seen in UTH Ravoahangy-Andrianavalona: epidemioclinical and therapeutical aspects]. / Les tumeurs paratesticulaires rencontrées au CHU Ravoahangy-Andrianavalona : aspects épidémiocliniques et thérapeutiques.

OBJECTIVES: To analyze the frequency, clinical and therapeutical aspects of paratesticular tumors encountered in Universiatry Teaching Hospital Ravoahangy-Andrianavalona. METHODS: This a retrospective study carried out on 12 patients with paratesticular tumor seen in UTH Ravoahangy-Andrianavalona between January 1997 and December 2007. Studied parameters were: age, discovery circumstances, primitive or secondary character of the tumor, histological type and their surgical management. RESULTS: Twelve paratesticular tumors have been recorded amongst 1380 patients admitted for an urogenital tumor with a prevalence of 0.86% which represents one case per year. Middle age is 52 years (ranged from 6 to 68 years). Discovery circumstances were as follows: scrotal tumor in 75% of the cases (nine patients) and inguinofunicular tumor in 25% of the cases (three patients). Many histological types of tumors have been encountered: four cases of rhabdomyosarcoma (33.33%), one case of liposarcoma (8.33%), two cases of adenocarcinoma (16.66%), two cases of fibromas (16.66%) and three cases of leiomyoma (25%). Tumors were primitive in 10 patients (83.33%) and metastatic in two cases (16.66%). The surgical management were: large orchidectomy by high inguinal incision with lymphadenectomy in four cases; large orchidectomy by high inguinal incision without lymphadenectomy in four cases; large orchidectomy by high inguinal incision with hemiscrotectomy in one case; simple tumorectomy in three cases. CONCLUSION: Paratesticular tumors are rare and polymorphous. Clinical presentation is variable and the diagnosis is often delayed. Treatment is essentially surgical. Our study illustrates large histopathological variety of paratesticular tumor.

[Bladder primitive lymphoma. Report of a case]. / Lymphome primitif de la vessie. A propos d'un cas.

Lymphoma is an uncommon tumor of bladder. We report herein one case in a 58 year-old man aiming to show diagnosis and treatment difficulties in our practice. This patient had medical history of nephritic colic, haematuria and cystitis. Imagery revealed tissular mass with orange-like dimension in the right bladder corn. There was no kidney function alteration. Complete mass excision was performed and histological examination diagnosed low grade lymphoma with lymphoplasmocytary type. After chemotherapy, complete remission was obtained after 10 months follow-up.