Physiology and Anatomy

Myositis ossificans circumscribed (MOC) is a rare, benign condition characterized by heterotopic ossification of the striated muscles often occurring in young subjects. We propose to illustrate from an observation, the aspects realized by the ossification myositis circumscribed in conventional radiology, in tomodensitometry in order to avoid the potential diagnostic confusion with a malignant bone tumor.

Compression of the neurovascular structures crossing the thoracic outlet usually causes severe pain at the neck and this is called thoracic outlet syndrome (TOS). Elongated transverse process (ETP) of the 7th cervical spine (C7) (transversomegaly) is one of the risk factors of TOS. The aim of this study was to measure the length of transverse process (TP) of C7 on plain x-ray of AP cervical spine in order to determine and predict risk of TOS. A cross sectional study carried out on 126 subjects with neck pain referred to the radiology department, Federal Medical Centre, Owerri, Nigeria. Stratified technique was used. Prominent TP rating scale was taken as > 4.12 cm on x-ray cervical spine AP view. Data was subjected to descriptive statistics and relative risk was determined.Mean age of subjects was 54.5 + 2.1 years. Subjects with normal right TP (< 4.12cm) was 105 (83.3%) {males = 48.6% (51) and females = 51.4% (54)}. Prevalence of left transversomegaly (> 4.12 cm) was 7.9% (10). The relative risk patient with transversomegaly is 3.0 times more likely to develop TOS Transversomegaly is 3.0 times more likely to develop TOS compared with a patient whose TP is not enlarged. Male subjects are at more risk than females (p < 0.05). The prevalence of transversomegaly is 12.3 % in the studied population. True AP cervical X-ray projection is implied to patients suspected of having TOS.

Cryptorchidism is an anomaly of testicular migration. It is a congenital pathology that is the subject of many controversies. Its major risks are represented by malignant degeneration and male infertility. The purpose of this manuscript is to better understand the physiopathological implications of the undescended testicle in infertility through a review of the literature.

Traumatic diaphragmatic hernia are often undiagnosed, and can be discovered in case of complications such as obstruction.We reported a case of delayed presentation of post traumatic diaphragmatic rupture with herniation and strangulation of stomach, transverse colon, and the jejunum of a 52-year-old patient who had a fracture of acetabulum six month back following road traffic accident. The diagnosis was suspected based on the clinical features of obstruction and air- filled viscera in the left hemithorax. Diagnosis was confirmed by an abdominal and thoracic computerized tomography (CT) scan.Exploratory laparotomy revealed a diaphragmatic rupture with strangulation of the stomach, transverse colon and the jejunum. The treatment consisted of the reduction of the herniated organs and closure of the diaphragmatic defect.

Takotsubo cardiomyopathy is characterized by transient systolic dysfunction of LV apical midventricular segments in the absence of obstructive coronary artery disease. Inverted Takotsubo is a very rare variant in which a patient’s transthoracic echocardiogram that we report revealed the characteristic basal and midventricular segmental kinetic disorders. The non-association with coronary artery disease can be differentiated with the use of echography by evaluating the temporal changes of akinetic areas and coronarography by showing the normality of the coronary arteries

Peritoneal pseudomyxoma, sometimes called a gelatinous disease of the peritoneum or gelatinous ascites of the peritoneum, is a rare disease. Peritoneal pseudomyxoma is defined by the presence of extracellular mucin in the peritoneal cavity. The objective of our work is to study, through a case of pseudomyxomeperitoneal and a review of the literature, the semiological, diagnostic and therapeutic features of this pathology.

Subcapsular hematoma of the liver represents an unusual clinical phenomenon in the pregnancy and postpartum period. Serious complications can be devastating in terms of fetal and maternal mortality. We present a case of a multiparous patient of 44 -year-old at 37 weeks of gestation, admitted for preeclampsia. The woman underwent an emergency Cesarean section (C-section) with the extraction of a live foetus. Few hours after delivery, she complained of intense abdominal and epigastric pain. Diagnostic work-up was suggestive of a subcapsular right lob hepatic hematoma which was successfully managed conservatively in a multidisciplinary team. We will try through this case to highlight the interest of imaging (ultrasound and scanner) for an early diagnosis at the non-ruptured stage, a prerequisite for a good prognosis.

Gallbladder herniation is a complication of patient with antecedent of abdominal surgery. We report an old patient with history of appendectomy several years ago, consulting for abdominal swelling. Patient performed a CT scan. Patient diagnosed as gallbladder hernia. Patient was treated surgically and discharged in good clinical condition. Gallbladder hernia is a very rare condition that can occur at any age and can be treated surgically.

Foot surgery is characterized by intense postoperative pain, difficult to control even when using balanced multimodal analgesia associating paracetamol, anti-inflammatory drugs and opioids. Ankle blocks were all but abandoned. Complications are rare using regional anesthesia for postoperative analgesia even after extensive foot surgery, however the consequences of motoric or sensory deficits can be extremely devastating as it impacts mobility.Revival of ankle blocks are a perfect example of the high impact of new technological advances in improving ambulatory surgical care after foot surgery.

Intracranial metastases from prostate cancer are unusual. It appears frequently in advanced castration- resistant prostate cancer. Their prognosis is very poor and mediane of survival does not exceed 4 months at maximum. Few systemic treatments cross the blood brain barrier. We report two cases of patients with two different localisations of intracranial metastases from adenocarcinoma of prostate cancer.