APPORT DE L’IMAGERIE DANS L’ABDOMEN AIGU NON FEBRILE

The non febrile abdominal pains are very frequent and their causes are multiple. The imaging is important in the diagnosis, the complete physical examination, the follow-up and the treatment of the abdominopelvic lesions. The abdominal negatives without preparation are still used for the search of intestinal occlusion, acute intestinal ischemia. The echography is indicated particularly in the abdominal traumatisms, pelvic pain in the woman and for the search of lithiasis in the case of biliary ileus. The echo-doppler is indicated mainly in the vascular pathology. The computerized tomography is still the preferable examination in the diagnosis of the non febrile acute abdomens. The angiography is necessary if there is suspicion of mesenteric ischemia, digestive hemorrhage and particularly in an interventional gesture.Les douleurs abdominales aiguës non fébriles sont très fréquentes et relèvent de causes multiples. L’imagerie prend une place importante dans le diagnostic, le bilan, le suivi et le traitement des lésions abdomino-pelviennes. Les clichés d’abdomen sans préparation gardent leur indication à la recherche d’une occlusion intestinale, d’une ischémie intestinale aiguë. L’échographie est indiquée surtout dans les traumatismes abdominaux, douleurs pelviennes chez la femme et  à la recherche de lithiase en cas d’iléus biliaire. L’écho-doppler est indiquée principalement dans la pathologie vasculaire. La TDM reste l’examen de choix dans le diagnostic des abdomens aigus non fébriles. L’angiographie est justifiée en cas de suspicion d’une ischémie mésentérique, d’une hémorragie digestive et surtout dans un geste interventionnel

Arteria Lusoria Associated with a Bicarotid Trunk: Case Report and Review of the Litterature

Arteria lusoria or retroesophageal right subclavian artery is the most common aortic arch malformation, accounting for 0.5-2.5% of cases. It is mostly aymptomatic, but can also be detected in patients with symptoms such as dyspnea, dysphagia or even recurrent respiratory infections. A combination of an aberrant right subclavian artery (ARSA) and a bicarotid trunk is extremely rare with a prevalence of &lt;0,05% [1]. We present the case of a 3 months old girl who presented with a wheezing dyspnea. She underwent a computed tomography of the chest, and incidental anomalies of the aortic arch branches were found. A symptomatic aberrant right subclavian artery and bicarotid trunk, which was found, are rare and usually incidental findings.</jats:p

Pancreatic Injury in Children: A Case Report and Review of the Literature

Context Isolated traumatic injuries to the pancreas are extremely unusual and diagnosis may be difficult due to delay in presentation and subtlety of symptoms. Case report We describe a patient who presented 72 hours after sustaining blunt abdominal trauma and was found to have a complete pancreatic corporeal transection on computed tomography with no other injuries. The patient underwent clinical, biological and radological monitoring and he has recovered well. Pancreatic transection in the absence of associated injuries is rarely seen after blunt trauma but can result in devastating outcomes if left unrecognized. A high index of suspicion are critical.</jats:p

Co-Existent Rhabdoid Tumor of the Brain and the Kidney in Newborn Girl: A Case Report

Malignant rhabdoid tumor of kidney (MRTK) is highly aggressive tumor of infancy and childhood. MRTK is unique in its significant association with primary brain tumours or brain metastases. We describe a case of malignant rhabdoid tumor of kidney, who first presented as posterior fossa brain tumor. Renal tumor was discovered incidentally during cerebral medullary MRI.</jats:p