An Uncommon Case of Splenic Abscess with Gangrenous Gas Necrosis

Splenic abscess is a rare clinical entity with diagnostic challenges. Though rare, it is potentially a life-threatening clinical condition with high mortality reaching more than 70%. The common signs and symptoms include the triad of fever, left upper quadrant tenderness, and leukocytosis. Early diagnosis, however, can readily be made by the combination of clinical features, abdominal ultrasonography (USG), and computed tomography (CT). The management of splenic abscess includes medical therapy, CT-guided percutaneous aspiration, and splenectomy. We, hereby, present a rare case of splenic abscess with gangrenous gas necrosis, who underwent splenectomy.

Ribbing disease- radiograph to the rescue in an overlooked cause of painful shin

Ribbing disease or multiple diaphyseal sclerosis is a rare clinical entity, which is often confused with many other differential diagnoses when it primarily involves the tibia and fibula. An accurate diagnosis alleviates the need for tissue diagnosis and aids in better clinical management and outcome of the patient. The case report highlights the classical imaging findings, appearance on cross-sectional imaging, and the admirable role of radiographs in diagnosing the entity.

The Glans Schwannoma: A Rare Clinical Entity

Introduction: Schwannoma of the glans is a rare clinical entity. The diagnosis is histological. Treatment is surgical, with complete excision. The authors report this rare case encountered at the University Hospital of Libreville in order to identify its clinical and therapeutic characteristics. Observation: Mr. I.B, 50 years old, with no medical-surgical history, consulted for swelling of the glans evolving for 06 years, preventing coitus. He reported a notion of poor healing from an acorn sore after the trouser fly was closed. The diagnostic suspicion was a glans keloid. A complete resection was performed. Histologic examination favored a glans schwannoma. Healing was effective on D7 postoperatively. Erectile functions have been preserved. Conclusion: The glans schwannoma is rare. Surgical treatment gives good results.

CONGENITAL COLONIC ATRESIA PRESENTING AS PNEUMOPERITONEUM: A RARE CLINICAL ENTITY

Introduction:Colonic Atresia is the least common type of Intestinal Atresia which occurs as a result of ischemic necrosis of a segment of large intestine.It presents with abdominal distention,bilious vomiting and failure to pass meconium.Perforation leads to peritonitis and sepsis Case Report:We describe a 3 day old male baby presenting with Colonic Atresia type IIIa and pneumoperitoneum and his surgical management Conclusion:In conclusion, Colonic Atresia is managed by either by colostomy or primary anastomosis.Terminal ileostomy,as in this case is done when there is Ascending Colon atresia with distal ileal perforation.

Congenital Midline Cervical Cleft: A very rare clinical entity

Congenital midline cervical cleft is an extremely rare anterior neck defect. We describe a case of a male newborn with midline cervical cleft outlining aspects of diagnosis and stressing the importance of early diagnosis and surgical treatment.

A case report of perinephric abscess extending as psoas abscess

Iliopsoas abscess is a rare clinical entity. It is even more uncommon for psoas abscess to develop in association with genitourinary infections like perinephric abscess because of the retroperitoneal anatomy. Here we present an unusual case of a perinephric abscess extending as psoas abscess which was treated with computed tomography (CT) guided drainage.

Non-puerperal uterine inversion due to huge submucosal uterine myoma: a case report

Uterine inversion is a rare clinical entity with challenging diagnosis and management. Reports of successfully managed cases contribute to knowledge and aid future management of cases among practitioners. We report a case of a 46 year old para-3 with protrusion of a mass from her vagina and vaginal bleeding of 7 days duration. She was managed as a case of chronic uterine inversion. She was resuscitated and had vaginal myomectomy, Haultin’s procedure and subsequently total abdominal hysterectomy due to ischaemic necrosis of parts of the uterus.

Primary mucinous adenocarcinoma of the orbit: a rare clinical entity

Primary mucinous adenocarcinoma is an exceptionally rare neoplasm with a propensity for local recurrence and metastasis. We report the second case in the literature of a primary mucinous adenocarcinoma of the orbit in a 66-year-old male with its clinical, histological features, and management of this tumor.