Isolated severe rhabdomyolisis revealing COVID-19: case report

Covid-19 remains a multisystem viral-related disease surprising the healthcare teams. We report the case of a patient presenting with rhabdomyolysis in the context of COVID-19 disease.

Surgical and anesthetic management of paraganglioma diagnosed in a 2nd trimester parturient: Case report

Introduction

Neuroendocrine tumors represent a rare entity whose diagnosis is based on clinical, biological and radiological arguments. When they are secreting, they expose the patient to serious complications that can be much more severe during pregnancy and engage the vital prognosis of both the mother and the fetus, which requires multidisciplinary management: anesthesiologist resuscitator - obstetrician – endocrinologist.

Case presentation

In our article, we report the case of a patient with an estimated pregnancy at 25 weeks of amenorrhea (WA) with a history of 3 miscarriages related to atypical gravid hypertension.

The treatment consisted of preoperative medical preparation followed by removal of the paraganglioma and postoperative monitoring. The maternal-fetal evolution was favorable.

Conclusion

The non-negligible morbi-mortality of this type of tumors require a multidisciplinary management.

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Neuroendocrine tumors represent a rare entity whose diagnosis is based on clinical, biological and radiological arguments.

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The treatment consisted of preoperative medical preparation, removal of the paraganglioma and postoperative monitoring.

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The anesthetic and surgical management of pheochromocytomas and paragangliomas in pregnant women presents a real challenge.

Peripheral facial paralysis as the only symptom revealing sars cov 2 infection: Case report

The SARS cov 2 infection was initially marked by its respiratory symptomatology. Nevertheless, other non-respiratory manifestations have been raised as atypical revealing symptoms, namely cardiac and neurological attacks. Several neurological manifestations have been described during this pandemic. We describe in this case report the clinical, biological and radiological characteristics of two patients presenting to the emergency department with facial paralysis revealing a Sars cov 2 viral infections after investigation.

Inferior mesenteric artery aneurysm revealed by massif rectal bleeding, case report

INTRODUCTION

Inferior mesenteric aneurysms are rare, usually asymptomatic. Their diagnostic is challenging based on clinical examination, ultrasonography, and abdominal CT scan; surgery remains the gold standard of treatment.

CASE REPORT

In this paper, we will report a clinical case of 62 years old man admitted to the emergency department for massif rectal bleeding due to inferior mesenteric aneurysm fistulization in the transversal colon one month after a left colectomy; the treatment was surgical consisted of a Ligation.

CONCLUSION

IMA aneurysm is a rare condition, usually asymptomatic, and it might be revealed by various symptoms, including massif rectal bleeding.