Eyelid reconstruction in burned patients with cicatricial ectropion are difficult to manage and repeat operations are not uncommon. Early surgical intervention when needed is necessary to prevent cornea exposure and ulceration that could lead to blindness. Herein a case of very severe post thermal burn cicatricial ectropion of the left upper and lower eyelids that presented 11 years post thermal injury is reported and possible factors responsible for poor eyelid function post reconstruction highlighted.

Introduction: The frequency of gastrointestinal manifestations in patients suffering with mood disorders, particularly bipolar disorders, pose specific physiopathological, etiological and therapeutic questions. We propose to address this issue through this clinical case. Clinical Case: We report here the case of a female patient 29-year-old, followed in psychiatry since 2014 for bipolar disorder type I and presenting an irritable colon syndrome, a biliary cyst, gastric diverticula and a chronic constipation. Discussion: Several hypotheses on the links between affectivity and gastrointestinal functioning are discussed in the light of the literature, explaining the role of the brain-gut axis as well as the involvement of the receptological profile of neuroleptics and also the role of the iatrogenicity of psychotropic drugs. Conclusion: There are definite links between affectivity and gastrointestinal manifestations. A better understanding of these links could enlighten us on the etiopathogeny of mood disorders, especially bipolar disorders, in order to guarantee a better management of psychiatric pathology as well as gastrointestinal manifestations.

Madura foot or mycetoma is a chronic desease that strikes tropical areas and is quite rare in the rest of the world. Its caused by bacteria or fungi infection. The clinical apparition is a sweling of the afected limb and production of colored grains via fistula.X ray allows us to know the stage of madura and histophatlogy to make the diagnosis. The treatement of mycetoma is consisting of medical therapy in early stages and surgical debridement or amputation when destruction of bones occures. We report the case of 65 old women treated in our formation.