[Tamponnade due à la rupture d'un tératome mature : un cas rare].

Introduction: Mature teratomas, a diverse group of germ cell tumors, rarely present with complications such as rupture.

Case Presentation: We present a case of a 27-year-old male who was admitted to our hospital with acute dyspnea. A tamponade was diagnosed and the patient underwent a pericardial puncture.

Perineal hernia repair with a combined abdominoperineal approach with biologic mesh placement and peritoneal flap reconstruction.

Perineal hernias occur rarely following abdominoperineal resections. No standardized surgical approach exists for treating PH. We herein present the case of a large, symptomatic PH that was repaired with a combined abdominal and perineal approach, with peritoneal flap reconstruction of the pelvic floor and placement of a biological mesh.

Identification of utilization deficiencies post SAP enterprise resource planning implementation in the Algerian Pharmaceutical Sector.

Objectives: Enterprise Resource Planning like SAP are software solutions integrating various functional aspects. The study investigates the utilization challenges after the adoption of SAP ERP within a pharmaceutical firm. It is driven by four interrelated objectives: comprehending the operation of the SAP, the motivations behind its implementation, identifying the utilization deficiencies, and examining the relation between deficiencies and implementation challenges.