Acute total aortic dissection revealed by incoercible vomiting with multiple organ failure a case report.

Introduction And Importance: Acute aortic dissections are an uncommon entity. The different clinical manifestations especially in younger patients with no predisposing factors make it challenging to diagnose, causing delayed care and high mortality.

Case Presentation: In this report we describe a case of a total aortic dissection in a young man revealed by intractable vomiting with abdominal and chest pain.

Cerebral thrombophlebitis revealing SARS-CoV-2 infection: About one case.

Introduction: SARS-CoV-2 infection is a pandemic that continues to ravage the world, the list of its complications continues to grow longer every day.

Case Presentation: We report the case of a patient admitted to intensive care for cerebral thrombophlebitis revealing a SARS-CoV-2 infection.

Discussion: The inflammatory nature of SARS-CoV-2 infection exposes an increased risk of thrombosis.

Cerebral Salt Wasting Syndrome (CSW): An unusual cause of hypovolemia after spontaneous cerebral hemorrhage successfully treated with fludrocortisone.

Our objective is to demonstrate the interest of thinking about Cerebral salt wasting syndrome (CSW) in front of hyponatremia with severe hypovolemia after a brain injury, and at the same time the interest to differentiate between Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) and Cerebral salt wasting syndrome (CSW) as two etiologies to be evoked in front of a hyponatremia with brain injury. We report the case of a 63-year-old patient with a recent history of hemorrhagic stroke admitted for severe hypovolemic shock in whom the investigations find a very deep hypotonic hyponatremia secondary to a cerebral salt wasting syndrome successfully treated with fludrocortisone. CWS is characterized by hypotonic hyponatremia associated with cerebral associated with hypovolemia, the difficulty of the diagnosis is explained by the points of convergences with SIADH which is also presented with hyponatremia.