Acute cowperitis, which was previously known as a common complication of sexually transmitted infections (STIs), is now commonly associated with bacterial urinary tract infections, particularly Escherichia coli. Patients often have a history of STIs, and the symptoms resemble other male accessory gland infections (MAGIs). Recent cases associated with sepsis have been managed with percutaneous drainage and/or surgery. We present a case of acute cowperitis with sepsis and an abscess in the right small gland. The diagnosis was made using transperineal ultrasound, and the patient was successfully treated only with a long-term antibiotic therapy.

Urachal cyst is difficult to diagnose and is a rare malformation and the authors report a case in a 10-month old boy. The malformation was associated with posterior urethral valve and simple surgical treatment was successful.
The authors emphasize the contribution of perineal ultrasound in the diagnosis of associated posterior urethral valves.
Le kyste de l\'ouraque est de diagnostic difficile et constitue une malformation rare dont les auteurs rapportent un cas chez un garçon de 10 mois. La malformation était associée à une valve de l\'urètre postérieur et sa cure chirurgicale très simple a été couronnée de succès.
Ils insistent sur l\'apport de l\'échographie par voie périnéale dans le diagnostic associé des valves de l\'urètre postérieur.

BACKGROUND: Clitoromegaly is often a sign of an underlying disorder of sexual development. Isolated clitoromegaly might occur as a result of benign or malignant neoplasm.
METHODS: A 10-year-old girl presented with clitoral swelling and discomfort and was noted to have a 5 × 2 × 2 cm, tender, cystic mass in the left periclitoral area. Ultrasound confirmed the primarily cystic nature of the lesion. At surgery the mass was carefully excised not damaging the clitoral neurovascular bundle. Pathology showed a hemangioma.
CONCLUSIONS: Differentiating between potential etiologies of clitoromegaly requires a careful history, physical examination, select hormone levels determination, imaging, and pathology, which allows for appropriate management. In this case the pain, tenderness, disfigurement, and imaging showing a cystic mass resulted in surgical removal of the mass.