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Cherraqi A, El Mandour J, Dghoughi B, Tbouda M, El Kababri M, Hessissen L, El Haddad S, Allali N, Chat L. A rare case of Ewing's sarcoma of the maxillary sinus. Radiol Case Rep 2023; 18:4248-4252. [PMID: 37766835 PMCID: PMC10520663 DOI: 10.1016/j.radcr.2023.08.095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Revised: 08/15/2023] [Accepted: 08/21/2023] [Indexed: 09/29/2023] Open
Abstract
Ewing's sarcoma is generally an aggressive, poorly differentiated bone and soft tissue tumor affecting children and young adults, it accounts for 4%-6% of all primary bone tumors and primary facial locations occur in only 1%-4% of all cases, primarily in the mandible and calvaria. Involvement of the paranasal sinuses is rare. Here we report the case of an 11-year-old girl with no medical, surgical, or traumatic history, who presented for 1 month and progressive evolution of swelling of the left cheek, associated with pain, nasal obstruction, rhinorrhea, and a slight weight loss not quantified. A craniofacial computed tomography (CT) scan showed a mixed lytic and condensing lesional tissue process centered on the left maxillary sinus, heterogeneously enhanced after contrast injection, lysing the walls of the sinus extended to the homolateral nasal cavity and slightly infiltrating the adjacent soft tissues. An incisional biopsy was performed and the pathological study proved that it was Ewing's sarcoma. She was put on neoadjuvant chemotherapy using 6 courses of vincristine, doxorubicin, ifosfamide, etoposide which resulted in a partial regression of the tumor size by 50%. Then the patient was put on combined chemotherapy and radiotherapy. A follow-up CT scan after 6 courses of vincristine, actinomycin, cyclophosphamide, and 17 sessions of radiotherapy showed lesion stability. Maxillary Ewing's sarcoma is a rare and aggressive tumor. Therefore, early diagnosis, combination therapy, and long-term follow-up are suggested in such cases to improve the survival rate.
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Affiliation(s)
- Amine Cherraqi
- Radiology Department Mother and Child Hospital Ibn Sina, Rabat, Morocco
| | - Jihane El Mandour
- Radiology Department Mother and Child Hospital Ibn Sina, Rabat, Morocco
| | - Basma Dghoughi
- Radiology Department Mother and Child Hospital Ibn Sina, Rabat, Morocco
| | - Mohammed Tbouda
- Anatomical Pathology Department, Mohammed Vth military hospital, Rabat, Morocco
| | - Maria El Kababri
- Pediatric Oncology Department, Mother and Child Unit, CHU Ibn Sina Rabat, Morocco
| | - Laila Hessissen
- Pediatric Oncology Department, Mother and Child Unit, CHU Ibn Sina Rabat, Morocco
| | - Siham El Haddad
- Radiology Department Mother and Child Hospital Ibn Sina, Rabat, Morocco
| | - Nazik Allali
- Radiology Department Mother and Child Hospital Ibn Sina, Rabat, Morocco
| | - Latifa Chat
- Radiology Department Mother and Child Hospital Ibn Sina, Rabat, Morocco
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2
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Messaoud O, Horache K, Cherraqi A, Meriem F, Mohamed J, Firdaous T. A Rare Case of an Isolated Facial Nerve Aplasia: Radiological Findings. Glob Pediatr Health 2023; 10:2333794X231208365. [PMID: 38024468 PMCID: PMC10644746 DOI: 10.1177/2333794x231208365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Revised: 09/23/2023] [Accepted: 09/29/2023] [Indexed: 12/01/2023] Open
Abstract
Congenital facial palsy is a rare condition that can be categorized into traumatic and developmental etiologies. Trauma related congenital facial palsy represents by far the most frequent cause with a spontaneous complete recovery within weeks, contrary to developmental causes that can be syndromic or non-syndromic, and have a poor prognosis. We present the case of an 11-month-old boy who suffers a congenital facial palsy. He undergoes an MRI examination with the adapted sequences to assess the facial nerve, and a high-resolution CT scan that reveals a seventh cranial nerve agenesis.
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Affiliation(s)
- Ola Messaoud
- The Rabat Speciality Hospital IBN SINA (HSR), Rabat, Morocco
| | - Kenza Horache
- The Rabat Speciality Hospital IBN SINA (HSR), Rabat, Morocco
| | - Amine Cherraqi
- The Rabat Speciality Hospital IBN SINA (HSR), Rabat, Morocco
| | - Fikri Meriem
- The Rabat Speciality Hospital IBN SINA (HSR), Rabat, Morocco
| | - Jiddane Mohamed
- The Rabat Speciality Hospital IBN SINA (HSR), Rabat, Morocco
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3
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Andour H, Abide Z, Cherraqi A, Mouhassani M, En-Nafaa I, Fenni J, Lahkim M. Pain in the back after a brain trauma-The revelation of a spinal subdural hematoma: A case report with a literature review. SAGE Open Med Case Rep 2023; 11:2050313X231204771. [PMID: 37829351 PMCID: PMC10566262 DOI: 10.1177/2050313x231204771] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2023] [Accepted: 09/14/2023] [Indexed: 10/14/2023] Open
Abstract
Traumatic spinal subdural hematoma is a rare condition mostly favored by an anticoagulation therapy, a traumatic lumbar puncture, a hematologic disease, or an epidural anesthesia. This pathological condition can be subtle or be at the origin of a compression of the spinal cord and the rootlets resulting in an irreversible damage if an emergent surgery is not performed. We report the case of a 45-year-old man who has been a victim of a brain trauma which resulted in a cerebral edema. A week later, the patient came to the emergency department for disabling abdominal pain, predominant in the back. An abdominal computed tomography was performed and showed an incidentally spontaneous hyperdensity in the spinal cord, which raised the suspicion of a spinal hematoma that has been confirmed through spine magnetic resonance imaging. In this case, we discuss the different subtypes of spinal hematoma. We recall the main differential diagnoses to help setting an accurate diagnosis and to not delay the adequate therapy that is most of the time emergent when indicated.
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Affiliation(s)
- Hajar Andour
- Radiology Department, Military Hospital Mohamed V-Rabat, Rabat, Morocco
| | - Zakaria Abide
- Radiology Department, Military Hospital Mohamed V-Rabat, Rabat, Morocco
| | - Amine Cherraqi
- Radiology Department, Military Hospital Mohamed V-Rabat, Rabat, Morocco
| | - Mohamed Mouhassani
- Neurosurgery Department, Military Hospital Mohamed V-Rabat, Rabat, Morocco
| | - Issam En-Nafaa
- Radiology Department, Military Hospital Mohamed V-Rabat, Rabat, Morocco
| | - Jamal Fenni
- Radiology Department, Military Hospital Mohamed V-Rabat, Rabat, Morocco
| | - Mohamed Lahkim
- Radiology Department, Military Hospital Mohamed V-Rabat, Rabat, Morocco
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4
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Izi Z, Outznit M, Cherraqi A, Tbouda M, Billah NM, Nassar I. Disseminated peritoneal leiomyomatosis: A case report. Radiol Case Rep 2023; 18:2237-2240. [PMID: 37123040 PMCID: PMC10139857 DOI: 10.1016/j.radcr.2023.03.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Accepted: 03/09/2023] [Indexed: 05/02/2023] Open
Abstract
Disseminated peritoneal leiomyomatosis (DPL) or leiomyomatosis peritonealis disseminata is a sporadic benign disease characterized by several solid peritoneal smooth muscle nodules that proliferate along the abdominopelvic cavity. The source of the condition is undetermined, although suspected causes include iatrogenic and hormonal stimulation. It primarily affects women of reproductive age. Imaging investigations are important in determining the extent of lesions and the presence of malignancy. There are no conventional therapeutic guidelines for the therapy of DPL, hence the risk of malignant transformation is low. We discuss the case of a 41-year-old woman who had a previous laparoscopic hysterectomy and presented 4 years later with numerous peritoneal tumors the diagnosis of DPL was suspected by computed tomography and magnetic resonance imaging, and confirmed by histology.
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Affiliation(s)
- Zineb Izi
- Department of Radiology, Ibn Sina University Hospital, University Mohammed V Morocco, Rabat, Morocco
- Corresponding author.
| | - Mustapha Outznit
- Department of Radiology, Ibn Sina University Hospital, University Mohammed V Morocco, Rabat, Morocco
| | - Amine Cherraqi
- Department of Radiology, Ibn Sina University Hospital, University Mohammed V Morocco, Rabat, Morocco
| | - Mohammed Tbouda
- Department of Pathology, Med 5 Military Hospital, Rabat, Morocco
| | - Nabil Moatassim Billah
- Department of Radiology, Ibn Sina University Hospital, University Mohammed V Morocco, Rabat, Morocco
| | - Ittimade Nassar
- Department of Radiology, Ibn Sina University Hospital, University Mohammed V Morocco, Rabat, Morocco
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5
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El Anzaoui J, Cherraqi A, Jamali M, Andour H, Eladioui G, Doulhousne H. Pediatric testicular posttraumatic dislocation presenting as a testicular torsion: A case report. Urol Case Rep 2023; 48:102396. [PMID: 37089197 PMCID: PMC10119879 DOI: 10.1016/j.eucr.2023.102396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2023] [Revised: 03/31/2023] [Accepted: 04/02/2023] [Indexed: 04/05/2023] Open
Abstract
Traumatic dislocation of the testicle is a rare complication that occurs after blunt trauma to the scrotum or abdominopelvic injury. The majority of cases occur in young adults following severe scrotal trauma in a motorcycle accident. We report the case of a 1.5-year-old infant admitted for left scrotal swelling with a left inguinal mass. Ultrasound and Doppler examination showed a twisted necrotic testicle with inguinal adenopathy. Surgical exploration in the emergency room confirmed that the inguinal mass was a dislocated testicle with an intrascrotal hematoma that was evacuated followed by orchidopexy of the dislocated testicle.
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Messaoud O, El Haddad S, Cherraqi A, Allali N, Chat L. Tension Hydropneumothorax Caused by a Ruptured Hydatic Cyst in the
Pleural Cavity: Case Report. Glob Pediatr Health 2023; 10:2333794X231156044. [PMID: 36968457 PMCID: PMC10031588 DOI: 10.1177/2333794x231156044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Accepted: 01/20/2023] [Indexed: 03/24/2023] Open
Abstract
Hydatid disease is a zoonosis caused by a larva of the tapeworm Echinococcus. All
organs can be involved, but it is frequently located in liver for adults and
lung for children. The clinical features are nonspecific. Imaging findings has
an important place in the diagnosis and the follow-up. Rupture is the most
common complication of a hydatic cyst and has a variety of imaging findings
depending on the ruptured layer, the amount of air within the cyst and the type
rupture. We report the case of a 10-year-old boy presenting shortness of breath
and fever among other symptoms revealing by chest X-ray and thoracic CT scan, a
lung ruptured hydatic cyst to the pleural cavity causing a tension
hydro-pneumothorax and a superadded infection.
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Affiliation(s)
- Ola Messaoud
- Mother and Child Hospital IBN SINA,
Rabat, Morocco
- Ola Messaoud, Centre
Hospitalo-Universitaire Ibn Sina, International Hospital IBN SINA, Rabat 10170,
Morocco.
| | | | | | - Nazik Allali
- Mother and Child Hospital IBN SINA,
Rabat, Morocco
| | - Latifa Chat
- Mother and Child Hospital IBN SINA,
Rabat, Morocco
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7
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Andour H, Cherraqi A, Ezzaky S, Jidane M, Touarsa F. Osteomyelite du crane: une complication severe et un challenge diagnostique. J Neuroradiol 2023. [DOI: 10.1016/j.neurad.2023.01.139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/02/2023]
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8
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Cherraqi A, Andour H, En-Nouali H, Fenni J, Lahkim M. Imagerie post-operatoire du crane: est-ce normal ou pathologique? J Neuroradiol 2023. [DOI: 10.1016/j.neurad.2023.01.146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/02/2023]
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9
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Jamali M, Cherraqi A, Melang Mvomo A, Boukhlifi Y, Alami M, Ameur A. Thrombosis of the deep dorsal vein of the penis caused by vaccine-induced thrombotic thrombocytopenia: First reported case. Arab J Urol 2023; 21:36-39. [PMID: 36818370 PMCID: PMC9930863 DOI: 10.1080/2090598x.2022.2127236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
Abstract
The first described case of deep dorsal vein thrombosis of the penis secondary to vaccine-induced thrombotic thrombocytopenia (VITT), a complication of COVID adenoviral vector vaccines. The patient reported pain in the penis one month after vaccination. On ultrasound, a deep dorsal vein thrombosis was found and a biological workup was ordered to confirm the VITT trail. Anticoagulant therapy was immediately initiated and the patient responds well while suffering from erectile dysfunction. VITT is a potentially serious event that can be life-threatening; every practitioner should know how to deal with it.
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Affiliation(s)
- Mounir Jamali
- Urology Department, Mohammed V Military Hospital, Rabat, Morocco,CONTACT Mounir Jamali Urology Department, Mohammed V Military Hospital, Hay Ryad 10100 - Rabat, Morocco
| | - Amine Cherraqi
- Radiology Department, Mohammed V Military Hospital, Rabat, Morocco
| | | | | | - Mohammed Alami
- Urology Department, Mohammed V Military Hospital, Rabat, Morocco
| | - Ahmed Ameur
- Urology Department, Mohammed V Military Hospital, Rabat, Morocco
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10
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Cherraqi A, El Haddad S, Messaoud O, Andour H, Tbouda M, El Ansari N, KILI A, Hessissen L, Allali N, Chat L. Saphenous Nerve Schwannoma: A Rare Differential Diagnosis of Knee Pain in Children. Glob Pediatr Health 2023; 10:2333794X231156047. [PMID: 36814534 PMCID: PMC9940164 DOI: 10.1177/2333794x231156047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Accepted: 01/20/2023] [Indexed: 02/19/2023] Open
Abstract
Schwannomas are uncommon benign tumors of the peripheral nerves with a low risk of malignant transformation. They rarely affect children, can affect any part of the body but rarely occur in the lower extremity and typically present with a palpable mass, pain or neurological signs. Imaging helps to orient the diagnosis and anatomopathological examination helps to confirm it. We report a case of a 12-year-old girl who presented with left knee pain with subcutaneous mass overlying the tibial tuberosity medially. Clinical examination revealed a positive Tinel's sign. Magnetic resonance imaging (MRI) of the knee was performed, which revealed an encapsulated subcutaneous soft tissue mass overlying the tibial tuberosity medially, eccentric to the course of the infrapatellar branch of the saphenous nerve. The patient was operated with total intracapsular excision of the lesion and the anatomopathological study of the surgical specimen came back in favor of a schwannoma. Postoperatively, the patient showed a good recovery with disappearance of pain and swelling.
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Affiliation(s)
- Amine Cherraqi
- Mother and Child Hospital IBN SINA, Rabat, Morocco,Amine Cherraqi, Ibn Sina University Hospital Center, Rabat 10000, Morocco.
| | | | - Ola Messaoud
- Mother and Child Hospital IBN SINA, Rabat, Morocco
| | - Hajar Andour
- Mother and Child Hospital IBN SINA, Rabat, Morocco
| | | | | | | | | | - Nazik Allali
- Mother and Child Hospital IBN SINA, Rabat, Morocco
| | - Latifa Chat
- Mother and Child Hospital IBN SINA, Rabat, Morocco
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11
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Houssni JEL, Cherraqi A, Chehrastane R, Jellal S, Hsain IH, Oukacem S, Adjou N, Saouab R, En nouali H, Fenni JEL. Lemmel syndrome: an unusual cause of biliary obstruction secondary to a duodenal juxta-ampullary diverticulum: a report of two cases. Radiol Case Rep 2023; 18:1147-1151. [PMID: 36660561 PMCID: PMC9842954 DOI: 10.1016/j.radcr.2022.11.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2022] [Revised: 10/30/2022] [Accepted: 11/02/2022] [Indexed: 01/12/2023] Open
Abstract
Lemmel's syndrome is a rare cause of obstructive jaundice caused by a periampullary duodenal diverticulum compressing the intrapancreatic common bile duct with resultant bile duct dilatation, patients with Lemmel's syndrome usually present with abdominal pain or jaundice. Cross-sectional imaging is beneficial in making the diagnosis noninvasively, thus eliminating other pathologies of the peri-ampullary region. Although rare, we recognize the importance of considering this syndrome to be able to make a diagnosis and offer timely treatment. We present 2 cases of Lemmel's syndrome whose diagnosis is retained based on a CT scan and magnetic resonance cholangiopancreatography.
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12
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Cherraqi A, Haddad SE, Abide Z, Messaoud O, Lrhorfi N, Allali N, Chat L. Cerebral tuberculoma and convulsion in infants: A case report. Radiol Case Rep 2023; 18:974-978. [PMID: 36636484 PMCID: PMC9829549 DOI: 10.1016/j.radcr.2022.11.082] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 11/18/2022] [Accepted: 11/29/2022] [Indexed: 01/06/2023] Open
Abstract
Tuberculosis of the central nervous system is the second most common site after tuberculous meningitis. It represents 0.2% of intracranial expansive lesions in some Western countries compared to 10%-30% in developing countries. We report the case of an infant of 1 year and 2 months old who presented for 15 days with convulsions with asthenia, hypotonia, without fever. The clinical examination and laboratory workup were without abnormalities. His father had ongoing pulmonary tuberculosis, but the infant had no clinical or radiological signs of pulmonary tuberculosis. A brain MRI was showed multiple punctiform brain lesions, suggesting intracerebral tuberculomas in the first place, given the clinical and radiological appearance and the father's history of tuberculosis. The patient was put on anti-convulsant and antibacillary treatment. Through this case, we can see the clinical and radiological polymorphism of cerebral tuberculoma. The diagnosis of certainty remains anatomopathological. The prognosis is poor when it is detected late.
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13
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Andour H, Rostoum S, Cherraqi A, Fikri M, Ech-Cherif El Kettani N, Jiddane M, Touarsa F. Central neurocytoma-positive and differential diagnosis: An example through a case report. SAGE Open Med Case Rep 2023; 11:2050313X231164280. [PMID: 37056701 PMCID: PMC10087641 DOI: 10.1177/2050313x231164280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Accepted: 02/28/2023] [Indexed: 04/15/2023] Open
Abstract
Central neurocytoma is a rare intraventricular tumor, occurring typically in the lateral ventricle of young adults. It is considered as a neuronal-glial benign tumor with favorable prognosis. Imaging is a cornerstone allowing the accurate preoperative diagnosis on the basis of several characteristic features. We report the case of a 31-year-old man who has been complaining of progressive headaches and in whom brain magnetic resonance imaging revealed a central neurocytoma. We remind then, through a literature review, the main criteria to set the diagnosis of this tumor and rule out the other possible diagnoses.
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Affiliation(s)
- Hajar Andour
- Mohammed V Military Instruction
Hospital, Rabat, Morocco
- Hajar Andour, Mohammed V Military
Instruction Hospital, Rabat 10100, Morocco.
| | | | - Amine Cherraqi
- Mohammed V Military Instruction
Hospital, Rabat, Morocco
| | - Meriem Fikri
- Ibn Sina University Hospital Center,
Rabat, Morocco
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14
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Cherraqi A, El Houssni J, Outznit M, Imrani K, Benelhosni K, Billah NM, Nassar I. Incidental discovery of intercostal pulmonary hernia: A case report. Radiol Case Rep 2022; 17:4510-4514. [PMID: 36189153 PMCID: PMC9519495 DOI: 10.1016/j.radcr.2022.08.068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Accepted: 08/19/2022] [Indexed: 11/18/2022] Open
Abstract
Lung hernias are rare. They are defined by the protrusion of lung parenchyma through a defect in the chest wall. A distinction is classically made between supraclavicular, thoracic or diaphragmatic hernias and congenital or acquired hernias. The latter can be classified by etiology as post-traumatic, postoperative, or pathological but can be spontaneous (even rarer) caused mainly by coughing efforts. The diagnosis is guided by the clinical presentation and confirmed by radiographic analysis, especially CT scan. The management, by conservative or surgical approach, depends on the clinical condition of the patient, the characteristics of the hernia and the existence or not of complications. We report the case of a 58-year-old patient, chronic smoker with no history of trauma, who presented with a chronic cough not improved by symptomatic treatment and in whom the clinical examination was without particularities. Chest CT scan showed discrete pulmonary emphysema with an intercostal pulmonary herniation at the level of the right fifth intercostal space associated with a bony outgrowth at the level of the middle arch of the right fifth rib. The pulmonary protrusion occurred through a parietal defect between the fifth rib and the bony protrusion. The management consisted of conservative treatment of the hernia with close clinical and radiological follow-up and medical treatment of the pulmonary emphysema and chronic cough associated with smoking cessation and hygienic and dietary rules.
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15
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Cherraqi A, Lemrabet A, Dokal ID, Lrhorfi N, Belghiti H, Allali N, Chat L. Primary Ewing's Sarcoma of the Spine: About a Case. Glob Pediatr Health 2022; 9:2333794X221123874. [PMID: 36420454 PMCID: PMC9677177 DOI: 10.1177/2333794x221123874] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Accepted: 08/11/2022] [Indexed: 12/01/2023] Open
Abstract
Ewing's sarcoma is a primary malignant bone tumor affecting individuals in the second decade of life. Primary sarcomas of the spine are rare and the occurrence of primary Ewing's sarcoma in the spine is very rare. There are 2 types of Ewing's sarcoma of the spine, Ewing's sarcoma of the sacral spine which is very aggressive with a poor prognosis and Ewing's sarcoma of the non-sacral spine which is an extremely rare occurrence. The patient may have a neurological deficit when the tumor extends into the spinal canal, causing compression of the spinal cord. Magnetic resonance imaging (MRI) is very sensitive in diagnosing the tumor and Evaluation of the extent of the tumor. Here, we report the case of a 12-year-old boy who presented with low back pain, weakness of both lower limbs and bilateral spastic paraplegia progressively evolving since 1 month. The CT and MRI scans showed the presence of a tissue lesion process centered on the vertebral body of L1, heterogeneously enhanced after injection of Gadolinium respecting the posterior arch, without bulging of the posterior wall with epiduritis, endocanal extension and spinal cord compression. The patient underwent decompression with surgical biopsy and posterior stabilization of the spine. Histopathology and immunohistochemistry studies confirmed the diagnosis of Ewing's sarcoma and the patient was referred to an oncopediatric center for combined chemotherapy and radiotherapy, but died at home a few days later before the start of treatment.
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Affiliation(s)
- Amine Cherraqi
- Radiology Department Mother and Child Hospital IBN SINA, Rabat, Morocco
| | - Abir Lemrabet
- Radiology Department Mother and Child Hospital IBN SINA, Rabat, Morocco
| | | | - Najlae Lrhorfi
- Radiology Department Mother and Child Hospital IBN SINA, Rabat, Morocco
| | | | - Nazik Allali
- Radiology Department Mother and Child Hospital IBN SINA, Rabat, Morocco
| | - Latifa Chat
- Radiology Department Mother and Child Hospital IBN SINA, Rabat, Morocco
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16
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Cherraqi A, Imrani K, Andour H, Messaoud O, Benelhosni K, Billah NM, Nassar I. Low phospholipids associated cholelithiasis syndrome in a young women: A rare case report. Radiol Case Rep 2022; 18:11-16. [PMID: 36324844 PMCID: PMC9619147 DOI: 10.1016/j.radcr.2022.09.072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Revised: 09/18/2022] [Accepted: 09/21/2022] [Indexed: 11/07/2022] Open
Abstract
Low phospholipid-associated cholelithiasis (LPAC) is a rare, still poorly understood genetic disorder characterized by the association of an ABCB4 mutation and low biliary phospholipid concentration with recurrent cholelithiasis, responsible for the development of intrahepatic lithiasis in adults. The mutation of the ABCB4 gene, which codes for the ABCB4/MDR3 ductal protein, a biliary transporter, leads to precipitation of cholesterol crystals in the bile ducts leading to the formation of intrahepatic stones. The diagnosis should be suspected when at least 2 of the following criteria are present: onset of symptoms before age 40; recurrence of biliary symptoms (biliary colic, jaundice, cholangitis, acute pancreatitis) after cholecystectomy; presence of echogenic foci in the liver indicative of intrahepatic stones or biliary sludge; previous episode(s) of intrahepatic cholestasis during pregnancy; and a family history of gallstones in first degree relatives. Imaging techniques, especially ultrasound, play an important role in the detection of intrahepatic stones. The majority of clinical situations are simple and not serious, often managed by medical treatment with ursodeoxycholic acid, but certain complicated forms may require more invasive endoscopic or surgical treatment. We report a case of a 43-year-old woman, cholecystectomized 5 years ago, who presented with liver colic-like pain with cytolysis and biological cholestasis. Ultrasound and MRI showed the presence of intrahepatic calculi disseminated along the bile duct pathway creating a comet tail appearance and generating a posterior shadow cone. The interrogation of the patient showed that her sister was being followed for LPAC syndrome. The diagnosis of LPAC syndrome was retained and the patient was put under medical treatment with ursodeoxycholic acid with regular clinical, biological and radiological follow-up.
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Cherraqi A, Mandour JEL, Messaoud O, Benameur Y, Tanz R, Fenni JE, Saouab R. Unusual finding of bronchopulmonary carcinoma through a pterygoid muscle metastasis. About a case. Radiol Case Rep 2022; 17:3373-3376. [PMID: 35865365 PMCID: PMC9294051 DOI: 10.1016/j.radcr.2022.06.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2022] [Revised: 06/09/2022] [Accepted: 06/11/2022] [Indexed: 11/13/2022] Open
Abstract
Bronchopulmonary cancer muscle metastases are uncommon, especially when they are visible. They can impact any muscle in the body, but the psoas, diaphragmatic, and paravertebral muscles have a clear advantage. We present a case of lateral pterygoid muscle metastasis of squamous cell carcinoma of the lung in a 70-year-old habitual smoker (40 packs per year) presents headaches more marked on the right and progressively worsening. A complementary brain MRI revealed a well-limited oval formation with irregular contours in hypo signal T1 hyper signal T2 heterogeneous, with area of central necrosis of the right pterygoid muscle, which was revealed to be a secondary location of bronchopulmonary malignancy after further examination (CT scan of the cervico-thoraco-abdomino-pelvic region, TEP scan, and biopsy). Moreover, muscle metastases are rarely revealing of primary cancer.
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Larbi H, Hassan I, Cherraqi A, saouab R, Mohammed A, Ahmed A. Wunderlich syndrome: Rare and unrecognized emergency. Urol Case Rep 2022; 43:102093. [PMID: 35520030 PMCID: PMC9065635 DOI: 10.1016/j.eucr.2022.102093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2022] [Revised: 04/17/2022] [Accepted: 04/23/2022] [Indexed: 11/25/2022] Open
Abstract
A real life-threatening emergency, Wunderlich syndrome (WS) is an interesting and unknown clinical condition characterised by intense beginning of spontaneous, non-traumatic renal haemorrhage in the sub-capsular and perirenal space, with a typical clinical and radiological presentation [1] that allow the diagnosis. Although most cases are treated invasively either by surgery or embolization to control the bleeding, Fortunately our 66 year old patient admitted to the Mohammed V military hospital in Rabat benefited from a conservative treatment, which allowed him to avoid all the associated complications and to be discharged from hospital in less than 4 days.
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Cherraqi A, El Haddad S, Iraqi Houssaini Z, Messaoud O, El Mohtarim R, Lamalmi N, Elkababr M, Chat L, Allali N. Nephroblastoma of the Big Child, a Rare Entity: About a Case. Glob Pediatr Health 2022; 9:2333794X221112637. [DOI: 10.1177/2333794x221112637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Accepted: 06/20/2022] [Indexed: 11/21/2022] Open
Abstract
Nephroblastoma is a renal blast tumor, the most common malignant renal tumor in children between 1 and 5 years of age. The average age of onset is 3.5 years, rarely occurring in children over 10 years of age. Its treatment is a model of medical-surgical collaboration. The prognostic factors are mainly the stage but recent studies have also shown that the advanced age of the child is a negative prognostic factor. We report a case of a 14-year-old child who presented with pain with swelling of the right hypochondrium, ultrasound showed a heterogeneous right retroperitoneal mass, MRI showed a large retroperitoneal tumor process with a right renal origin, in heterogeneous T2 signal, in T1 hyposignal, diffusion restricted, containing necrotic areas and heterogeneously enhancing after injection, responsible for pyelocalic dilatation and right renal venous thrombosis, extended to the IVC and the right atrium, with adenopathies, suggesting first a sarcoma. The extension workup showed pulmonary nodules of secondary appearance. An echo-guided biopsy was performed and the anatomopathological study confirmed the diagnosis of nephroblastoma.
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Diallo ID, Cherraqi A, Traore WYM, El Haddad S, Chat L, Allali N. Caudal Regression Syndroma: A Rare Cause of Chronic Constipation. Glob Pediatr Health 2022; 9:2333794X221118162. [PMID: 36120507 PMCID: PMC9476243 DOI: 10.1177/2333794x221118162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2022] [Accepted: 07/19/2022] [Indexed: 11/18/2022] Open
Abstract
A malformative syndrome of the lower spine pole, caudal regression syndrome is a rare condition (1-5 cases/100 000 births). It usually occurs in children of diabetic mothers and includes a wide range of disorders. This case illustrates a subtype of this syndrome (type IV, group I) in a non-diabetic mother.
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Mandour JE, Cherraqi A, Sahli H, haddad SE, Allali N, Chat L. Imagerie du torticolis en milieu pédiatrique. J Neuroradiol 2021. [DOI: 10.1016/j.neurad.2021.04.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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