1
|
El Bakkaly A, Merouane N, Dalero O, Oubeja H, Erraji M, Ettayebi F, Zerhouni H. Primary hydatid cyst of the pancreas. Journal of Pediatric Surgery Case Reports 2017. [DOI: 10.1016/j.epsc.2017.08.003] [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: 10/19/2022] Open
|
2
|
El Bakkaly A, Ettayebi F, Oubeja H, Erraji M, Zerhouni H. [Bean's syndrome in children: about two cases]. Pan Afr Med J 2017; 28:102. [PMID: 29515720 PMCID: PMC5837144 DOI: 10.11604/pamj.2017.28.102.11109] [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] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2016] [Accepted: 08/24/2017] [Indexed: 11/11/2022] Open
Abstract
Diffuse angiomatosis or Bean's syndrome is a rare disease characterized by venous malformations mainly involving the skin and the digestive tract which can result in hemorrhage of variable severity. This study reports the case of two children aged 5 and 9 and a half years respectively with diffuse angiomatosis who had been treated in the Department of Emergency Paediatric Surgery over the years. The diagnosis was based on rectal bleeding and/or melenas causing severe anemia requiring regular transfusions in both patients as well as skin angiomas occurrence at the level of the limbs. Radiological evaluation showed the presence of multiple lesions at the level of the jejunum and ileum consistent with small intestinal angiomatosis in the child aged 9 and a half years. It didn't show abdominal lesions in the child aged 5 years. The two patients were admitted to the operating block. Angiomas were surgically individualized. Some of them were actively bleeding. Enterotomy was performed. Postoperative sequelae was marked by the stop of the bleedings. This study aims to update the current understanding of this rare pathology as well as the benefit of surgical treatment in controlling the complications caused by this pathology and in reducing the frequency of transfusions.
Collapse
Affiliation(s)
- Achraf El Bakkaly
- Service des Urgences Chirurgicales Pédiatriques, CHU Ibn Sina, Faculté de Médecine Mohammed V, Rabat, Maroc
| | - Fouad Ettayebi
- Service des Urgences Chirurgicales Pédiatriques, CHU Ibn Sina, Faculté de Médecine Mohammed V, Rabat, Maroc
| | - Houda Oubeja
- Service des Urgences Chirurgicales Pédiatriques, CHU Ibn Sina, Faculté de Médecine Mohammed V, Rabat, Maroc
| | - Mounir Erraji
- Service des Urgences Chirurgicales Pédiatriques, CHU Ibn Sina, Faculté de Médecine Mohammed V, Rabat, Maroc
| | - Hicham Zerhouni
- Service des Urgences Chirurgicales Pédiatriques, CHU Ibn Sina, Faculté de Médecine Mohammed V, Rabat, Maroc
| |
Collapse
|
3
|
El Guendouz F, Hammoune N, Hommadi A, Zerhouni H, Baizri H. Carbimazole embryopathy. Ann Endocrinol (Paris) 2017; 78:478-480. [PMID: 28870708 DOI: 10.1016/j.ando.2016.01.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/31/2015] [Revised: 05/22/2015] [Accepted: 01/07/2016] [Indexed: 11/28/2022]
Affiliation(s)
- Fayçal El Guendouz
- Department of Endocrinology, Diabetes and Metabolism, Avicenne Military Hospital, Marrakech, Morocco.
| | - Nabil Hammoune
- Department of Radiology, third Military Hospital, El Aiun, Morocco.
| | | | - Hicham Zerhouni
- Department of Pediatric Surgical Emergencies, Children's Hospital, Rabat, Morocco.
| | - Hicham Baizri
- Department of Endocrinology, Diabetes and Metabolism, Avicenne Military Hospital, Marrakech, Morocco.
| |
Collapse
|
4
|
Bakkaly AE, Merouane N, Dalero O, Oubeja H, Erraji M, Ettayebi F, Zerhouni H. Primary hydatid cyst of the pancreas of the child: a case report. Pan Afr Med J 2017; 27:229. [PMID: 28979631 PMCID: PMC5622817 DOI: 10.11604/pamj.2017.27.229.12853] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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: 05/24/2017] [Accepted: 07/07/2017] [Indexed: 11/24/2022] Open
Abstract
Primary pancreatic hydatid lesions are very rare with an incidence of less than 1% in the adult population. We report an observation of a 5-year-old girl who consulted for isolated abdominal pain occurring for 2 weeks without vomiting, transit disorders or jaundice and evolving in a context of conservation of the general condition and apyrexia. Clinical examination and preoperative imaging have suggested the diagnosis of a choledochal cyst or duodenal duplication rather than a hydatid cyst of the pancreas due to the presence of a cystic hepatic image projecting into the liver hilum. During the procedure, a hydatid cyst was found occupying the head of the pancreas. Primary hydatidosis of the pancreas in children is extremely rare. Possible sources of infection include: blood diffusion, local spread via biliopancreatic ducts and peripancreatic lymphatic invasion. In the endemic areas, hydatid disease should be mentioned in the list of differential diagnoses of cystic lesions located around the biliopancreatic junction in children.
Collapse
Affiliation(s)
- Achraf El Bakkaly
- Pediatric Surgical Emergency Department, Children's Hospital, University Hospital of Ibn Sina, Faculty of Medicine Mohammed V, BP 6527, Street of Lamfadel Cherkaoui Rabat Institut, Rabat, Morocco
| | - Nour Merouane
- Department of Pediatric Surgery, University Hospital of Mohammed VI, Oujda, Morocco
| | - Omar Dalero
- Pediatric Surgical Emergency Department, Children's Hospital, University Hospital of Ibn Sina, Faculty of Medicine Mohammed V, BP 6527, Street of Lamfadel Cherkaoui Rabat Institut, Rabat, Morocco
| | - Houda Oubeja
- Pediatric Surgical Emergency Department, Children's Hospital, University Hospital of Ibn Sina, Faculty of Medicine Mohammed V, BP 6527, Street of Lamfadel Cherkaoui Rabat Institut, Rabat, Morocco
| | - Mounir Erraji
- Pediatric Surgical Emergency Department, Children's Hospital, University Hospital of Ibn Sina, Faculty of Medicine Mohammed V, BP 6527, Street of Lamfadel Cherkaoui Rabat Institut, Rabat, Morocco
| | - Fouad Ettayebi
- Pediatric Surgical Emergency Department, Children's Hospital, University Hospital of Ibn Sina, Faculty of Medicine Mohammed V, BP 6527, Street of Lamfadel Cherkaoui Rabat Institut, Rabat, Morocco
| | - Hicham Zerhouni
- Pediatric Surgical Emergency Department, Children's Hospital, University Hospital of Ibn Sina, Faculty of Medicine Mohammed V, BP 6527, Street of Lamfadel Cherkaoui Rabat Institut, Rabat, Morocco
| |
Collapse
|
5
|
Bakkaly AE, Ettayebi F, Oubeja H, Erraji M, Zerhouni H. Closed reduction of a traumatic hip dislocation in children: case report. Pan Afr Med J 2017; 26:231. [PMID: 28690745 PMCID: PMC5491732 DOI: 10.11604/pamj.2017.26.231.12283] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2017] [Accepted: 03/24/2017] [Indexed: 01/08/2023] Open
Abstract
Traumatic dislocation of the hip in children is a rare disease. It only represents 5% of hip dislocations in all age groups. Before 10 years, the mechanism is often a minimal domestic accident; after 10 years, the dislocation occurs with the waning of an accident of the public highway. It is different from that of the adult by its rarity, its ease of reduction and better prognosis. This is an emergency trauma: risk necrosis of the femoral head (If delayed reduction). We report a rare case of a 3 year old boy, who suffered from bipolar trauma after a fall near his height of his house causing him a detachment of the right humerus and post-traumatic dislocation of the left hip. The diagnosis was clinically confirmed by the results of standard radiographs and CT scans of the pelvis. The consultation period to emergencies was 5 hours after the trauma. We performed an hour after a closed reduction under general anesthesia for hip dislocation with establishment of a splint pelvic-pedal for analgesic keep for three weeks. The radiological outcome was satisfactory. Peeling Salter I humerus was reduced by orthopedic manner and immobilized by thoracoabdominal plaster to keep for a month. The child was discharged the next day. Reviewed in consultation after a month, the clinical examination showed a steady left hip. Traumatic dislocation of the hip in children is a rare diagnosis, the management should as urgent as possible to overcome the different possible subsequent complications dominated by coxa magna.
Collapse
Affiliation(s)
- Achraf El Bakkaly
- The Pediatric Surgical Emergencies Children's Hospital CHU Rabat, University Mohammed V, Faculty of Medicine, Rabat, Morocco
| | - Fouad Ettayebi
- The Pediatric Surgical Emergencies Children's Hospital CHU Rabat, University Mohammed V, Faculty of Medicine, Rabat, Morocco
| | - Houda Oubeja
- The Pediatric Surgical Emergencies Children's Hospital CHU Rabat, University Mohammed V, Faculty of Medicine, Rabat, Morocco
| | - Mounir Erraji
- The Pediatric Surgical Emergencies Children's Hospital CHU Rabat, University Mohammed V, Faculty of Medicine, Rabat, Morocco
| | - Hicham Zerhouni
- The Pediatric Surgical Emergencies Children's Hospital CHU Rabat, University Mohammed V, Faculty of Medicine, Rabat, Morocco
| |
Collapse
|
6
|
Doubaj Y, Pingault V, Elalaoui SC, Ratbi I, Azouz M, Zerhouni H, Ettayebi F, Sefiani A. A novel mutation in the endothelin B receptor gene in a moroccan family with shah-waardenburg syndrome. Mol Syndromol 2015; 6:44-9. [PMID: 25852447 DOI: 10.1159/000371590] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/18/2014] [Indexed: 11/19/2022] Open
Abstract
Waardenburg syndrome (WS) is a neurocristopathy disorder combining sensorineural deafness and pigmentary abnormalities. The presence of additional signs defines the 4 subtypes. WS type IV, also called Shah-Waardenburg syndrome (SWS), is characterized by the association with congenital aganglionic megacolon (Hirschsprung disease). To date, 3 causative genes have been related to this congenital disorder. Mutations in the EDNRB and EDN3 genes are responsible for the autosomal recessive form of SWS, whereas SOX10 mutations are inherited in an autosomal dominant manner. We report here the case of a 3-month-old Morrocan girl with WS type IV, born to consanguineous parents. The patient had 3 cousins who died in infancy with the same symptoms. Molecular analysis by Sanger sequencing revealed the presence of a novel homozygous missense mutation c.1133A>G (p.Asn378Ser) in the EDNRB gene. The proband's parents as well as the parents of the deceased cousins are heterozygous carriers of this likely pathogenic mutation. This molecular diagnosis allows us to provide genetic counseling to the family and eventually propose prenatal diagnosis to prevent recurrence of the disease in subsequent pregnancies.
Collapse
Affiliation(s)
- Yassamine Doubaj
- Département de Génétique Médicale, Institut National d'Hygiène, France ; Centre de Génomique Humaine, Faculté de Médecine et de Pharmacie, Université Mohammed V Souissi, France
| | | | - Siham C Elalaoui
- Département de Génétique Médicale, Institut National d'Hygiène, France ; Centre de Génomique Humaine, Faculté de Médecine et de Pharmacie, Université Mohammed V Souissi, France
| | - Ilham Ratbi
- Centre de Génomique Humaine, Faculté de Médecine et de Pharmacie, Université Mohammed V Souissi, France
| | - Mohamed Azouz
- Service des Urgences Chirurgicales Pédiatriques, Hôpital d'Enfants, Rabat, Morocco, France
| | - Hicham Zerhouni
- Service des Urgences Chirurgicales Pédiatriques, Hôpital d'Enfants, Rabat, Morocco, France
| | - Fouad Ettayebi
- Service des Urgences Chirurgicales Pédiatriques, Hôpital d'Enfants, Rabat, Morocco, France
| | - Abdelaziz Sefiani
- Département de Génétique Médicale, Institut National d'Hygiène, France ; Centre de Génomique Humaine, Faculté de Médecine et de Pharmacie, Université Mohammed V Souissi, France
| |
Collapse
|
7
|
Nour M, Talha H, El Idrissi R, Lahraoui Y, Ouazzani L, Oubejja H, Erraji M, Zerhouni H, Ettayebi F. [False traumatic aneurysm of the ulnar artery in a teenager]. ACTA ACUST UNITED AC 2014; 39:426-9. [PMID: 24970785 DOI: 10.1016/j.jmv.2014.04.013] [Citation(s) in RCA: 5] [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: 07/25/2013] [Accepted: 04/30/2014] [Indexed: 10/25/2022]
Abstract
Most aneurysms of hand arteries are traumatic. It is a generally rare unrecognized pathology. Complications are serious (embolism and thromboses of interdigital arteries). Two main causes can be recalled: acute trauma, with development of a false aneurysm; repeated microtrauma (hand hammer syndrome), with occurrence of an arterial dysplasic aneurysm. The diagnosis is based on the presence of a pulsatile mass, with finger dysesthesia, unilateral Raynaud's phenomenon. It is confirmed by duplex Doppler. Arteriography is necessary but can be replaced by an angio-MR. We report a case of false traumatic aneurysm of the ulnar artery in a teenager. This case illustrates this rare condition and opens discussion on therapeutic options.
Collapse
Affiliation(s)
- M Nour
- Service des urgences chirurgicales pédiatriques, hôpital des enfants, boulevard Ibn Rochd, 10100 Souissi, Rabat, Maroc; Université Mohamed V - Souissi, Rabat, Maroc.
| | - H Talha
- Service des urgences chirurgicales pédiatriques, hôpital des enfants, boulevard Ibn Rochd, 10100 Souissi, Rabat, Maroc; Université Mohamed V - Souissi, Rabat, Maroc
| | - R El Idrissi
- Service de chirurgie vasculaire D, CHU Avicenne, Rabat, Maroc; Université Mohamed V - Souissi, Rabat, Maroc
| | - Y Lahraoui
- Service des urgences chirurgicales pédiatriques, hôpital des enfants, boulevard Ibn Rochd, 10100 Souissi, Rabat, Maroc; Université Mohamed V - Souissi, Rabat, Maroc
| | - L Ouazzani
- Service des urgences chirurgicales pédiatriques, hôpital des enfants, boulevard Ibn Rochd, 10100 Souissi, Rabat, Maroc; Université Mohamed V - Souissi, Rabat, Maroc
| | - H Oubejja
- Service des urgences chirurgicales pédiatriques, hôpital des enfants, boulevard Ibn Rochd, 10100 Souissi, Rabat, Maroc; Université Mohamed V - Souissi, Rabat, Maroc
| | - M Erraji
- Service des urgences chirurgicales pédiatriques, hôpital des enfants, boulevard Ibn Rochd, 10100 Souissi, Rabat, Maroc; Université Mohamed V - Souissi, Rabat, Maroc
| | - H Zerhouni
- Service des urgences chirurgicales pédiatriques, hôpital des enfants, boulevard Ibn Rochd, 10100 Souissi, Rabat, Maroc; Université Mohamed V - Souissi, Rabat, Maroc
| | - F Ettayebi
- Service des urgences chirurgicales pédiatriques, hôpital des enfants, boulevard Ibn Rochd, 10100 Souissi, Rabat, Maroc; Université Mohamed V - Souissi, Rabat, Maroc
| |
Collapse
|
8
|
Zerhouni H, Nour M, Benjelloul T, Ettayebi F. SFCP P-035 - La duplication du canal anal chez l’enfant à propos de 3 cas. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)71751-8] [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: 11/27/2022]
|
9
|
Zerhouni H, Nour M, El Idrissi M, Oubejja H, Erraji M, Ettayebi F. SFCP P-040 - Tumeur desmoïde de la paroi abdominale chez l’enfant. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)71756-7] [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: 11/29/2022]
|
10
|
Lahraoui Y, El Hami I, Oubbaja H, Zerhouni H, Erraji M, Ettayebi F. SFCP P-041 - Cause rare d’hémorragie génitale chez la fille : la sangsue. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)71757-9] [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: 10/25/2022]
|
11
|
Hilali M, Nour M, Talha H, Oubejja H, Erraji M, Zerhouni H, Ettayebi F. SFCP P-114 - Prolapsus urétral chez la fille à propos de cinq cas. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)71829-9] [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: 10/25/2022]
|
12
|
Zerhouni H, Nour M, Benjelloul T, Talha H, Ettayebi F. SFCP P-028 - Kyste hydatique primitif du pancréas chez l’enfant. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)71744-0] [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: 11/16/2022]
|
13
|
Nour M, Zerhouni H, Oubejja H, Erraji M, Ettayebi F. SFCP P-030 - Fentes sternales congénitales à propos d’un cas. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)71746-4] [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: 10/25/2022]
|
14
|
Nour M, Zerhouni H, Brahmi H, Oubejja H, Erraji M, Ettayebi F. SFCP P-036 - La rupture diaphragmatique droite post traumatique chez le nourrisson à propos d’un cas. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)71752-x] [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: 11/29/2022]
|
15
|
Nour M, Zerhouni H, Bensaid B, Khaloufi S, Ouazzani L, Aqquaoui L, Elhami I, Oubejja H, Erraji M, Ettayebi F. [Axillary artery pseudo-aneurysm secondary to shoulder dislocation in children]. ACTA ACUST UNITED AC 2013; 38:377-80. [PMID: 24042011 DOI: 10.1016/j.jmv.2013.08.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2013] [Accepted: 07/08/2013] [Indexed: 11/19/2022]
Abstract
Axillary artery injury following anterior dislocation of the shoulder in children is a rare complication often considered as iatrogenic. We report the case of a pseudo-aneurysm of the axillary artery in a 5-year-old boy that appeared four months after a shoulder dislocation that was reduced in an ambulatory setting. Although this is an uncommon vascular complication, we emphasize the need for short-term and long-term follow-up in these children to avoid missing a pseudo-aneurysm of the axillary artery.
Collapse
Affiliation(s)
- M Nour
- Service des urgences chirurgicales pédiatriques, hôpital d'Enfant-Rabat, Rabat, Maroc.
| | | | | | | | | | | | | | | | | | | |
Collapse
|
16
|
Romli A, Agoumi A, Hamoutahra A, Zerhouni H, Nakari K, Lahlou M, Ettayebi F, Tligui H. [Myiasis of the scalp due to Wohlfahrtia magnifica]. Ann Dermatol Venereol 2010; 137:560-1. [PMID: 20804903 DOI: 10.1016/j.annder.2010.04.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2009] [Revised: 03/18/2010] [Accepted: 04/30/2010] [Indexed: 10/19/2022]
|
17
|
Zerhouni H, Lachhab M, Amrani A, Ettayebi F, Benhammou M. [Role of laparoscopy in intra-abdominal testes in children. 35 case reports]. Ann Urol (Paris) 2003; 37:140-2. [PMID: 12872607 DOI: 10.1016/s0003-4401(03)00031-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
The impalpable testicles account for approximately 10 to 20% of the total of the not descended testicles. The importance of laparoscopy is increasingly significant, because apart from its diagnostic role recently a therapeutic interest was added. Thirty-five nonpalpable testicles took advantage of laparoscopic exploration at the pediatric's emergency surgery ward at the children's hospital of Rabat within the last 2 years. In 9 cases, total testicular agenesis was found. In 6 cases the testicles were situated very high in the abdomen, so that a first time laparoscopy was performed where the testicles were lowered. In 10 cases, one laparoscopic intervention for lowering the testicles was sufficient. In 10 cases, laparoscopic surgery showed that the vas deferens and the spermatic vessels reunified in the inguinal; so that, Inguinal exploration was necessary. The time of hospitalisation was 24 h with no complications noticed. We present this work to sensitise the surgeons on the new therapeutic approach to optimise the taking care of cryptorchid boys.
Collapse
Affiliation(s)
- H Zerhouni
- Service des urgences chirurgicales pédiatriques, hôpital d'enfants, centre hospitalier universitaire Ibn Sina, Rabat, Maroc.
| | | | | | | | | |
Collapse
|
18
|
Merrot T, Teklali Y, Zerhouni H, Chaumoître K, Alessandrini P. [Appendix-ureteroplasty in a child: report of a case]. Ann Urol (Paris) 2003; 37:27-9. [PMID: 12701318 DOI: 10.1016/s0003-4401(02)00012-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
The use of vermiform appendix as a tube to replace right ureteral segment has been reported, rarely in child. Herein is reported a case of right ischemic ureteral stenosis following a reimplantation of the ureter for high grade reflux secondary to posterior urethral valves with only one functioning kidney. A long ureteral defect was bridged successfully by appendix interposition and then reimplanted in the bladder at four years of age. The interest of ureteroappendiculoplasty provides temporary solution to repair long ureteral defect, in spite of uncertain future, especially in childhood.
Collapse
Affiliation(s)
- T Merrot
- Service de chirurgie infantile, pavillon mère-enfant, centre hospitalier universitaire Nord, université de la Méditerranée, chemin des Bourrelly, 13015 Marseille, France.
| | | | | | | | | |
Collapse
|
19
|
Merrot T, Zerhouni H, Chaumoître K, D'Ercole C, Gire C, Alessandrini P. [Prenatal screening of kidney pelvis ectasia, frequently caused by vesico-ureteral reflux detected after birth. Analysis of a series of 159 cases in 4 years at a maternal-child unit]. Ann Urol (Paris) 2003; 37:21-6. [PMID: 12701317 DOI: 10.1016/s0003-4401(02)00011-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
UNLABELLED To describe the pre- and post-natal management of vesico-ureteric reflux in a prospective study of babies presenting with vesico-ureteric reflux suspected from pre-natal ultrasonography in a tertiary paediatric center. PATIENTS AND METHODS Between 1997 and 2001, 35 children (25 boys and 10 girls) with were vesico-ureteric reflux followed for 12 to 36 months after the pre-natal detection of urinary tract anomalies. Ultrasound examination was realized at the 5th of life, retrograde cystography at the 15th if the renal pelvic dilatation measured at least 10 mm of diameter. In 11 the reflux was bilateral and 46 refluxing units were reviewed. RESULTS According to the international classification of, 7% vesico-ureteric reflux were grade I, 20.5% were grade II, 32% were grade III, 18% were grade IV, 22.5% were grade V. Fourteen patients (17 refluxing units) underwent ureteric-reimplantation. Four total and two partial nephrectomics were carried out in patients < 2 years old; in 8 patients the VUR resolved spontaneously. Of the latter, 7 patients (ten refluxing grade III-IV units) are still being followed and awaiting a decision on treatment. CONCLUSION This study confirms the predominance of boys in those with antenatally suspected vesico-ureteric reflux. The spontaneous resolution or improvement during the first 3 years of life was apparent in most cases, even in those with severe reflux (grade III-V).
Collapse
Affiliation(s)
- T Merrot
- Service de chirurgie infantile, pavillon mère-enfant, université de la Méditerranée, CHU Nord, chemin des Bourrelly, 13015 Marseille, France
| | | | | | | | | | | |
Collapse
|
20
|
Abstract
Echinococcosis or hydatid cyst disease of the kidney is extremely rare in children and constitutes only 2-4% of all cases of hydatid disease. We present six pediatric case of hydatid cyst of the kidney. The presentation is a cystic space occupying lesion of the kidney. Three patients have another involvement (lung, liver, and brain). Several diagnostic methods are available, ultrasonography may be sufficient. Surgical conservative treatment is still necessary, range from excision of the cyst. Significant surgical morbidity can be expected.
Collapse
Affiliation(s)
- A Amrani
- Service d'urologie pédiatrique, hôpital d'Enfants, centre hospitalier universitaire Ibn Sina, Rabat, Maroc.
| | | | | | | | | |
Collapse
|
21
|
Zerhouni H, Lachhab M, Gourinda H, El Alami Z, El Madhi T, Miri A. [Centro-somatic staged tuberculous vertebral osteitis: a case report]. Rev Chir Orthop Reparatrice Appar Mot 2002; 88:819-22. [PMID: 12503025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/28/2023]
Abstract
Centro-somatic tuberculous vertebral osteitis is defined as tuberculous infection of the vertebral body with preserved integrity of the adjacent intervertabral disk. Other types of vertebral tuberculosis include Pott's spondylodiscitis and exceptional lesions of the posterior arch. We report a case of centro-somatic tuberculous vertebral osteitis in a 14-year-old boy who developed staged lesions of the L2 to S1 bodies, associated with a posterior epidural collection but without any deterioration of the intervertebral disk on plain x-rays and computed tomography. This atypical aspect of the lesions required a surgical biopsy which yielded a yellow-whitish fibro-oleagenous, friable product more suggestive of neoplasm than infection, but histology rectified the diagnosis, showing typical caseo-follicular tuberculosis. A 6-month anti-tuberculosis regimen was rapidly followed by symptom improvement. We emphasize the importance of modern imaging techniques for the diagnosis of vertebral lesions and for guided biopsy or drainage.
Collapse
Affiliation(s)
- H Zerhouni
- Service de Traumato-Orthopédie Pédiatrique, Hôpital d'Enfants, Rabat, Maroc.
| | | | | | | | | | | |
Collapse
|
22
|
Dendane MA, Zerhouni H, Aghoutane M, Kaddouri N, Abdelhak M, Benhmamouch MN, Barahioui M. [Diagnostic difficulty of a pulmonary mass in an infant]. Rev Pneumol Clin 2002; 58:300-301. [PMID: 12486382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
|
23
|
Abstract
CASE REPORTS Two newborns, one female and male were treated for neonatal bowel obstruction. A contrast enema led to the diagnosis of small left colon syndrome and treated those newborns successfully. CONCLUSION Small left colon syndrome is a very rare cause of neonatal bowel obstruction. The diagnosis and treatment are assured by a simple contrast enema.
Collapse
Affiliation(s)
- A Amrani
- Service des urgences chirurgicales pédiatriques, hôpital d'Enfants, Rabat, Maroc
| | | | | | | | | |
Collapse
|
24
|
Merrot T, Lachhaab M, Zerhouni H, Alessandrini P. [Urinary tuberculosis in children. Report of a severe form with a followup of 19 years]. Prog Urol 2002; 12:658-62. [PMID: 12463128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/27/2023]
Abstract
The authors report the case of a 13-year-old migrant girl with urinary tuberculosis, presenting with urinary tract infection, severe frequency and unexplained fever. Intravenous urography demonstrated a non-functioning left kidney and a small fibrotic bladder. Retrograde cystography revealed stage 4 right vesicoureteric reflux. The presence of the Koch bacillus was identified on urine culture. Medical treatment by Rifampicin and Isoniazid was instituted for 18 months. Surgical management, consisting of left nephroureterectomy, subtotal cystectomy with augmentation enterocystoplasty and resection of the pelvic part of the right ureter with ureterointestinal reimplantation, was performed. With a follow-up of 19 years, this patient has normal renal function and no urinary disorders. This case recalls the reality of urinary tuberculosis in children and confirms its insidious nature. The destructive course of urinary tuberculosis may require major urinary tract reconstruction, as in our case.
Collapse
Affiliation(s)
- Thierry Merrot
- Service de Chirurgie Infantile, Unité d'Urologie Pédiatrique, Pavillon Mère-enfant, CHU Nord, Chemin des Bourrelys, 13015 Marseille, France.
| | | | | | | |
Collapse
|
25
|
Abstract
Severe sustained hypertension occurs in only 0.1% of the pediatric population and only about 2% of these patients will have an underlying endocrine cause. Pheochromocytoma as a catecholamine secreting tumour causing severe hypertension is exceedingly rare in children. A high index of suspicion and an awareness of the clinical spectrum are therefore necessary to make the diagnosis. We report two cases of pheochromocytoma occurring in two a 12 year-old boys who's presented with sustained hypertension, headache, sweating, and visual blurring. Measurement of 24 hour urinary catecholamines showed a marked increase and localization of adrenal unilateral pheochromocytoma was determined by ultrasonography and computed tomography. The approaches to the adrenal gland were transverse transperitoneal and the excision of the tumors was followed of return to the normal of tensional numbers.
Collapse
Affiliation(s)
- H Zerhouni
- Clinique chirurgicale infantile A, hôpital d'enfants, CHU Ibn Sina, Rabat, Maroc.
| | | | | | | | | |
Collapse
|
26
|
Zerhouni H, Amrani A, Kaddouri N, Abdelhak M, Benhmamouch N, Barahioui M. [Laryngeal dyspnea caused by cervical hydatidosis: apropos of a case]. Arch Pediatr 2001; 8:1341-3. [PMID: 11811030 DOI: 10.1016/s0929-693x(01)00656-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Hydatid cysts rarely present as a cervical tumor. We report a case of hydatid cyst of the neck in a child with multiple hydatid cysts in the liver, which was revealed by laryngeal dyspnea. Symptoms occurred in a six year-old country dweller, who presented with progressive laryngeal dyspnea. The chest radiographs showed extrinsic tracheal compression. A cervical ultrasonography showed a liquid filled mass evocative of hydatid cyst type 1. Explorative cervicotomy confirmed the diagnosis. The treatment was conservative after destruction of the parasite using a hypertonic saline solution. The immediate result was the disappearance of the laryngeal dyspnea.
Collapse
Affiliation(s)
- H Zerhouni
- Clinique chirurgicale infantile A, hôpital d'enfants, centre hospitalier universitaire Ibn Sina, Rabat, Maroc.
| | | | | | | | | | | |
Collapse
|
27
|
Belkheiri M, Elidrissi F, Bouslamti T, Eddaniaoui M, Banani A, Khabouze S, Aghoutane M, Zerhouni H, Ettayebi F, Kharbach A, Chaoui A. [Congenital cystic adenomatoid malformation of the lung. Prenatal diagnosis in a case]. Rev Pneumol Clin 2001; 57:356-360. [PMID: 11924232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
We report a case of congenital cystic adenomatoid lung malformation, type I in the Stocker classification, diagnosed at ultrasonography at 27 weeks gestation. The lesion stabilized as was the hydramnios. Vaginal delivery was uneventful. Early surgery with lobectomy led to a favorable outcome at 8 months follow-up. Congenital adenomatoid lung malformation is a rare finding. Prenatal ultrasound diagnosis has enabled early treatment and improved prognosis.
Collapse
Affiliation(s)
- M Belkheiri
- Maternité Universitaire Souissi (service Pr A. Chaoui), Rabat
| | | | | | | | | | | | | | | | | | | | | |
Collapse
|
28
|
Bourkadi JE, Manessouri M, Achachi L, Zerhouni H, Benjelloun MC, Iraqi GH. [Endobronchial tuberculosis. Report of 21 cases]. Rev Pneumol Clin 2001; 57:346-350. [PMID: 11924230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
Since the advent of antituberculosis drugs, endobronchial tuberculosis has become an exceptional finding, often in a misleading context. Cases reported generally occur in patients with immune deficit. We report 21 cases of endobronchial tuberculosis in immunocompetent patients (mean age 37 years). Clinical and radiological signs were not specific. Bronchial fibroscopy was essential for certain diagnosis, particularly in budding forms. Early treatment reduced the risk of complications. Based on our experience with these 21 cases, we propose a discussion of the pathogenic mechanisms involved and the diagnostic difficulties encountered as well as the disease course and risk of complications that can be expected.
Collapse
Affiliation(s)
- J E Bourkadi
- Service de Pneumologie, Hôpital Moulay Youssef, CHU Ibn Sina, Rabat
| | | | | | | | | | | |
Collapse
|