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Amine S, Aziz S, Babty M, Jaafar F, Abdellatif K, Ahmed IA. Successful management of chylous ascite after removal of residual mass in non-seminomatous germ cell tumours following chemotherapy: A single-center experience and review of the literature. Int J Surg Case Rep 2024; 118:109502. [PMID: 38657515 PMCID: PMC11063513 DOI: 10.1016/j.ijscr.2024.109502] [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: 01/19/2024] [Revised: 03/02/2024] [Accepted: 03/07/2024] [Indexed: 04/26/2024] Open
Abstract
INTRODUCTION Chylous ascites is a rare but morbid condition following removal of residual mass in non-seminomatous germ cell tumours following chemotherapy. CASE PRESENTATION We hereby present the case of a 20-year-old man who had undergone RPLND with complete surgical excision. A lesion of the Cisterna chyli complicated the operation. The post-operative course was marked by the appearance of chylous ascites. The conservative management strategy for this complication was successful, but only after a month. CLINICAL DISCUSSION Chylous ascites is a rare but morbid condition following removal of residual mass in non-seminomatous germ cell tumours following chemotherapy. Conservative management based on a high-protein diet with fat restriction and medium-chain triglyceride supplementation, and somatostatine are usually successful. Surgery should be reserved for situations that are refractory to treatment. CONCLUSIONS We report our successful management and, we also analysed the different management protocols using our experience and review of the literature.
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Affiliation(s)
- Slaoui Amine
- Urology Department, Avicenne Hospital, University Hospital Center IBN SINA, University Mohammed V, Rabat, Morocco.
| | - Slaoui Aziz
- Gynaecology-Obstetrics and Endoscopy Department, Maternity Souissi, University Hospital Center IBN SINA, University Mohammed V, Rabat, Morocco
| | - Mouftah Babty
- Urology Department, Avicenne Hospital, University Hospital Center IBN SINA, University Mohammed V, Rabat, Morocco
| | - Fouimtizi Jaafar
- Urology Department, Avicenne Hospital, University Hospital Center IBN SINA, University Mohammed V, Rabat, Morocco
| | - Koutani Abdellatif
- Urology Department, Avicenne Hospital, University Hospital Center IBN SINA, University Mohammed V, Rabat, Morocco
| | - Iben Atyya Ahmed
- Urology Department, Avicenne Hospital, University Hospital Center IBN SINA, University Mohammed V, Rabat, Morocco
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Othmane Y, Nabil J, Tarik K, Khalid E, Abdellatif K, Ahmed IAA. [Non-secreting paraganglioma retroperitoneal]. Pan Afr Med J 2017; 26:119. [PMID: 28533842 PMCID: PMC5429413 DOI: 10.11604/pamj.2017.26.119.8572] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2015] [Accepted: 06/02/2016] [Indexed: 11/11/2022] Open
Abstract
Non-functional retroperitoneal paragangliomas are rare tumors. They are often asymptomatic and can reach very large sizes. We report the case of a 49-year old woman with retroperitoneal tumor detected during CT scan examination performed to find the cause of non-specific abdominal pain. Malignant forms, more frequent than benign forms, show locoregional invasion and are characterized by delayed-onset metastases. The treatment of these tumors is based on the most complete degree of surgical resection, since prognosis depends on it. There is no consensus on the usefulness of complementary therapies which may nevertheless constitute a supportive treatment.
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Affiliation(s)
- Yddoussalah Othmane
- Service d'urologie B, CHU Ibn Sina, Faculté de Médecine et de Pharmacie de Rabat- Université Mohamed V- Maroc
| | - Jakhlal Nabil
- Service d'urologie B, CHU Ibn Sina, Faculté de Médecine et de Pharmacie de Rabat- Université Mohamed V- Maroc
| | - Karmouni Tarik
- Service d'urologie B, CHU Ibn Sina, Faculté de Médecine et de Pharmacie de Rabat- Université Mohamed V- Maroc
| | - Elkhader Khalid
- Service d'urologie B, CHU Ibn Sina, Faculté de Médecine et de Pharmacie de Rabat- Université Mohamed V- Maroc
| | - Koutani Abdellatif
- Service d'urologie B, CHU Ibn Sina, Faculté de Médecine et de Pharmacie de Rabat- Université Mohamed V- Maroc
| | - Ibn Attya Andaloussi Ahmed
- Service d'urologie B, CHU Ibn Sina, Faculté de Médecine et de Pharmacie de Rabat- Université Mohamed V- Maroc
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Souhail R, Amine S, Nadia A, Tarik K, Khalid EK, Abdellatif K, Ahmed IA. Complete androgen insensitivity syndrome or testicular feminization: review of literature based on a case report. Pan Afr Med J 2016; 25:199. [PMID: 28270903 PMCID: PMC5326263 DOI: 10.11604/pamj.2016.25.199.10758] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [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: 09/16/2016] [Accepted: 11/02/2016] [Indexed: 12/29/2022] Open
Abstract
Testicular feminization, or the androgen insensitivity syndrome, is a rare disease. Because of various abnormalities of the X chromosome, a male, genetically XY, has some physical characteristics of a woman or a full female phenotype. Indeed the androgen insensitivity syndrome occurs because of a resistance to the actions of the androgen hormones, which in turn switches the development towards the aspect of a woman. We report a case of complete androgen insensitivity syndrome in a 30 years old woman who presented primary amenorrhea. We aim to improve our knowledge of this illness from the data that provides us this study, and a review of the literature.
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Affiliation(s)
- Regragui Souhail
- Department of Urology B, Ibn Sina University Hospital, Rabat, Morocco
| | - Slaoui Amine
- Department of Urology B, Ibn Sina University Hospital, Rabat, Morocco
| | - Abounouh Nadia
- Department of Gynecology Obstetrics, Maternity ibn Sina, Rabat, Morocco
| | - Karmouni Tarik
- Department of Urology B, Ibn Sina University Hospital, Rabat, Morocco
| | - El Khader Khalid
- Department of Urology B, Ibn Sina University Hospital, Rabat, Morocco
| | | | - Ibn Attya Ahmed
- Department of Urology B, Ibn Sina University Hospital, Rabat, Morocco
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Othmane Y, Mounir L, Tarik K, Khalid E, Abdellatif K, Ahmed IAA. [Chromophobe renal cell carcinoma: about four cases and review of the literature]. Pan Afr Med J 2016; 22:123. [PMID: 26889304 PMCID: PMC4742030 DOI: 10.11604/pamj.2015.22.123.6741] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2015] [Accepted: 06/15/2015] [Indexed: 11/11/2022] Open
Affiliation(s)
- Yddoussalah Othmane
- Centre Hospitalier et Universitaire Ibn Sina, Hôpital Ibn Sina, Service d'Urologie B, Rabat, Maroc
| | - Lahyani Mounir
- Centre Hospitalier et Universitaire Ibn Sina, Hôpital Ibn Sina, Service d'Urologie B, Rabat, Maroc
| | - Karmouni Tarik
- Centre Hospitalier et Universitaire Ibn Sina, Hôpital Ibn Sina, Service d'Urologie B, Rabat, Maroc
| | - Elkhader Khalid
- Centre Hospitalier et Universitaire Ibn Sina, Hôpital Ibn Sina, Service d'Urologie B, Rabat, Maroc
| | - Koutani Abdellatif
- Centre Hospitalier et Universitaire Ibn Sina, Hôpital Ibn Sina, Service d'Urologie B, Rabat, Maroc
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Yddoussalah O, Mounir L, Tarik K, Khalid E, Abdellatif K, Ahmed IAA. [Retroperitoneal leiomyoma: report of 2 cases]. Pan Afr Med J 2015; 21:7. [PMID: 26401201 PMCID: PMC4561137 DOI: 10.11604/pamj.2015.21.7.6603] [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: 03/17/2015] [Accepted: 04/04/2015] [Indexed: 11/11/2022] Open
Abstract
Les tumeurs bénignes du muscle lisse sont fréquentes dans le tractus gastro-intestinal et génito-urinaire, et rares au niveau rétro péritonéal. Leur prévalence parmi les tumeurs rétropéritonéales primitives a été estimée entre de 0,5 à 1,2%. Une situation qui conduit à des erreurs de diagnostic. On rapporte dans cet article deux cas de léiomyome rétropéritonéal (LRP) retrouvés chez des femmes âgées entre 47et 54 ans. L'imagerie a mis en évidence une masse rétro-péritonéale, ce qui a motivé une exérèse totale de la tumeur. L'examen anatomopathologique de la pièce opératoire a posé le diagnostic de léiomyome rétro-péritonéal. L’évolution sans récidive était bonne.
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Affiliation(s)
- Othmane Yddoussalah
- Centre Universitaire Hospitalier Ibn Sina, Hôpital Ibn Sina, Service d'Urologie B, Rabat, Maroc
| | - Lahyani Mounir
- Centre Universitaire Hospitalier Ibn Sina, Hôpital Ibn Sina, Service d'Urologie B, Rabat, Maroc
| | - Karmouni Tarik
- Centre Universitaire Hospitalier Ibn Sina, Hôpital Ibn Sina, Service d'Urologie B, Rabat, Maroc
| | - Elkhader Khalid
- Centre Universitaire Hospitalier Ibn Sina, Hôpital Ibn Sina, Service d'Urologie B, Rabat, Maroc
| | - Koutani Abdellatif
- Centre Universitaire Hospitalier Ibn Sina, Hôpital Ibn Sina, Service d'Urologie B, Rabat, Maroc
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Bagayogo T, Othmane Y, Tarik K, Khalid E, Abdellatif K, Ahmed IAA. [Benin epithelioid kidney angiomyolipoma: report of two cases]. Pan Afr Med J 2015; 22:223. [PMID: 26953738 PMCID: PMC4761259 DOI: 10.11604/pamj.2015.22.223.7975] [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: 09/15/2015] [Accepted: 10/17/2015] [Indexed: 11/11/2022] Open
Abstract
Les angiomyolipomes épithélioïdes rénaux (AMLeR) sont des tumeurs rares (identifiées chez moins de 0,1 patients pour 1000 habitants) et représentent 8% des angiomyolipomes (AML) opérés. Il a longtemps été considérécomme un hamartome mais plusieurs articles récents font penser qu'il s'agir d'une tumeur dérivant de cellules épithélioïdespérivasculaires. L'angiomyolipome épithélioïde est une forme rare d'angiomyolipome à potentiel malin, composé decellules épithélioïdes posant des problèmes de diagnostic différentiel avec les carcinomes à cellules rénales. L'immunohistochimie,en révélant la positivité des cellules épithélioïdes au marqueur HMB45 est essentielle au diagnostic. Les auteursrapportent l'aspect tomodensitométrique et histologique d'angiomyolipomes épithélioïdes chez deux patientes.
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Hassan B, Imad Z, Yassine R, Houda B, Tarik K, Khalid EK, Abdellatif K, Ahmed IAA. [A diagnostic trap in urologic emergencies]. Tunis Med 2014; 92:347-348. [PMID: 25504390] [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: 06/04/2023]
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