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Fitzgerald LA, Drissi M, Sepulveda K, Hovland C, Hendrick SJ, Dubrocq G. Presentation of cryopyrin-associated periodic fever syndrome as chronic, afebrile urticaria in a 12-month-old female. Pediatr Dermatol 2022; 40:532-533. [PMID: 36382474 DOI: 10.1111/pde.15188] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/18/2022] [Accepted: 10/22/2022] [Indexed: 11/17/2022]
Abstract
A healthy 12-month-old female presented with relapsing and remitting urticaria since birth that was resistant to treatment with antihistamines. A thorough history revealed extensive rheumatic disease on the father's side of the family, and subsequent genetic testing was positive for a missense variant of NLRP3, indicating cryopyrin-associated periodic fever syndrome (CAPS). CAPS encompasses a spectrum of diseases, all related to a defect in the same gene; manifestations vary in severity and presentation, but most are associated with recurrent rash and fever. Because the patient's only presenting symptom was rash, this case highlights the importance of having a high index of suspicion for cryopyrin-associated periodic fever syndrome in infants with persistent, early urticaria.
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Affiliation(s)
| | - Madeeha Drissi
- Department of Dermatology, Baylor Scott and White/Texas A&M, Temple, Texas, USA
| | - Kirstin Sepulveda
- Department of Infectious Disease, Baylor Scott and White, Temple, Texas, USA
| | | | - Sophia J Hendrick
- Department of Dermatology, Baylor Scott and White/Texas A&M, Temple, Texas, USA
| | - Gueorgui Dubrocq
- Department of Infectious Disease, Baylor Scott and White, Temple, Texas, USA
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Drissi M, Dunlap R, Clayton L, Raess PW, Mengden Koon S, White K. Cutaneous Plasmacytosis and Idiopathic Multicentric Castleman Disease: A Spectrum of Disease? Am J Dermatopathol 2022; 44:294-296. [PMID: 34966045 DOI: 10.1097/dad.0000000000002109] [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: 11/26/2022]
Abstract
ABSTRACT Cutaneous/systemic plasmacytosis (C/SP) is a plasma cell disorder characterized by reddish-brown patches, lymphadenopathy, and hypergammaglobulinemia. The degree to which C/SP overlaps with other plasma cell proliferative disorders and neoplasms is incompletely understood. We present the case of a patient with a several-year history of cutaneous plasmacytosis and evidence of systemic involvement with concurrent idiopathic multicentric Castleman disease (iMCD) involving a lymph node. There have been only a few reports of systemic iMCD preceded by a long, asymptomatic phase of cutaneous manifestations. We discuss the relationship between C/SP and iMCD and elaborate on the pathophysiological overlap of these 2 conditions and potential similarities in their pathogenesis. We suggest that the 2 diseases may represent the same entity presenting on a spectrum, with individuals diagnosed with C/SP at risk for progression to iMCD.
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Affiliation(s)
- Madeeha Drissi
- Department of Dermatology, Baylor Scott & White/Texas A&M, Temple, TX
| | - Rachel Dunlap
- Department of Dermatology, Oregon Health & Science University, Portland, OR; and
| | - Lara Clayton
- Department of Dermatology, Oregon Health & Science University, Portland, OR; and
| | - Philipp W Raess
- Department of Pathology, Oregon Health & Science University, Portland, OR
| | | | - Kevin White
- Department of Dermatology, Oregon Health & Science University, Portland, OR; and
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Drissi M, Carr E, Housewright C. Sunscreen: a brief walk through history. Proc AMIA Symp 2021; 35:121-123. [PMID: 34970060 PMCID: PMC8682817 DOI: 10.1080/08998280.2021.1966602] [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: 07/09/2021] [Revised: 08/05/2021] [Accepted: 08/05/2021] [Indexed: 10/20/2022] Open
Abstract
The sunscreens we see today were paved by our ancestors' sun protection methods, followed by scientific discovery in the more recent era and the trials and errors of the sunscreen formulations that followed. This history highlights sun protection methods used over the centuries and the varying degrees of agreeable sensorial properties or comforts in these methods.
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Affiliation(s)
- Madeeha Drissi
- Department of Dermatology, Baylor Scott & White Health and Texas A&M Health Science Center, Temple, Texas
| | - Emily Carr
- Department of Dermatology, Baylor Scott & White Health and Texas A&M Health Science Center, Temple, Texas
| | - Chad Housewright
- Department of Dermatology, Baylor Scott & White Health and Texas A&M Health Science Center, Temple, Texas
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Ben Said R, Zaroui A, Zargouni H, Drissi M, Mourali M, Mechmeche R. Left atrial function in hypertrophic cardiomyopathy. Archives of Cardiovascular Diseases Supplements 2017. [DOI: 10.1016/s1878-6480(17)30043-5] [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]
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5
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Meziane M, Koundi A, Meskine A, Bensghir M, Hatim A, Ahtil R, Ait Houssa M, Boulahya A, Haimeur C, Drissi M. [Predictors of prolonged ICU stay following elective adult cardiac surgery: Monocentric retrospective study on 5 and half years]. Ann Cardiol Angeiol (Paris) 2017; 66:66-73. [PMID: 28129899 DOI: 10.1016/j.ancard.2016.12.002] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2015] [Accepted: 12/08/2016] [Indexed: 11/17/2022]
Abstract
AIM The aim of our study was to identify predictors for prolonged ICU stay following elective adult cardiac surgery under cardiopulmonary bypass. PATIENTS AND METHODS A retrospective study was conducted during 5 years and a half period. Were included, patients age≥18 years old, underwent elective cardiac surgery under cardiopulmonary bypass. Patients who died within 48hours of surgery were excluded. Prolonged ICU stay was defined as stay in the ICU for 48hours or more. RESULTS During the review period, 610 patients were included. One hundred and sixty-four patients have required a prolonged ICU stay (26.9 %). In multivariate analysis, 5 predictors were identified: ejection fraction<30 % (OR 19.991, IC 95 % [1.382-289.1], P=0.028], pulmonary hypertension (OR 2.293, IC 95 % [1.058-4.973], P=0.036), prolonged ventilation (≥12hours) (OR 4.026, IC 95 % [2.407-6.733], P<0.001). Number of blood units transfused (OR 1.568, IC 95 % [1.073-2.291], and postoperative acute renal failure (OR 2.620, IC 95 % [1.026-6.690], P=0.044]. Prolonged ICU stay is significantly associated with prolonged hospital stay (17 days vs 13 days ; P<0.001) and higher in hospital mortality (22 % vs. 3 %, P<0.001). CONCLUSION The identification of these patients at risk of prolonged ICU stay is crucial. It will aid to plan prophylactic measures to optimize their support.
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Affiliation(s)
- M Meziane
- Pôle d'anesthésie-réanimation, hôpital militaire Mohammed V, 10100 Rabat, Maroc; Hôpital Militaire d'instruction Mohammed, 10100 Rabat, Maroc; Faculté de médicine et de pharmacie, Souissi, 10100 Rabat, Maroc; Université Mohammed V, Souissi, 10100 Rabat, Maroc.
| | - A Koundi
- Pôle d'anesthésie-réanimation, hôpital militaire Mohammed V, 10100 Rabat, Maroc; Hôpital Militaire d'instruction Mohammed, 10100 Rabat, Maroc; Faculté de médicine et de pharmacie, Souissi, 10100 Rabat, Maroc; Université Mohammed V, Souissi, 10100 Rabat, Maroc
| | - A Meskine
- Pôle d'anesthésie-réanimation, hôpital militaire Mohammed V, 10100 Rabat, Maroc; Hôpital Militaire d'instruction Mohammed, 10100 Rabat, Maroc; Faculté de médicine et de pharmacie, Souissi, 10100 Rabat, Maroc; Université Mohammed V, Souissi, 10100 Rabat, Maroc
| | - M Bensghir
- Pôle d'anesthésie-réanimation, hôpital militaire Mohammed V, 10100 Rabat, Maroc; Hôpital Militaire d'instruction Mohammed, 10100 Rabat, Maroc; Faculté de médicine et de pharmacie, Souissi, 10100 Rabat, Maroc; Université Mohammed V, Souissi, 10100 Rabat, Maroc
| | - A Hatim
- Service de réanimation de chirurgie cardiaque, hôpital militaire Mohammed V, 10100 Rabat, Maroc; Hôpital Militaire d'instruction Mohammed, 10100 Rabat, Maroc; Faculté de médicine et de pharmacie, Souissi, 10100 Rabat, Maroc; Université Mohammed V, Souissi, 10100 Rabat, Maroc
| | - R Ahtil
- Pôle d'anesthésie-réanimation, hôpital militaire Mohammed V, 10100 Rabat, Maroc; Hôpital Militaire d'instruction Mohammed, 10100 Rabat, Maroc; Faculté de médicine et de pharmacie, Souissi, 10100 Rabat, Maroc; Université Mohammed V, Souissi, 10100 Rabat, Maroc
| | - M Ait Houssa
- Service de chirurgie cardiaque, hôpital militaire Mohammed V, 10100 Rabat, Maroc; Hôpital Militaire d'instruction Mohammed, 10100 Rabat, Maroc; Faculté de médicine et de pharmacie, Souissi, 10100 Rabat, Maroc; Université Mohammed V, Souissi, 10100 Rabat, Maroc
| | - A Boulahya
- Service de chirurgie cardiaque, hôpital militaire Mohammed V, 10100 Rabat, Maroc; Hôpital Militaire d'instruction Mohammed, 10100 Rabat, Maroc; Faculté de médicine et de pharmacie, Souissi, 10100 Rabat, Maroc; Université Mohammed V, Souissi, 10100 Rabat, Maroc
| | - C Haimeur
- Pôle d'anesthésie-réanimation, hôpital militaire Mohammed V, 10100 Rabat, Maroc; Hôpital Militaire d'instruction Mohammed, 10100 Rabat, Maroc; Faculté de médicine et de pharmacie, Souissi, 10100 Rabat, Maroc; Université Mohammed V, Souissi, 10100 Rabat, Maroc
| | - M Drissi
- Service de réanimation de chirurgie cardiaque, hôpital militaire Mohammed V, 10100 Rabat, Maroc; Hôpital Militaire d'instruction Mohammed, 10100 Rabat, Maroc; Faculté de médicine et de pharmacie, Souissi, 10100 Rabat, Maroc; Université Mohammed V, Souissi, 10100 Rabat, Maroc
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6
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Ziadi T, En-Nafaa I, Africha T, Eddou H, Hammoune N, Nourredine A, Drissi M, Hommadi A. [Paravertebral masses]. Rev Med Interne 2016; 38:638-639. [PMID: 27241075 DOI: 10.1016/j.revmed.2016.04.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2016] [Accepted: 04/09/2016] [Indexed: 11/15/2022]
Affiliation(s)
- T Ziadi
- Service d'imagerie médicale, hôpital militaire Moulay Ismail, Meknes, Maroc.
| | - I En-Nafaa
- Service d'imagerie médicale, hôpital militaire Moulay Ismail, Meknes, Maroc
| | - T Africha
- Service d'imagerie médicale, hôpital militaire Moulay Ismail, Meknes, Maroc
| | - H Eddou
- Service d'imagerie médicale, hôpital militaire Moulay Ismail, Meknes, Maroc
| | - N Hammoune
- Service d'imagerie médicale, hôpital militaire Moulay Ismail, Meknes, Maroc
| | - A Nourredine
- Service d'imagerie médicale, hôpital militaire Moulay Ismail, Meknes, Maroc
| | - M Drissi
- Service d'imagerie médicale, hôpital militaire Moulay Ismail, Meknes, Maroc
| | - A Hommadi
- Service d'imagerie médicale, hôpital militaire Moulay Ismail, Meknes, Maroc
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Tijani Y, Chtata H, Elkaoui H, Hatim A, Drissi M, Abissegue Y, Taberkant M. [The aneurysms of digestive system arteries: three cases]. Ann Cardiol Angeiol (Paris) 2014; 64:109-12. [PMID: 24856656 DOI: 10.1016/j.ancard.2014.04.007] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2013] [Accepted: 04/08/2014] [Indexed: 11/16/2022]
Abstract
The aneurysms of digestive arteries are a rare pathological entity, with a risk of rupture associated to a high mortality rate, often asymptomatic, then they are discovered incidentally during a exam for other diagnostic purposes. We report three cases of digestive aneurysms, one of celiac trunk, one of mesenteric artery on behçet disease, and one of splenic artery, which were treated surgically with success.
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Affiliation(s)
- Y Tijani
- Service de chirurgie vasculaire de l'HMIMV, université Mohammed V Soussi, angle rue souss-qahira résidence le nid, immeuble 16, n(o) 06 Kénitra, 14000 Kénitra Maamora, Rabat, Maroc.
| | - H Chtata
- Service de chirurgie vasculaire de l'HMIMV, université Mohammed V Soussi, angle rue souss-qahira résidence le nid, immeuble 16, n(o) 06 Kénitra, 14000 Kénitra Maamora, Rabat, Maroc
| | - H Elkaoui
- Service de chirurgie viscérale de l'HMIMV, université Mohammed V Soussi, Rabat, Maroc
| | - A Hatim
- Service d'anesthésie réanimation de chirurgie cardiaque et vasculaire HMIMV, université Mohammed V Soussi, Rabat, Maroc
| | - M Drissi
- Service d'anesthésie réanimation de chirurgie cardiaque et vasculaire HMIMV, université Mohammed V Soussi, Rabat, Maroc
| | - Y Abissegue
- Service de chirurgie vasculaire de l'HMIMV, université Mohammed V Soussi, angle rue souss-qahira résidence le nid, immeuble 16, n(o) 06 Kénitra, 14000 Kénitra Maamora, Rabat, Maroc
| | - M Taberkant
- Service de chirurgie vasculaire de l'HMIMV, université Mohammed V Soussi, angle rue souss-qahira résidence le nid, immeuble 16, n(o) 06 Kénitra, 14000 Kénitra Maamora, Rabat, Maroc
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8
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Berrazeg M, Diene SM, Medjahed L, Parola P, Drissi M, Raoult D, Rolain JM. New Delhi Metallo-beta-lactamase around the world: An eReview using Google Maps. Euro Surveill 2014; 19. [DOI: 10.2807/1560-7917.es2014.19.20.20809] [Citation(s) in RCA: 107] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Gram-negative carbapenem-resistant bacteria, in particular those producing New Delhi Metallo-beta-lactamase-1 (NDM-1), are a major global health problem. To inform the scientific and medical community in real time about worldwide dissemination of isolates of NDM-1-producing bacteria, we used the PubMed database to review all available publications from the first description in 2009 up to 31 December 2012, and created a regularly updated worldwide dissemination map using a web-based mapping application. We retrieved 33 reviews, and 136 case reports describing 950 isolates of NDM-1-producing bacteria. Klebsiella pneumoniae (n= 359) and Escherichia coli (n=268) were the most commonly reported bacteria producing NDM-1 enzyme. Several case reports of infections due to imported NDM-1 producing bacteria have been reported in a number of countries, including the United Kingdom, Italy, and Oman. In most cases (132/153, 86.3%), patients had connections with the Indian subcontinent or Balkan countries. Those infected were originally from these areas, had either spent time and/or been hospitalised there, or were potentially linked to other patients who had been hospitalised in these regions. By using Google Maps, we were able to trace spread of NDM-1-producing bacteria. We strongly encourage epidemiologists to use these types of interactive tools for surveillance purposes and use the information to prevent the spread and outbreaks of such bacteria.
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Affiliation(s)
- M Berrazeg
- Aix-Marseille Université, Unité de Recherche en Maladies Infectieuses et Tropicales Emergentes, Faculté de Médecine et de Pharmacie, Marseille, France
- Laboratoire Antibiotiques, Antifongiques: physico- chimie, Synthèse et Activité Biologiques, Faculté des Sciences de la Nature, de la Vie, de la Terre et de l’Univers, Université Abou Bekr Belkaid, Tlemcen, Algeria
| | - S M Diene
- Aix-Marseille Université, Unité de Recherche en Maladies Infectieuses et Tropicales Emergentes, Faculté de Médecine et de Pharmacie, Marseille, France
| | - L Medjahed
- Département d'Informatique, Faculté de technologie, Université Abou Bekr Belkaid, Tlemcen, Algeria
| | - P Parola
- Aix-Marseille Université, Unité de Recherche en Maladies Infectieuses et Tropicales Emergentes, Faculté de Médecine et de Pharmacie, Marseille, France
| | - M Drissi
- Laboratoire Antibiotiques, Antifongiques: physico- chimie, Synthèse et Activité Biologiques, Faculté des Sciences de la Nature, de la Vie, de la Terre et de l’Univers, Université Abou Bekr Belkaid, Tlemcen, Algeria
| | - D Raoult
- Aix-Marseille Université, Unité de Recherche en Maladies Infectieuses et Tropicales Emergentes, Faculté de Médecine et de Pharmacie, Marseille, France
| | - J M Rolain
- Aix-Marseille Université, Unité de Recherche en Maladies Infectieuses et Tropicales Emergentes, Faculté de Médecine et de Pharmacie, Marseille, France
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Drissi M, Cwieluch O, Lechner P, Radziwill R, Vehling-Kaiser U, Hengst K, Masin M. Nutrition care in patients with cancer: A retrospective multicenter analysis of current practice - Indications for further studies? Clin Nutr 2014; 34:207-11. [PMID: 24679553 DOI: 10.1016/j.clnu.2014.03.002] [Citation(s) in RCA: 10] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2013] [Revised: 02/26/2014] [Accepted: 03/01/2014] [Indexed: 11/29/2022]
Abstract
BACKGROUND & AIMS Weight loss and malnutrition are frequent problems in oncology patients. The aim of this study was to get a perspective of the current practice of parenteral nutrition (PN) care in an outpatient setting and to improve patient-centered nutritional care. METHODS Fifty-three outpatient oncology centers participated in this observational study performed between July 2010 and March 2011. All participating centers entered data online into a web-based documentation form, containing a number of oncology patients, diagnoses, and detailed data about oncology patients receiving PN. RESULTS Two cohorts were analyzed. First cohort consisted of all oncology patients in quarter 04/2010. Second cohort consisted of patients with PN during the whole studying period. In the first cohort 2.46% (n = 626) of 25,424 oncology patients received PN. Most frequent diagnoses of patients receiving PN were gastric cancer (n = 119) and colorectal cancer (n = 104), however most stated diagnosis was "other" (n = 163). In the second cohort (n = 1137), a common indication for PN was impaired gastrointestinal passage (n = 177), although here again most stated reason was "other" (n = 924). In the course of the PN treatment, patients (n = 1137) showed a stable or slowly increasing body mass index (from 21.6 ± 3.8 kg/m(2) to 21.8 ± 3.5 kg/m(2)). CONCLUSION This is the largest study outlining the characteristics of oncology patients in the context of PN in German ambulatory centers. They confirm the important role of PN in the care of gastrointestinal cancer. Further studies have to be performed to identify if other indications than those mentioned in relevant guidelines can trigger initiation of PN.
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Affiliation(s)
- M Drissi
- University Hospital of Münster, Department B/Clinical Nutrition, Westfälische Wilhelms-University, Münster D-48149, Germany.
| | - O Cwieluch
- University Hospital of Münster, Department B/Clinical Nutrition, Westfälische Wilhelms-University, Münster D-48149, Germany.
| | - P Lechner
- Klinikum Fulda, Department of Pharmacy and Patients Consulting Center, Fulda D-36043, Germany
| | - R Radziwill
- Klinikum Fulda, Department of Pharmacy and Patients Consulting Center, Fulda D-36043, Germany
| | - U Vehling-Kaiser
- Outpatient Clinic Landshut, Department of Hematology, Oncology and Palliative Care, Landshut D-84028, Germany
| | - K Hengst
- University Hospital of Münster, Department B/Clinical Nutrition, Westfälische Wilhelms-University, Münster D-48149, Germany
| | - M Masin
- University Hospital of Münster, Department B/Clinical Nutrition, Westfälische Wilhelms-University, Münster D-48149, Germany
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10
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Tijani Y, Atmani N, Drissi M, Hatim A, Drissi S, Abissegue Y, Chtata H, Taberkant M. [Infected aneurysm of a branch of the superior mesenteric artery]. ACTA ACUST UNITED AC 2014; 39:77-80. [PMID: 24439207 DOI: 10.1016/j.jmv.2013.11.002] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2012] [Accepted: 10/26/2013] [Indexed: 11/27/2022]
Abstract
Aneurysm of the superior mesenteric artery is a rare finding. The risk of rupture is difficult to predict and manage. We report the case of a young woman who developed an aneurysm of the superior mesenteric artery in a context of bacterial endocarditis. Surgical resection without revascularization was successful.
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Affiliation(s)
- Y Tijani
- Service de chirurgie vasculaire de l'HMIMV, université Mohammed V, Souissi, Rabat, Maroc.
| | - N Atmani
- Service de chirurgie cardiaque, université Mohammed V, Souissi, Rabat, Maroc
| | - M Drissi
- Service de cardiologie, université Mohammed V, Souissi, Rabat, Maroc
| | - A Hatim
- Service de cardiologie, université Mohammed V, Souissi, Rabat, Maroc
| | - S Drissi
- Service de cardiologie, université Mohammed V, Souissi, Rabat, Maroc
| | - Y Abissegue
- Service de chirurgie vasculaire de l'HMIMV, université Mohammed V, Souissi, Rabat, Maroc
| | - H Chtata
- Service de chirurgie vasculaire de l'HMIMV, université Mohammed V, Souissi, Rabat, Maroc
| | - M Taberkant
- Service de chirurgie vasculaire de l'HMIMV, université Mohammed V, Souissi, Rabat, Maroc
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Aithoussa M, Moutakiallah Y, Abdou A, Bamous M, Nya F, Atmani N, Seghrouchni A, Selkane C, Amahzoune B, Wahid FA, Elbekkali Y, Drissi M, Berrada N, Azendour H, Boulahya A. [Surgery of aortic regurgitation with reduced left ventricular function]. Ann Cardiol Angeiol (Paris) 2013; 62:101-7. [PMID: 23312336 DOI: 10.1016/j.ancard.2012.04.004] [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] [Received: 05/18/2011] [Accepted: 04/08/2012] [Indexed: 11/17/2022]
Abstract
BACKGROUND Aortic valve replacement improves clinical symptoms and left ventricular systolic function in patients with chronic aortic regurgitation despite a higher surgical risk. The objective of this study is to determine if left ventricular function will be normalized after surgery. PATIENTS AND METHOD This retrospective study included 40 patients (nine females and 31 males) with chronic aortic regurgitation and left ventricular systolic dysfunction who were evaluated by echocardiography Doppler. Were included patients with left ventricular ejection fraction less or equal to 45%. Ages ranged from 18 to 77 years (mean = 46.4 ± 12.6 years). Preoperatively, six patients (15%) were asymptomatic, ten (25%) were in NYHA II, half (50%) in NYHA III and four (10%) in NYHA IV. The mean preoperative ejection fraction (EF) was 36.2 ± 2%. The mean end systolic and diastolic dimensions were 61.7 ± 8.5 mm and 78.9 ± 9.7 mm respectively. Aortic regurgitation was quantified grade III in sixteen patients (40%) and grade IV in twenty-four (60%). RESULTS Thirty-seven patients underwent aortic valve replacement and three Bentall operations. Hospital mortality was 7.5% (3/40). The mean follow-up period was 69.7 months. All survivor patients were investigated. Out of these, five were lost and 32 were controlled. Symptomatic improvement was noted in most of the survivors. Sixty percent (24/40) were severely symptomatic before and only 6.25% (2/32) during follow-up. The ejection fraction increased significantly after surgery (36.2 ± 2% in preoperative period vs. 55.2 ± 10% in postoperative period, P < 0.02). Left ventricular diameters decreased significantly also. Survival rates were 3-year 94%, 5-year 91% and 7-year 89%. CONCLUSION Despite reduced left ventricular systolic function, aortic valve replacement in chronic aortic regurgitation was associated with acceptable operative risk. Surgery improves functional status, symptoms and ejection fraction in most patients.
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Affiliation(s)
- M Aithoussa
- Service de chirurgie cardiaque, hôpital militaire d'instruction Mohammed V, Hay Riyad, BB 10100 Rabat, Maroc.
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12
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Ait Houssa M, Moutakiallah Y, Abdou A, Selkane C, Amahzoune B, Drissi M, Raissouni M, El Bekkali Y, Azendour H, Boulahya A. [Results of coronary artery bypass grafting with left ventricular dysfunction (comparison of off-pump versus on-pump)]. Ann Cardiol Angeiol (Paris) 2012. [PMID: 23183222 DOI: 10.1016/j.ancard.2012.09.017] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
BACKGROUND The aim of this study was to compare the results of myocardial revascularisation with or without cardiopulmonary bypass in patients with impaired left ventricular function. PATIENTS AND METHODS Five hundred and sixteen consecutive patients who underwent coronary artery bypass grafting from January 2000 through December 2007 were analyzed retrospectively. One hundred and eight cases had a left ventricular EF (ejection fraction) of 45% or less. Of these patients, 78 underwent conventional coronary artery bypass (CCABG) and 30 underwent off-pump procedure (OCABG). The CCABG group received 300IU/kg of heparin while the OCABG received 100IU/kg. The off-pump coronary surgery was carried out using a tissue stabilizer Octopus II. Different pre-, per- and postoperative variables were evaluated among both groups. Statistical analysis was performed by SPSS 11.5. The variables were compared between these two groups using univariate analysis (Chi(2) test, Fisher's test exact) for qualitative variable and (Student's t test, Mann-Whitney's test) for quantitative variable. RESULTS Patients profiles and risk factors were similar among both groups except for age (CCABG: 57.8±9.2 year vs OCABG: 52±9.9 year; P=0.004) and left ventricular EF (CCABG: 37.4±6.3% vs OCABG: 34±7.8%; P=0.02). The number of grafts performed per patient was significantly more among patients who underwent extracorporeal circulation (CCABG: 2.53±0.7 graft/patient vs OCABG: 1.77±0.8 graft/patient; P<0.0001). The hospital mortality was more among CCABG group 9% vs 3.3% in OCABG but the difference was not significant (P=0.3). However, the operative time and the operative room stay were long in CCABG (252±61min vs 175±38min; P<0.0001 - 389±70min vs 298±54min; P<0.0001). The ventilation time was also long in CCABG (32.3±67hour vs 10.4±5.9hour; P=0.15). There was more postoperative myocardial infarction in CCABG (P=0.008), but the EF increased and was better in CCABG. CONCLUSION Off-pump coronary artery bypass surgery provides satisfactory operative results for most patients with reduced left ventricular function. Prospective and randomly study will be necessary before concluding.
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Affiliation(s)
- M Ait Houssa
- Service de chirurgie cardiovasculaire, hôpital militaire d'instruction Mohamed V, BP 10100, Rabat, Maroc.
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13
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Ahmed ZB, Ayad A, Mesli E, Messai Y, Bakour R, Drissi M. CTX-M-15 extended-spectrum beta-lactamases in Enterobacteriaceae in the intensive care unit of Tlemcen Hospital, Algeria. East Mediterr Health J 2012; 18:382-6. [PMID: 22768702 DOI: 10.26719/2012.18.4.382] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
The aim of this study was to detect extended-spectrum beta-lactamases (ESBL) in Enterobacteriaceae isolates in the intensive care unit (ICU) of Tlemcen hospital in north-western Algeria. Antimicrobial susceptibility testing, molecular typing, characterization of ESBL-encoding genes and the genetic environment, conjugation experiments and plasmid analysis were carried out. In all, 28 Enterobacteriaceae isolates were isolated from specimens recovered from patients in the ICU and 2 from surfaces of the unit. Of these, 11 isolates (4 Escherichia coli, 5 Klebsiella pneumoniae and 2 Enterobacter cloacae) produced ESBL of the CT-X-M-15 type. Molecular typing of the isolates showed the clonal nature of 4 K. pneumoniae isolates. The bla(CTXM-15) gene was genetically linked to insertion sequence lSEcp1B and was transferable by conjugation from 3 isolates. Regular monitoring of resistance mechanisms, the establishment of a prevention strategy, and more rational and appropriate use of antibiotics are needed.
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Affiliation(s)
- Z Baba Ahmed
- Laboratory "Antibiotics-Antifungals" University ofAbou Bekr Belkaïd, Tlemcen, Algeria
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Chouaïh A, Boubegra N, Benhalima N, Drissi M, Hamzaoui F. Charge density study of an nonlinear optical compound – a combined experimental and theoretical study. Acta Crystallogr A 2011. [DOI: 10.1107/s010876731108696x] [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: 11/10/2022] Open
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15
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Hamzaoui F, Chouaïh A, Drissi M, Boubegra N. Topological analysis and charge-density studies of m-nitrophenol compound. A combined experimental and theoretical study. Acta Crystallogr A 2011. [DOI: 10.1107/s0108767311086958] [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: 11/10/2022] Open
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16
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Madani M, Madani H, Athmani N, Drissi M, Khatouf M, Jegaden O. [Vidéo-assisted mitral valve surgery: state of the art]. Ann Cardiol Angeiol (Paris) 2010; 59:144-6. [PMID: 20511120 DOI: 10.1016/j.ancard.2010.04.001] [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: 12/29/2009] [Accepted: 04/06/2010] [Indexed: 10/19/2022]
Abstract
Video-assisted mitral valve surgery by right mini-thoracotomy is adopted systematically in many centers in the world. It is a safe procedure that offers good results with low morbidity. His major interest can be appreciated in surgical management of mitral valve regurgitation after coronary artery bypass.
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Affiliation(s)
- M Madani
- Service de chirurgie cardiovasculaire B, hôpital Louis-Pradel, 28, avenue du Doyen-Lepine, 69500 Bron, France.
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El Bekkali Y, Madani M, Boulahya A, Drissi M, Houssa MA, Selkane C, El Kabiri H, Elkirat A. [Penetrating right ventricle injury by a metal bar : case report]. J Chir (Paris) 2009; 146:67-69. [PMID: 19446697 DOI: 10.1016/j.jchir.2009.03.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Affiliation(s)
- Y El Bekkali
- Service de chirurgie cardiovasculaire, hôpital militaire d'instruction Mohammed V, Rabat, Morocco
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18
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Massou S, Drissi M, Hatim G, Ibat D, Drissi Kamili N, Atmani M. Le propofol a-t-il une place dans le traitement des céphalées postrachianesthésie ? ACTA ACUST UNITED AC 2008; 27:861-2. [DOI: 10.1016/j.annfar.2008.09.001] [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] [Indexed: 11/30/2022]
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19
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Hatim A, Belyamani L, Drissi M, Ibat D, Houssa A, Drissi Kamili N. [Knotting catheter in the superior vena cava: rare complication of Swan-Ganz]. Ann Fr Anesth Reanim 2008; 27:761-762. [PMID: 18760892 DOI: 10.1016/j.annfar.2008.07.083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
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20
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Benjelloun M, Drissi M, Makhloufi M, Nouri A, Karmouni T, Tazi K, Elkhader K, Koutani A, Benatya A, Hachimi M. Traitement des sténoses de l’urètre par urétrotomie interne endoscopique: résultats anatomiques et fonctionnels d’une série de 244 cas. Afr J Urol 2008. [DOI: 10.1007/s12301-008-0002-3] [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
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21
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Bensghir M, Elwali A, Miller C, Azendour H, Drissi M, Bakkali H, Belyamani L, Atmani M, Drissi Kamili N. Effet d’une infiltration sous-cutanée de ropivacaïne 0,75 % sur l’analgésie postopératoire après césarienne. ACTA ACUST UNITED AC 2008; 36:516-20. [DOI: 10.1016/j.gyobfe.2008.03.007] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2007] [Accepted: 03/12/2008] [Indexed: 11/30/2022]
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22
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Drissi M, Karmouni T, Tazi K, El Khader K, Koutani A, Ibn Attya A, Hachimi M. Les fistules vésico-utérines : une expérience de 17ans. Prog Urol 2008; 18:173-6. [DOI: 10.1016/j.purol.2007.12.011] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2007] [Accepted: 12/01/2007] [Indexed: 10/22/2022]
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24
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Taberkant M, Madani M, Chtata H, Drissi M, Mahi M, Elkirat A. [Middle aortic syndrome: a case report]. Ann Cardiol Angeiol (Paris) 2007; 57:243-5. [PMID: 18096129 DOI: 10.1016/j.ancard.2007.08.015] [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: 01/22/2007] [Accepted: 08/27/2007] [Indexed: 10/22/2022]
Abstract
Middle aortic syndrome (MAS) results from a diffuse narrowing of the distal thoracic or abdominal aorta commonly involving both the visceral and renal arteries. Congenital, acquired, inflammatory, and infectious etiologies have been described. Symptoms typically occur within the first three decades of life and include hypertension, lower extremity claudication, and mesenteric ischemia. The condition is considered a life-threatening emergency as a result of the complications associated with severe hypertension. Diagnosis is made with magnetic resonance and computed tomography angiography. Surgical bypass grafting is the optimal method of treatment and must be tailored depending on the distribution of disease. We report one case of MAS treated with thoracic aorta to abdominal aorta bypass and reimplantation of the right renal artery.
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Affiliation(s)
- M Taberkant
- Service de chirurgie cardiovasculaire, hôpital militaire d'instruction Mohamed-V, Rabat, Maroc.
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Ait Houssa M, Selkane C, Moutaki Allah Y, Elbekkali Y, Amahzoune B, Wahid F, Abdou A, Bamouss M, Boulahya A, Elkirat A, Drissi M, Ibat D, Jabrani K. [Upper digestive bleedings after cardiac surgery]. Ann Cardiol Angeiol (Paris) 2007; 56:126-9. [PMID: 17572172 DOI: 10.1016/j.ancard.2007.02.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2006] [Accepted: 02/19/2007] [Indexed: 05/15/2023]
Abstract
INTRODUCTION Upper gastrointestinal haemorrhage (UGH) following cardiac surgery is infrequent with high mortality. The aim of this study is to compare the frequency and outcome of UGH in patients who had undergone open heart surgery at our institution. PATIENTS AND METHODS From January 1994 to December 2005, 1278 cardiac operations were performed. A systematic prophylaxis antiacid was used by antagonists of histaminic receptor (anti-H2, ranitidine 150 mg/12 h) in all patients. The diagnosis was based on clinical symptoms (haematemesis and/or melaena) in the postoperative period and confirmed by fibroscopy. We conducted a retrospective study of these patients. RESULTS Only 8 of the 1278 (0,6%) cardiac operations were complicated by UGH. Demographic data were reported in Table 1. The mean interval between surgery and UGH was 10+/-3,7 days (range 5,15 days). Gastro-duodenal ulcer was the most common cause of UGH in 5 patients (62%), ulcero-hemorrhagic eosophagitis was developed in one patient (12,5%), candidosic eosophagitis in one and multiple gastric ulcer in one patient (12,5%). Medical treatment was applied in 6 patients (72%) with successful result. Surgical intervention was necessary in 2 patients (25%). 2 patients had repeat gastrointestinal bleeding. One patient was died; he was recorded as having severe sepsis and multiple organ failure in addition to UGH. CONCLUSION UGH in patients undergoing heart operation is rare but associated with poor prognosis despite antiacid prophylaxis. These complications occurred in patients who had in postoperative bad hemodynamic conditions.
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Affiliation(s)
- M Ait Houssa
- Service de chirurgie cardiovasculaire Hay-Riad, hôpital militaire d'instruction Mohammed-V, 10100 Rabat, Maroc.
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Khatouf M, Ifkharen B, Drissi M, Housni B, Harandou M, Kanjaa N. Rhabdomyolyse aiguë lors d’une intoxication au butane. À propos de deux cas. ACTA ACUST UNITED AC 2004; 23:1080-3. [PMID: 15581724 DOI: 10.1016/j.annfar.2004.09.003] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2004] [Accepted: 09/07/2004] [Indexed: 10/26/2022]
Abstract
Prolonged inhalation of gas butane induced mostly neurological and cardiovascular symptoms. We reported two very rare cases of acute rhabdomyolysis caused by accidental prolonged inhalation of butane. The early diagnosis and the symptomatic treatment were associated with favourable evolution in the two cases. The mechanism of this complication is discussed and compared with the literature.
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Affiliation(s)
- M Khatouf
- Service d'anesthésie réanimation chirurgicale, CHU Hassan-II, Fès, Maroc.
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Belyamani L, Kriet M, Laktaoui A, Azendour H, Drissi M, Haimeur CH, Drissi NK, Terhazaz A, Atmani M. [Peribulbar anesthesia: comparing 1% ropivacaine and a mixture of 0.5% bupivacaine--2% lidocaine]. J Fr Ophtalmol 2003; 26:953-6. [PMID: 14631279] [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: 04/27/2023]
Abstract
PURPOSE To compare the efficacy of 1% ropivacaine with a mixture of 0.5% bupivacaine and 2% lidocaine in peribulbar anesthesia for elective cataract surgery. MATERIAL AND METHODS Prospective double-blinded study, enrolling 100 patients randomly assigned to two different groups. Group 1 received 9 ml of 1% ropivacaine and group 2 received 4.5 ml of 0.5% bupivacaine and 4.5 ml of 2% lidocaine. Both groups received 1 ml of hyaluronidase to reach a total volume of 10 ml. RESULTS AND CONCLUSION No difference between the groups was noted during the study regarding not only onset time, but also the duration of anesthesia and perioperative analgesia. A greater incidence of pain on injection was significantly reported in group 2 (p<0.001). Patients in group 1 had less need for top-up injection and showed better ocular akinesia (p<0.01).
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Affiliation(s)
- L Belyamani
- Service d'Anesthésie Réanimation, Hôpital Militarie Mohamed V, Rabat, Maroc.
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Abstract
One case of inflammatory pseudo-tumor revealed by mictional disorders is reported. Ultrasonography and computed tomography visualised a non specific formation of bladder dome witch extend to the Retzius space and umbilicus. The diagnosis of urachal tumor had been suspected. Anatomopathologic analysis of the operative piece disclose a diagnosis of the urachal remnants with foreign body type of inflammation. Since malignant transformation of urachal remnants is possible, surgical resection is advised.
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Affiliation(s)
- M Drissi
- Service de radiologè, hôpital militaire d'instruction Mohamed V Hay Ryad, Rabat, Maroc
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