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Mosbahi S, Ben Youssef S, Zouaoui A, Abdelali M, Ben Fredj M, Ben Abdejelil N, Belhassen S, Hidouri S, Chabchoub I, Ksia A, Sahnoun L, Mekki M, Zakhama A, Zrig A, Belghith M. Metanephric adenoma diagnosed on biopsy in an infant: a case report. J Med Case Rep 2023; 17:354. [PMID: 37550779 PMCID: PMC10408113 DOI: 10.1186/s13256-023-04046-1] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Accepted: 06/19/2023] [Indexed: 08/09/2023] Open
Abstract
BACKGROUND Metanephric adenoma is a rare benign renal tumor of the kidney, uncommonly observed in children. It is often misdiagnosed preoperatively as a malignant neoplasm, leading to an unnecessary nephrectomy. The challenge is to make the right diagnosis preoperatively and therefore manage it with conservative surgery. We report a case of a child with metanephric adenoma who underwent nephron-sparing surgery. CASE PRESENTATION A renal tumor was discovered fortuitously in an 18-month-old Caucasian girl with several congenital malformations. Investigations showed a 28 × 27 × 27 mm left renal mass centrally located, well defined, nonvascularized, with no calcifications and which compressed the adjacent renal tissue. Furthermore, there were no signs of metastasis. The decision of a multidisciplinary meeting was to perform a computed tomography (CT)-scan-guided biopsy. Histologic examination concluded it was a metanephric adenoma. We performed a left open partial nephrectomy via a flank retroperitoneal incision. The final histopathological examination confirmed the diagnosis. The postoperative course was uneventful. CONCLUSION Preoperative diagnosis of metanephric adenoma is challenging. Because of the high probability of unnecessary radical nephrectomy, preoperative biopsy can be safe and determining to guide a more conservative approach so nephron-sparing surgery can be performed.
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Affiliation(s)
- S. Mosbahi
- Department of Pediatric Surgery, Fattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Farhat Hached Street, 5000 Monastir, Tunisia
| | - S. Ben Youssef
- Department of Pediatric Surgery, Fattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Farhat Hached Street, 5000 Monastir, Tunisia
| | - A. Zouaoui
- Department of Pediatric Surgery, Fattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Farhat Hached Street, 5000 Monastir, Tunisia
| | - M. Abdelali
- Department of Radiology, Fattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia
| | - M. Ben Fredj
- Department of Pediatric Surgery, Fattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Farhat Hached Street, 5000 Monastir, Tunisia
| | - N. Ben Abdejelil
- Department of AnatomopathologyFattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia
| | - S. Belhassen
- Department of Pediatric Surgery, Fattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Farhat Hached Street, 5000 Monastir, Tunisia
| | - S. Hidouri
- Department of Pediatric Surgery, Fattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Farhat Hached Street, 5000 Monastir, Tunisia
| | - I. Chabchoub
- Department of Oncology, Farhat Hached University Hospital, Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
| | - A. Ksia
- Department of Pediatric Surgery, Fattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Farhat Hached Street, 5000 Monastir, Tunisia
| | - L. Sahnoun
- Department of Pediatric Surgery, Fattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Farhat Hached Street, 5000 Monastir, Tunisia
| | - M. Mekki
- Department of Pediatric Surgery, Fattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Farhat Hached Street, 5000 Monastir, Tunisia
| | - A. Zakhama
- Department of AnatomopathologyFattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia
| | - A. Zrig
- Department of Radiology, Fattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia
| | - M. Belghith
- Department of Pediatric Surgery, Fattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Farhat Hached Street, 5000 Monastir, Tunisia
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Tabka O, Sanaa I, Mekki M, Acheche A, Paillard T, Trabelsi Y. Effect of a pulmonary rehabilitation program combined with cognitive training on exercise tolerance and cognitive functions among Tunisian male patients with chronic obstructive pulmonary disease: A randomized controlled trial. Chron Respir Dis 2023; 20:14799731231201643. [PMID: 37691169 PMCID: PMC10494516 DOI: 10.1177/14799731231201643] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Accepted: 08/21/2023] [Indexed: 09/12/2023] Open
Abstract
BACKGROUND Cognitive impairment has been well described in patients with Chronic Obstructive Pulmonary Disease (COPD) in addition to cardiorespiratory disability. To reduce this impairment, researchers have recommended the use of single or combined exercise training. However, the combined effect of cognitive training (CT) and pulmonary rehabilitation (PR) program on selective cognitive abilities in patients with COPD has not been fully evaluated. Therefore, we aimed to assess the impact of PR combined with CT on 6 minutes walking test (6MWT) and cognitive parameters in Tunisian males' patients with COPD. METHODS Thirty-nine patients with COPD were randomly assigned to an intervention group (n = 21, age = 65.3 ± 2.79) and a control group (n = 18, age = 65.3 ± 3.2). The intervention group underwent PR combined with CT, and the control group underwent only PR, three times per week for 3 months. The primary outcomes were 6MWT (6 minutes walking test -6MWT-parameters) and cognitive performance, as evaluated by Montreal cognitive assessments (MOCA) and P300 test. Secondary outcomes were patient's characteristics and spirometric data. These tests were measured at baseline and after 3 months of training programs. RESULTS Results showed a significant improvement of the 6MWT distance after the rehabilitation period in both groups (p < .001). Moreover, both groups showed significant improvement (p < .001) in cognitive performance including MOCA score and P300 test latency in three midline electrodes. However, the improvement in cognitive performance was significantly greater in the PR+CT group than the PR group. CONCLUSION In conclusion, although PR alone improves 6MWT parameters and cognitive function, the addition of CT to PR is more effective in improving cognitive abilities in patients with COPD. This combined approach may provide clinicians with a complementary therapeutic option for improving cognitive abilities in patients with COPD.
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Affiliation(s)
- Oussama Tabka
- Laboratory of Research: Exercise Physiology and Pathophysiology: from integral to molecular Biology, Medicine and Health (LR19ES09), Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
| | - Imen Sanaa
- Laboratory of Research: Exercise Physiology and Pathophysiology: from integral to molecular Biology, Medicine and Health (LR19ES09), Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
| | - Marwa Mekki
- Laboratory of Research: Exercise Physiology and Pathophysiology: from integral to molecular Biology, Medicine and Health (LR19ES09), Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
| | - Amal Acheche
- Laboratory of Research: Exercise Physiology and Pathophysiology: from integral to molecular Biology, Medicine and Health (LR19ES09), Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
| | - Thierry Paillard
- Movement, Balance, Performance and Health Laboratory (EA 4445), University of Pau and des Pays de l’Adour, Pau, France
| | - Yassine Trabelsi
- Laboratory of Research: Exercise Physiology and Pathophysiology: from integral to molecular Biology, Medicine and Health (LR19ES09), Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
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Mekki M, Paillard T, Bouhlel E, Shephard RJ, Tabka Z, Trabelsi Y. Anthropometric, Psychosocial, Physiological, and Postural Observances During Ramadan in Men With Chronic Obstructive Pulmonary Disease. Am J Mens Health 2022; 16:15579883221078141. [PMID: 35184575 PMCID: PMC8864263 DOI: 10.1177/15579883221078141] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
This study aimed to carry out a Ramadan observance (RO) on anthropometric, psychosocial, physiological, and postural characteristics of patients with chronic obstructive pulmonary disease (COPD). Twenty COPD patients were evaluated. Tests performed 1 week before Ramadan (C), and during the second (R-2) and the fourth weeks of Ramadan (R-4) included standard anthropometry, spirometry, a quality of life questionnaire (VQ11), a 6-minute walking test (6MWT), measurement of maximal voluntary contraction force of the quadriceps (MVC), Timed Get Up and Go (TUG), Berg Balance Scale (BBS), and Unipedal Stance (UST). During R-2, there were significant decreases in forced vital capacity and forced expiratory volumes, 6MWT distance, MVC, BBS, and UST, with significant increases in TUG and significant changes in VQ11. During R-4, there was some recovery, but all variables remained significantly different from initial control data. To conclude, RO adversely affects pulmonary function, exercise performance, postural balance, and quality of life in COPD, with some recovery by the R-4. Although a number of functional consequences remain to be elucidated, functional losses were insufficient to limit daily living in our sample, but further studies are recommended in those with more severe COPD, paying particular attention to postural disturbances and a possible increase in the risk of falls.
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Affiliation(s)
- Marwa Mekki
- Research Laboratory of Exercise Physiology and Pathophysiology: From Integral to Molecular, Biology, Medicine and Health (LR19 ES09), Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.,Faculty of Science of Bizerte, University of Carthage, Tunisia
| | - Thierry Paillard
- Movement, Balance, Performance and Health Laboratory (EA 4445), E2S/University of Pau and des Pays de l'Adour, France
| | - Ezdine Bouhlel
- Research Laboratory of Exercise Physiology and Pathophysiology: From Integral to Molecular, Biology, Medicine and Health (LR19 ES09), Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
| | - Roy J Shephard
- Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada
| | - Zouhair Tabka
- Research Laboratory of Exercise Physiology and Pathophysiology: From Integral to Molecular, Biology, Medicine and Health (LR19 ES09), Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
| | - Yassine Trabelsi
- Research Laboratory of Exercise Physiology and Pathophysiology: From Integral to Molecular, Biology, Medicine and Health (LR19 ES09), Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
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Mehmood U, Harrabi K, Hussein IA, Shanmugam N, Mekki A, Mekki M, McLachlan MA. Correction to: A study on stability of active layer of polymer solar cells: effect of UV–visible light with different conditions. Polym Bull (Berl) 2020. [DOI: 10.1007/s00289-019-02834-8] [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: 11/30/2022]
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Youssef SB, Ksia A, Fredj MB, Messaoud M, Laamiri R, Belhassen S, Mosbahi S, Bouzzaffara B, Sahnoun L, Mekki M, Belguith M, Nouri A. Intérêt de la technique de Koyanagi dans le traitement de l’hypospadias posterieur chez l’enfant. African Journal of Urology 2018. [DOI: 10.1016/j.afju.2017.09.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Marzloff GE, Delgado AD, Mekki M, Di Rosario GG, Chun A, Escalon MX, Tsai CY. Poster 84: The Reliability of Modified Posturography to Test Dynamic Sitting Balance in Patients with Spinal Cord Injury. PM R 2018. [DOI: 10.1016/j.pmrj.2018.08.109] [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: 11/26/2022]
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Mekki M, Paillard T, Sahli S, Tabka Z, Trabelsi Y. Effect of adding neuromuscular electrical stimulation training to pulmonary rehabilitation in patients with chronic obstructive pulmonary disease: randomized clinical trial. Clin Rehabil 2018; 33:195-206. [PMID: 30064259 DOI: 10.1177/0269215518791658] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [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: 11/17/2022]
Abstract
OBJECTIVE: To investigate the effectiveness of neuromuscular electrical stimulation added to pulmonary rehabilitation on walking tolerance and balance in patients with chronic obstructive pulmonary disease (COPD). DESIGN: Randomized clinical trial. SETTING: Outpatient, Faculty of Medicine of Sousse, Tunisia. SUBJECTS: A total of 45 patients with COPD were assigned to an intervention group ( n = 25) or a control group ( n = 20). INTERVENTIONS: The intervention group underwent a neuromuscular electrical stimulation added to pulmonary rehabilitation, and the control group underwent only a pulmonary rehabilitation, three times per week during six months. MAIN MEASURES: Measures were taken at baseline and after six months of training. A stabilometric platform, time up and go, Berg balance scale tests, 6 minute walking test, and the maximal voluntary contraction were measured. RESULTS: In the intervention group, an increase in an exercise tolerance manifested by a longer distance walked in 6 minute walking test 619.5 (39.6) m was observed in comparison to the control group 576.3 (31.5) m. The values of the time up and go, Berg balance scale, and maximal voluntary contraction in the intervention group at follow-up were significantly higher than those in the control group ( P = 0.02, P = 0.01, P = 0.0002, respectively). The center of pressure in the mediolateral and in the anteroposterior directions, as well as the center of pressure area was significantly more improved in open eyes and closed eyes in the intervention group compared to the control group ( P < 0.001). CONCLUSION: The neuromuscular electrical stimulation added to pulmonary rehabilitation group benefited from better walking tolerance and greater balance improvement than the only pulmonary rehabilitation.
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Affiliation(s)
- Marwa Mekki
- 1 Research Unit of Exercise Physiology and Pathophysiology: from integral to molecular Biology, Medicine and Health (UR12 ES06), Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.,2 Faculty of Sciences of Bizerte, University of Carthage, Carthage, Tunisia
| | - Thierry Paillard
- 3 Movement, Balance, Performance and Health Laboratory (EA 4445), University of Pau and des Pays de l'Adour, Paul, France
| | - Sonia Sahli
- 4 Research Unit Education, Motricité, Sports et santé (UR15JS01), High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Zouhair Tabka
- 1 Research Unit of Exercise Physiology and Pathophysiology: from integral to molecular Biology, Medicine and Health (UR12 ES06), Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
| | - Yassine Trabelsi
- 1 Research Unit of Exercise Physiology and Pathophysiology: from integral to molecular Biology, Medicine and Health (UR12 ES06), Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia
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Allah OA, Abdalla S, Mekki M, Awadallah A. RFID based Access Control and Registration System. 2018 International Conference on Computer, Control, Electrical, and Electronics Engineering (ICCCEEE) 2018. [DOI: 10.1109/iccceee.2018.8515794] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
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Abstract
Mobility after spinal cord injury (SCI) is among the top goals of recovery and improvement in quality of life. Those with tetraplegia rank hand function as the most important area of recovery in their lives, and those with paraplegia, walking. Without hand function, emphasis in rehabilitation is placed on accessing one's environment through technology. However, there is still much reliance on caretakers for many activities of daily living. For those with paraplegia, if incomplete, orthoses exist to augment walking function, but they require a significant amount of baseline strength and significant energy expenditure to use. Options for those with motor complete paraplegia have traditionally been limited to the wheelchair. While wheelchairs provide a modified level of independence, wheelchair users continue to face difficulties in access and mobility. In the past decade, research in SCI rehabilitation has expanded to include external motorized or robotic devices that initiate or augment movement. These robotic devices are used with 2 goals: to enhance recovery through repetitive, functional movement and increased neural plasticity and to act as a mobility aid beyond orthoses and wheelchairs. In addition, lower extremity exoskeletons have been shown to provide benefits to the secondary medical conditions after SCI such as pain, spasticity, decreased bone density, and neurogenic bowel. In this review, we discuss advances in robot-guided rehabilitation after SCI for the upper and lower extremities, as well as potential adjuncts to robotics.
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Affiliation(s)
- Marwa Mekki
- Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Andrew D Delgado
- Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Adam Fry
- Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - David Putrino
- Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Vincent Huang
- Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
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Mekki M, Bryce TN. Poster 58 Very Early Surgical Excision of Heterotopic Ossification during Inpatient Rehabilitation 7 Weeks After Diagnosis in a Patient with Left Acromioclavicular Fracture and Spinal Cord Injury: A Case Report. PM R 2016; 8:S180. [DOI: 10.1016/j.pmrj.2016.07.101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Marwa Mekki
- Mt Sinai Health System, New York, New York, United States
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Crochemore C, Mekki M, Corbière C, Karoui A, Noël R, Vendeville C, Vaugeois JM, Monteil C. Subsarcolemmal and interfibrillar mitochondria display distinct superoxide production profiles. Free Radic Res 2015; 49:331-7. [PMID: 25689624 DOI: 10.3109/10715762.2015.1006212] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [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: 01/13/2023]
Abstract
Cardiac subsarcolemmal mitochondria (SSM) and interfibrillar mitochondria (IFM) subpopulations display distinct biochemical, morphological, and functional characteristics. Moreover, they appear to be differently influenced during cardiac pathologies or toxic injuries. Although mitochondrial reactive oxygen species seem to play a critical role in cardiac function and diseases, limited information exists about the superoxide production characteristics of these mitochondrial subpopulations. In this work, using direct measurement of superoxide by electron paramagnetic resonance, we showed that differences in superoxide production profiles were present between cardiac IFM and SSM, in terms of intensity and major sites of superoxide generation. In SSM incubated with glutamate plus malate as substrates, the total observed superoxide levels were significantly higher than those observed with IFM, with an important contribution of the NADH-oxidizing site of complex I (site If) and the quinol-oxidizing site of complex III (site IIIQ0). In both IFM and SSM, succinate leads to similar rates of total superoxide levels with a substantial role for contribution of reverse electron transfer. Finally, using two spin probes with different membrane permeabilities, our data on complex III showed direct intra- and extra-mitochondrial superoxide release whereas complex I- and II-dependent superoxide were exclusively released inside the mitochondria, confirming previous studies. Feasibility of this approach to measure intra- and extra-mitochondrial superoxide levels and to characterize distinct superoxide production profiles of cardiac IFM and SSM has been demonstrated.
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Affiliation(s)
- C Crochemore
- Normandy University, Univ Rouen , ABTE EA 4651 , France
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Ksia A, Haggui B, Mosbahi S, Maazoun K, Sahnoun L, Chahed J, Krichene I, Mekki M, Belghith M, Nouri A. [Gastric volvulus in children: five case reports]. Arch Pediatr 2014; 21:1339-43. [PMID: 25449446 DOI: 10.1016/j.arcped.2014.09.005] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2013] [Revised: 05/26/2014] [Accepted: 09/21/2014] [Indexed: 11/28/2022]
Abstract
UNLABELLED Gastric volvulus is an abnormal rotation of all or a part of the stomach around one of its axes. It is a rare cause of intestinal obstruction in children. This anomaly can be primary, due to abnormalities of the gastric ligaments, or secondary to other congenital malformations. We report on the cases of five children treated between January 1994 and December 2011, four boys and one girl, with a medium age of 7 months. Diagnosis was based on clinical features, particularly in the upper gastrointestinal Rx contrast study, which confirmed the diagnosis. Four out of the five children underwent laparoscopic surgery with fixation of the stomach. A diaphragmatic hernia was associated in one case. Antireflux surgery was performed in three cases, and a diaphragmatic defect was closed in one case. The follow-up was uneventful after a medium period of 7 years. CONCLUSION good knowledge of this anomaly is the guarantee of early diagnosis and optimum treatment to ameliorate the prognosis.
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Affiliation(s)
- A Ksia
- Service de chirurgie pédiatrique, hôpital Fattouma Bourguiba de Monastir, Tunisie.
| | - B Haggui
- Service de chirurgie pédiatrique, hôpital Fattouma Bourguiba de Monastir, Tunisie
| | - S Mosbahi
- Service de chirurgie pédiatrique, hôpital Fattouma Bourguiba de Monastir, Tunisie
| | - K Maazoun
- Service de chirurgie pédiatrique, hôpital Fattouma Bourguiba de Monastir, Tunisie
| | - L Sahnoun
- Service de chirurgie pédiatrique, hôpital Fattouma Bourguiba de Monastir, Tunisie
| | - J Chahed
- Service de chirurgie pédiatrique, hôpital Fattouma Bourguiba de Monastir, Tunisie
| | - I Krichene
- Service de chirurgie pédiatrique, hôpital Fattouma Bourguiba de Monastir, Tunisie
| | - M Mekki
- Service de chirurgie pédiatrique, hôpital Fattouma Bourguiba de Monastir, Tunisie
| | - M Belghith
- Service de chirurgie pédiatrique, hôpital Fattouma Bourguiba de Monastir, Tunisie
| | - A Nouri
- Service de chirurgie pédiatrique, hôpital Fattouma Bourguiba de Monastir, Tunisie
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Ksia A, Hagui B, Belhassen S, Sahnoun L, Maazoun K, Mosbahi S, Hidouri S, Ben Youssef S, Ben Brahim M, Chahed J, Krichéne I, Mekki M, Belguith M, Nouri A. Kyste hydatique du rein chez l’enfant: à propos de 8 cas. African Journal of Urology 2014. [DOI: 10.1016/j.afju.2014.10.002] [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: 10/24/2022] Open
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Sahnoun L, Ksia A, Mansour W, Hadhri R, Mosbahi S, Hammedi F, Maazoun K, Krichene I, Mekki M, Belguith M, Nouri A. Trois observations de néphrome mésoblastique avant l’âge de 6 mois. African Journal of Urology 2014. [DOI: 10.1016/j.afju.2014.03.035] [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] Open
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Sahnoun L, Ksia A, Kechich N, Sassi S, Hidouri S, Laamiri R, Belhassan S, Krichen I, Mekki M, Belghith M, Nouri A. SFCP CO-76 - Place du traitement chirurgical dans l’hyperinsulinisme congénital persistant. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)71714-2] [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: 11/28/2022]
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Hidouri S, Aloui S, Laamiri R, Ksiaa A, Chahed J, Belhassen S, Mekki M, Sahnoun L, Krichene I, Belguith M, Nouri A. SFCP CO-66 - Sténoses caustiques de l’œsophage chez l’enfant Résultats de 46 dilatations pneumatiques. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)71704-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: 11/30/2022]
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Laamiri R, Hidouri S, Aloui S, Belhassen S, Ksia A, Sahnoun L, Krichene I, Mekki M, Belghith M, Nouri A. SFCP P-110 - Ectopie testiculaire croisée. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)71825-1] [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]
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Kerkeni Y, Ksiaa A, Sahnoun L, Belghith M, Krichene I, Mekki M, Nouri A. Management of epithelial ovarian tumors in children. Tunis Med 2014; 92:350-351. [PMID: 25504399] [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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Laamiri R, Belhassen S, Hidouri S, Aloui S, Ksia A, Sahnoun L, Krichene I, Mekki M, Belghith M, Nouri A. SFCP P-011 - Sténoses œsophagiennes de l’épidermolyse bulleuse : à propos de deux cas. Arch Pediatr 2014. [DOI: 10.1016/s0929-693x(14)71727-0] [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: 11/30/2022]
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Ksia A, Mosbahi S, Belhassen S, Alaya A, Sahnoun L, Sfar S, Maazoun K, Laamiri R, Chahed J, Krichene I, Mekki M, Belghith M, Nouri A. Multiple Echinococcosis with an unusual location in the spermatic cord treated successfully by Albendazole: A case report. African Journal of Urology 2014. [DOI: 10.1016/j.afju.2013.09.002] [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: 11/15/2022] Open
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21
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Ksia A, Mosbahi S, Zrig A, Achour Z, Khadhar MK, Chioukh F, Sahnoun L, Krichene I, Mekki M, Belghith M, Stambouli L, Golli M, Zakhama A, Monastiri K, Nouri A. [Cervical teratoma in a child]. Arch Pediatr 2013; 20:1133-8. [PMID: 24011439 DOI: 10.1016/j.arcped.2013.07.008] [Citation(s) in RCA: 2] [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: 03/21/2013] [Revised: 05/06/2013] [Accepted: 07/13/2013] [Indexed: 11/19/2022]
Abstract
Teratomas are unusual tumors derived from all 3 germs cells layers: endoderm, mesoderm, and ectoderm, with varying proportions. The cervical area is exceptionally affected. We report 4 cases of cervical teratoma. The clinically and radiologically suggested diagnosis was confirmed by histology. We describe herein the main clinical, radiological, and histological aspects and outcomes of this disease. Despite its most often benign histologic nature, cervical teratoma may threaten newborn infants' life due to airway compression. A multidisciplinary approach to the disease starting at delivery is required to improve the prognosis.
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Affiliation(s)
- A Ksia
- Service de chirurgie pédiatrique, hôpital Fattouma-Bourguiba, Monastir, Tunisie.
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Sahnoun L, Kitar M, Maazoun K, Ksia A, Chahed J, Mekki M, Krichen I, Belghith M, Nouri A. Hirschsprung's Disease Presenting as Neonatal Appendicitis. J Neonatal Surg 2013; 2:25. [PMID: 26023445 PMCID: PMC4420371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2013] [Accepted: 03/23/2013] [Indexed: 11/02/2022] Open
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Mekki M, Ait Belkacem F, Zobiri S, Benkaidali I. Lésions érythémateuses annulaires du visage : quel est votre diagnostic ? Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.569] [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: 10/27/2022]
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Ksia A, Mosbahi S, Ben Brahim M, Sahnoun L, Laamiri R, Maazoun K, Krichene I, Mekki M, Belguith M, Nouri A. [Esophageal strictures in children with epidermolysis bullosa]. Arch Pediatr 2012; 19:1325-9. [PMID: 23116982 DOI: 10.1016/j.arcped.2012.09.012] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2012] [Revised: 06/28/2012] [Accepted: 09/23/2012] [Indexed: 11/16/2022]
Abstract
UNLABELLED Esophageal stricture is a rare but often severe complication of recessive dystrophic epidermolysis bullosa in children. The purpose of the study was to review this digestive complication with emphasis on diagnostic modalities and therapeutic management. PATIENTS AND METHODS This was a retrospective study of two pediatric cases of esophageal stenosis that occurred during generalized recessive dystrophic epidermolysis bullosa of the Hallopeau-Siemens type. RESULTS The 2 patients were aged 8 years 8 months and 11 years 5 months, respectively. Dysphagia was of early onset, before the age of 10 years in both cases. Esophageal opacification led to the diagnosis of esophageal stenosis located in the upper 1/3 of the esophagus in 1 case and at the junction between the middle and the lower 1/3 of the esophagus in the other case. None of the 2 patients received medical treatment, and pneumatic dilation was the treatment method that was advocated. Esophageal endoscopy showed the stenosis and helped guide the positioning of the balloon catheter. These patients underwent 2 and 3 sessions of dilation, respectively, at intervals of 2 months and 1 year. Balloon dilation has allowed the patients to have a more comfortable life with decreased dysphagia and a substantial improvement in nutritional status. However, this improvement was transient (1 patient had symptomatic recurrence of stenosis after 3 years), which shows that monitoring of the patients and the resumption of dilatation sessions may be necessary. CONCLUSION Esophageal strictures in dystrophic epidermolysis bullosa of the Hallopeau-Simens type are severe and difficult to support. Pneumatic dilatation is the treatment of choice for the fragile esophagus. It gives satisfactory results and can be repeated without significant risk.
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Affiliation(s)
- A Ksia
- Service de chirurgie pédiatrique, hôpital Fattouma Bourguiba, 5000 Monastir, Tunisie.
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Lehtihet Y, Ouhadj O, Djidi L, Mekki M. Étude comparative prospective : cône aprismatique jetable/cône biprismatique, à propos de 100 mesures de la PIO. J Fr Ophtalmol 2012; 35:690-4. [DOI: 10.1016/j.jfo.2012.05.002] [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] [Received: 06/30/2010] [Revised: 02/17/2012] [Accepted: 05/24/2012] [Indexed: 10/27/2022]
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Durual S, Pernet F, Rieder P, Mekki M, Cattani-Lorente M, Wiskott HWA. Titanium nitride oxide coating on rough titanium stimulates the proliferation of human primary osteoblasts. Clin Oral Implants Res 2010; 22:552-9. [PMID: 21087318 DOI: 10.1111/j.1600-0501.2010.02033.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVES Titanium is widely used in contemporary endosseous implantology and there is considerable thrust to further promote osseointegration by implant surface modifications. The aim of this study was to evaluate the effect of a titanium-nitride-oxide (TiNOx) coating on commercially pure microroughened titanium by assessing the proliferation and differentiation of human primary osteoblasts. MATERIALS AND METHODS Cell proliferation, gene expression, alkaline phosphatase activity, osteoprotegerin and osteocalcin secretion were analyzed for a time course of 3 weeks, with or without additional stimulation by 1.25(OH)(2) vitamin D(3) 100 nM. RESULTS A 1.5-fold increase in the proliferation rate of cells grown on TiNOx-coated titanium as compared with uncoated surfaces was observed. SEM views indicated that the cells' normal morphology with their numerous extensions was maintained. The differentiation process on the TiNOx surface was only affected to a minor degree and translated into a slight delay in osteoblast maturation when compared to uncoated titanium. CONCLUSION Pending confirmation of these results in vivo, TiNOx coatings could potentially accelerate and enhance osseointegration.
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Affiliation(s)
- S Durual
- Laboratory of Biomaterials, University of Geneva, Switzerland.
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Trabelsi L, Chabchoub I, Kalamoun I, Gargouri L, Mejdoub I, Mekki M, Kammoun T, Mahfoudh A, Hachicha M. P069 - Le syndrome d’Alagille : à propos de 3 observations. Arch Pediatr 2010. [DOI: 10.1016/s0929-693x(10)70470-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: 10/19/2022]
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Ghribi A, Jouini R, Hellal Y, Maazoun K, Njim L, Krichene I, Mekki M, Nouri A. Congenital ureteral valve associated with contralateral renal agenesis. Eur J Pediatr Surg 2009; 19:339-40. [PMID: 19242909 DOI: 10.1055/s-2008-1039178] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- A Ghribi
- Department of Pediatric Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia
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Affi T, Golli M, Hafsa C, Jellali M, Jouini R, Mnari W, Jazaerli N, Mekki M, Nouri A, Gannouni A. Erratum à l’article « Une cause rare d’accès de toux avec cyanose chez le nourrisson » [Arch Ped 15 (2008) 1547–8 ; 1573–6]. Arch Pediatr 2009. [DOI: 10.1016/j.arcped.2008.11.001] [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: 11/26/2022]
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Ben Nsir R, Jouini R, Maazoun K, Helal Y, Krichéne I, Mekki M, Nouri A. L’urètre surnuméraire épispade chez le garçon. Prog Urol 2008; 18:570-4. [DOI: 10.1016/j.purol.2008.07.002] [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] [Received: 03/12/2008] [Revised: 07/02/2008] [Accepted: 07/03/2008] [Indexed: 10/21/2022]
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Paiva CM, Kurtis B, Mekki M, Newman MA, Singhal S, Lacouture ME. Neutrophilic dermatitis associated with bortezomib in a patient with multiple myeloma. Ann Oncol 2007; 18:1744-5. [PMID: 17890215 DOI: 10.1093/annonc/mdm436] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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32
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Nouir NB, Nuñez S, Frei E, Gorcii M, Müller N, Gianinazzi C, Mekki M, Nouri A, Babba H, Gottstein B. Post-surgical follow-up (by ELISA and immunoblotting) of cured versus non-cured cystic echinococcosis in young patients. Parasitology 2007; 135:105-14. [PMID: 17767795 DOI: 10.1017/s0031182007003502] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [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: 01/05/2023]
Abstract
The study was designed to determine comparatively the prognostic value of immunoblotting and ELISA in the serological follow-up of young cystic echinococcosis (CE) patients exhibiting either a cured or a progredient (non-cured) course of disease after treatment. A total of 54 patients (mean age 9 years, range from 3 to 15 years) with surgically, radiologically and/or histologically proven CE were studied for a period up to 60 months after surgery. Additionally, some of the patients underwent chemotherapy. Based on the clinical course and outcome, as well as on imaging findings, patients were clustered into 2 groups of either cured (CCE), or non-cured (NCCE) CE patients. ELISA showed a high rate of seropositivity 4 to 5 years post-surgery for both CCE (57.1%) and NCCE (100%) patients, the difference found between the two groups was statistically not significant. Immunoblotting based upon recognition of AgB subcomponents (8 and 16 kDa bands) showed a decrease of respective antibody reactivities after 4 years post-surgery. Only sera from 14.3% of CCE patients recognized the subcomponents of AgB after 4 years, while none (0%) of these sera was still reactive at 5 years post-surgery. At variance, immunoblotting remained positive for AgB subcomponents in 100% of the NCCE cases as tested between 4 and 5 years after surgical treatment. Immunoblotting therefore proved to be a useful approach for monitoring post-surgical follow-ups of human CCE and NCCE in young patients when based upon the recognition of AgB subcomponents.
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Affiliation(s)
- N Ben Nouir
- University of Monastir, Faculty of Pharmacy, Department of Clinical Biology B, Laboratory of Parasitology and Mycology, 99UR/08-05 1- rue Avicenne, 5000 Monastir, Tunisia
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Sahnoun L, Belghith M, Jouini R, Jallouli M, Maazoun K, Krichene I, Mekki M, Ben Brahim M, Nouri A. Spontaneous perforation of the extrahepatic bile duct in infancy: report of two cases and literature review. Eur J Pediatr Surg 2007; 17:132-5. [PMID: 17503309 DOI: 10.1055/s-2007-965123] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND Spontaneous perforation of the bile duct (SPBD) is a rare disease in infancy. The pathogenesis, diagnostic modalities and treatment options for this condition are reviewed and discussed. METHODS The authors report 2 new observations of SPBD in 2 male newborns aged respectively 27 and 21 days. RESULTS The 2 newborns presented with cholestatic jaundice. Abdominal sonography showed an extrahepatic mass. Exploratory laparotomy revealed that the perforation was located in the cystic duct in the first case and in the common bile duct (CBD) in the second. The site of perforation was repaired and both patients underwent simple external biliary drainage. The postoperative course was uneventful for both patients with follow-up ranging from 2 to 4 years. CONCLUSIONS SPBD is a rare, but important cause of surgical jaundice in infants. The pathogenesis of SPBD is unknown and multifactorial and diagnosis is often problematic. Surgical management is always required and a conservative approach is usually recommended. The prognosis is good with early surgical management.
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Affiliation(s)
- L Sahnoun
- Department of Paediatric Surgery, Hospital Fattouma, Bourguiba, Monastir, Tunisia.
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Oudni-M'Rad M, M'Rad S, Gorcii M, Mekki M, Belguith M, Harrabi I, Nouri A, Azaiez R, Mezhoud H, Babba H. [Cystic echinococcosis in children in Tunisia: fertility and case distribution of hydatid cysts]. Bull Soc Pathol Exot 2007; 100:10-3. [PMID: 17402685] [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: 05/14/2023]
Abstract
Cystic echinococcosis, which commonly starts during childhood or adolescence, is a serious problem of public health in Tunisia. For 121 children (161 cysts), the localization and fertility of cysts as well as viability of their protoscoleces were determined. Results indicated that the lung was the primary localization of cyst (59%) followed by the liver (35%). Children's infection is more frequent in male than in female (sex ratio 1.96) and the greatest number of cases is observed in the 4-9 year age groups (94 cases). The fertility of the cyst was independent of its site or its size and no incidence of age of children was detected. Nevertheless, the fertility rate is higher in females than in males for the liver localization.
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Affiliation(s)
- M Oudni-M'Rad
- Laboratoire de parasitologie-mycologie Code 99-UR/08-05, Faculté de pharmacie, Département de biologie clinique B, 5000 Monastir, Tunisie.
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Sahnoun L, Belghith M, Jallouli M, Maazoun K, Mekki M, Ben Brahim M, Nouri A. Spontaneous perforation of the extrahepatic bile duct in infancy: report of two cases and literature review. Eur J Pediatr 2007; 166:173-5. [PMID: 16738869 DOI: 10.1007/s00431-006-0167-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2006] [Accepted: 04/20/2006] [Indexed: 10/24/2022]
Affiliation(s)
- L Sahnoun
- Department of Paediatric Surgery, Monastir Medical School Hospital, Monastir, Tunisia.
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Maazoun K, Mekki M, Sahnoun L, Hafsa S, Ben Brahim M, Belghith M, Zakhama A, Jouini R, Golli M, Krichene I, Nouri A. [Intussusception owing to pathologic lead points in children: report of 27 cases]. Arch Pediatr 2006; 14:4-9. [PMID: 17140777 DOI: 10.1016/j.arcped.2006.09.027] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [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: 12/12/2005] [Accepted: 09/16/2006] [Indexed: 12/11/2022]
Abstract
OBJECTIVE Intussusception owing to pathologic lead points is a challenging condition for pediatric surgeons. The aim of this study was to review the particularities of clinical presentation, the place of morphologic investigation in depicting the presence of an organic lesion and the management of secondary intussusception. PATIENTS AND METHODS The authors report a series of 27 patients treated from 1986 to 2004, for secondary intussusception. RESULTS Nineteen boys and 8 girls, aged from 45 days to 11 years (mean age: 40 months) presented with secondary intussusception: Meckel's diverticulum (13 cases); lymphoma (8 cases); intestinal duplication (3 cases); heterotopic pancreas (2 cases); intestinal polyp (1 case). All patients were operated upon after failure of hydrostatic reduction. An intestinal resection with an end to end anastomosis was done for 26 patients. The biopsy of a large abdominal mass after an easy reduction of the intussusception was performed in 1 case. Chemotherapy was started at the sixth postoperative day for the 8 children having lymphoma. Two of them died during therapy. For the 25 others, the postoperative course was uneventful with a mean follow-up of 4 years. COMMENTARY The improvement of the management and the prognosis of secondary intussusception requires an early diagnosis. Morphologic examination must not be limited to the diagnostic of intussusception but must aim at searching a lead point. The reduction of this particular form is based exclusively on surgery.
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Affiliation(s)
- K Maazoun
- Service de chirurgie pédiatrique, CHU Fattouma-Bourguiba, Monastir 5000, Tunisie.
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Njim L, Moussa A, Achach T, Ben Yahia N, Mahmoudi H, Hadhri R, Mekki M, Zakhama A. Récidive maligne du tératome sacrococcygien à propos de 4 cas. Ann Pathol 2006. [DOI: 10.1016/s0242-6498(06)78499-1] [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: 11/25/2022]
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Ouanes I, Mekki M, Jouini R, Belghith M, Sahnoun L, Zakhama A, Maazoun K, Golli M, Krichène I, Nouri A. Sténose congénitale de l'œsophage par hétérotopie trachéobronchique : à propos de 2 cas et revue de littérature. Arch Pediatr 2006; 13:1043-6. [PMID: 16713210 DOI: 10.1016/j.arcped.2006.03.144] [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: 06/24/2005] [Accepted: 03/14/2006] [Indexed: 11/17/2022]
Abstract
Congenital esophageal stenosis due to tracheobronchial remnants is a rare malformation whose diagnosis may be difficult. It is characterised by the abnormal presence of congenital tissue of tracheal origin in the esophageal wall, which is responsible for the narrowing of the esophagus. We report 2 cases whose treatment was surgical after failure of esophageal dilations. The presence of tracheal-bronchial tissue was confirmed by histological examination of the operative piece. Outcome was favourable and the final result was excellent. Recently, endoscopic ultrasonography has been proved useful in the diagnosis of congenital esophageal stenosis due to tracheobronchial remnants by showing the presence of cartilage, which explains the failure of dilation. The high rate of perforation in these cases is due to brutal fragmentation of the cartilaginous rings. Surgical resection of esophageal stenosis with the tracheobronchial tissue appears the only treatment susceptible to completely suppress the stenosis and its consequences.
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Affiliation(s)
- I Ouanes
- Service de chirurgie pédiatrique, CHU Fattouma-Bourguiba, 5000 Monastir, Tunisie
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Oudni-M'rad M, Cabaret J, M'rad S, Bouzid W, Mekki M, Belguith M, Sayadi T, Nouri A, Lahmar S, Azaiez R, Mezhoud H, Babba H. Genetic differences between Tunisian camel and sheep strains of the cestodeEchinococcus granulosusrevealed by SSCP. Parasite 2006; 13:131-6. [PMID: 16800121 DOI: 10.1051/parasite/2006132131] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [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: 11/14/2022] Open
Abstract
Ovine and dromedary Echinococcus granulosus isolates from Tunisia were identified as G1 and G6 strains based on polymorphism of the mitochondrial cytochrome C oxydase CO1. Single strand conformation polymorphism (SSCP) was used in order to examine the genetic variation within and between Tunisian G1 and G6 strains and to estimate the extent of selfing. The dromedary isolates are genetically distinct from sheep isolates (high value of genetic variation between populations: Fst= 0.46). No significant deficiency in heterozygotes was found in sheep isolates, whereas heterozygote deficiency (suggesting selfing) was found in a limited number of camel isolates.
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Affiliation(s)
- M Oudni-M'rad
- Faculté de Pharmacie, Laboratoire de Parasitologie-Mycologie, Département de Biologie Clinique B, Monastir, Tunisie.
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Sayadi SJ, Gassab I, Dellai M, Mekki M, Golli M, Elkadhi F, Gassab A. Traitement endoscopique au laser des fistules de la 4e poche endobranchiale. ACTA ACUST UNITED AC 2006; 123:138-42. [PMID: 16840902 DOI: 10.1016/s0003-438x(06)76654-3] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.9] [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: 10/28/2022]
Abstract
OBJECTIVES To describe a new method of treatment of the fourth branchial pouch sinuses by laser endoscopic coagulation of the fistula. MATERIAL AND METHODS Retrospective study of two children aged 3 and 12 years with fourth branchial pouch sinuses. Both children presented recurrent cervical abscesses. The diagnosis was established on results of ultrasound, barium study, CT scan and pharyngoscopy. After recovering from infection, the definitive treatment was a laser diode cauterization of the fistulous route and its pharyngeal opening. RESULTS Outcome was rapidly favorable in both children without complications or recurrence. DISCUSSION These two cases and other reports in the literature confirm the role of endoscopic management for the treatment of the fourth branchial pouch sinus. Laser treatment is especially useful because of its convenience, its harmlessness and its reliability. CONCLUSION Fourth branchial pouch sinuses are rare. Surgery, which can be difficult and not without risks, is the generally accepted treatment. This new laser method combines ease of treatment and efficacy.
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M'rad S, Filisetti D, Oudni M, Mekki M, Belguith M, Nouri A, Sayadi T, Lahmar S, Candolfi E, Azaiez R, Mezhoud H, Babba H. Molecular evidence of ovine (G1) and camel (G6) strains of Echinococcus granulosus in Tunisia and putative role of cattle in human contamination. Vet Parasitol 2005; 129:267-72. [PMID: 15845282 DOI: 10.1016/j.vetpar.2005.02.006] [Citation(s) in RCA: 51] [Impact Index Per Article: 2.7] [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: 09/10/2004] [Revised: 02/01/2005] [Accepted: 02/17/2005] [Indexed: 02/07/2023]
Abstract
Three hundred and seventy-two cysts coming from 50 humans, 166 cattle, 153 sheep and 3 camels were collected in order to establish some epidemiological molecular information in Tunisia for the first time. The analysis by PCR-RFLP of ITS1 sequence showed that all the human, ovine and bovine cysts were due to the common sheep strain of Echinococcus granulosus. The sequencing of the CO1 gene of 37 isolates confirm the G1 genotype of this strain. For seven of these isolates, we found the mutation C56T which is present in the three principal intermediate hosts: human (three cysts), cattle (three cysts) and sheep (one cyst). With regard to the G1 genotype, we identified three other point mutations. The camel strain G6 is uniquely found in the three camels isolates and not in the other intermediate hosts analysed. The fertility of the bovine cyst represents 48% that means that this host is involved in a bovine-dog cycle and consequently represents a reservoir of sheep strain in Tunisia. Our results confirm the importance of the prophylaxis measures in order to disrupt the cycle of transmission sheep-dog in Tunisia. Nevertheless, the supervision of bovine infection should be reinforced because this intermediate host may constitute an important link with the human contamination.
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Affiliation(s)
- S M'rad
- Laboratoire de Parasitologie-Mycologie, Code 99UR/08-05, Département de Biologie Clinique B, Faculté de Pharmacie, 5000 Monastir, Tunisie.
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Oudni M, M'rad S, Mekki M, Belguith M, Cabaret J, Pratlong F, Sayadi T, Nouri A, Mezhoud H, Babba H, Azaiez R. Genetic relationships between sheep, cattle and human Echinococcus infection in Tunisia. Vet Parasitol 2004; 121:95-103. [PMID: 15110407 DOI: 10.1016/j.vetpar.2004.01.019] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [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: 06/17/2003] [Revised: 01/20/2004] [Accepted: 01/27/2004] [Indexed: 11/20/2022]
Abstract
Allozyme variation at seven polymorphic loci (GPI, EST, MDH, MPI, DIA, PEP, PGM) was studied to examine genetic variation within and between sheep, cattle and human populations of Echinococcus granulosus in Tunisia. A high degree of genetic similarity was shown between the cysts of the three host origins. Nevertheless, whereas, the ovine and human samples were highly similar, the cattle samples were slightly different genetically. We conclude that humans are mostly infected by parasites originating from sheep liver. The intense deficiency in heterozygotes was partly artefactual (Wahlund effect) and partly due to self-fertilisation.
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Affiliation(s)
- M Oudni
- Laboratoire de Parasitologie-Mycologie, Code 99UR/08-05, Département de Biologie clinique B, Faculté de Pharmacie, 5000 Monastir, Tunisia.
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Mekki M, Landolsi A, Belghith M, Krichene I, Chelly S, Zakhama A, Jouini R, Golli M, Gahbiche M, Nouri A. [Malignant renal tumors before one year of age. Experience of a North African pediatric surgery service]. ACTA ACUST UNITED AC 2003; 37:239-43. [PMID: 14606310 DOI: 10.1016/s0003-4401(03)00057-3] [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: 11/15/2022]
Abstract
UNLABELLED The malignant tumours of the kidney are not very frequent during the first year of life and pose diagnostic and therapeutic problems. The aim of this work is to make an analysis of the epidemiologic, clinical and anatomo-pathological characteristics of these tumours during the first year of life and a development on the therapeutic methods and their results. MATERIAL AND METHODS [corrected] This is a retrospective study of 8 observations of malignant tumours of the kidney whose first symptomatology appeared during the first year of life. RESULTS The malignant tumours of the kidney observed before the one year age constituted 18% of the tumours of the kidney in the child. A female prevalence was noted with a sex-ratio of 0.6. The assessment of extension found cutaneous (one case), ganglionic (one case) and pulmonary (two cases) metastases. First chemotherapy was prescribed to five patients. The surgery consisted on a widened nephrectomy in seven cases and a tumorectomy for an infant presenting a nephroblastomatosis. The tumour corresponded to a nephroblastoma in seven cases and a rhabdoide tumour in the last case. Mortality was high (50%) caused by the toxicity of chemotherapy in three cases and an advanced stage of cancer in one case. CONCLUSION Renal tumoral pathology occurring in infants less than one year of age poses true etiologic and therapeutic problems. The high frequency of the nephroblastoma and the absence of benign tumour in our series encourage us to evocate more often the malignant renal tumours and to practice per cutaneous biopsies in case of diagnostic doubt.
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Affiliation(s)
- M Mekki
- Service de chirurgie pédiatrique, centre hospitalier universitaire Fattouma-Bourguiba, 5000 Monastir, Tunisie.
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Abstract
Urethral duplication is a rare anomaly, affecting mainly boys. The clinical presentation varies because of the different anatomical patterns of this abnormality. We report 4 cases of urethral duplication in children. An epispadiac duplication was present in 1 case, hypospadiac duplication in 1 case, Y-duplication in 1 case and a congenital prepubic sinus in the last case. The pre-operative probe was based on urethrocystography and fistulography. The surgical management included excision of the duplicated urethra in 3 cases. Transurethral incision of the intra-urethral septum was performed in the case of hypospadiac duplication. The characteristics of male urethral duplication are reviewed.
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Affiliation(s)
- R Jouini
- Service de chirurgie pédiatrique, hôpital universitaire Fattouma-Bourguiba, 5000 Monastir, Tunisie.
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Said M, Mekki M, Golli M, Memmi F, Hafsa C, Braham R, Belguith M, Letaief M, Gahbiche M, Nouri A, Ganouni A. Balloon dilatation of anastomotic strictures secondary to surgical repair of oesophageal atresia. Br J Radiol 2003; 76:26-31. [PMID: 12595322 DOI: 10.1259/bjr/64412147] [Citation(s) in RCA: 73] [Impact Index Per Article: 3.5] [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: 11/05/2022] Open
Abstract
The purpose of this study was to evaluate the efficiency and safety of oesophageal balloon dilatation in strictures secondary to surgical treatment of oesophageal atresia in 25 children. Patients comprised 15 males and 10 females, aged 1-36 months. Median age was 4 months (interquartile range (IQR)=19). The strictures were more than 50% of oesophageal lumen and the delay from surgical treatment to balloon dilatation varied from 1 month to 36 months. Associated gastroesophageal reflux was noted in 15 patients. All procedures were performed under sedation using fluoroscopic guidance. Balloons of increasing diameter, 4-20 mm were used. Water soluble contrast swallow was performed after each dilatation session. A total of 115 balloon dilatation sessions were performed with a range of 1-14 procedures per patient (median 4 dilatations, IQR=4.5). Dilatation relieved the stricture in all patients over a follow-up period varying from 4 months to 33 months. The best results were noted in children under 6 months, who needed two or few dilatation sessions, with relative risk (RR) of 0.52 and 95% confidence interval of 0.29-0.92. The presence of associated gastroesophageal reflux indicated a high risk (RR of 12, p<0.001) for undergoing more than two balloon dilatation sessions. The only serious complications observed were two cases of oesophageal perforation, which were treated conservatively. Fluoroscopically guided balloon dilatation is a safe and effective treatment in the management of strictures secondary to surgical repair of oesophageal atresia, especially when started early (within 6 months of surgery) and not associated with gastroesophageal reflux.
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Affiliation(s)
- M Said
- Department of Medical Imaging, Fattouma Bourguiba University Hospital of Monastir, 5019 Monastir, Tunisia
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Mekki M, Belghith M, Krichène I, Zakhama A, Landolsi A, Chelly S, Nouri A. [Fetal rhabomyomatous nephroblastoma. Report of 2 cases and review of the literature]. Ann Urol (Paris) 2002; 36:245-9. [PMID: 12162188 DOI: 10.1016/s0003-4401(02)00111-0] [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
OBJECTIVE Fetal rhabdomyomatous nephroblastoma is a particular and very rare histologic variety of nephroblastoma. The aim of this work is to study the principal clinic, therapeutic and evolutive characteristics of the fetal rhabdomyomatous nephroblastoma through two personal cases and a review of the literature. PATIENTS AND METHODS This is a retrospective study of two observations of fetal rhabdomyomatous nephroblastoma treated in the pediatric surgery departement of Monastir (Tunisia) among 47 cases of nephroblastoma. The diagnosis was confirmed in the two cases by the histologic examination. RESULTS The two patients were a six and a sixteen months old boy and girl. They were admitted for a voluminous mass occupying the left half-abdomen. The radiologic and biologic explorations load, in the two cases, to the diagnosis of left nephroblastoma. After a first chemotherapy that did not induce a reduction of the tumoral volume, a widened left nephrectomy was performed for the two patients. The histologic examination of the two pieces of nephrectomy concluded to a fetal rhabdomyomatous nephroblastoma with existence in the second case of an extension of the lesions to the renal pelvis and ureter in the form of a pseudo-botryoïde tumor. The tumor was classified stage I in the first case and stage II N0 in the second. The treatment was completed by an adapted post operative chemotherapy according to the SIOP 9 protocol. The two patients are currently in complete remission with an overview of six years and half. CONCLUSION The fetal rhabdomyomatous nephroblastoma is a special histologic form of nephroblastoma that is characterized by the paucity of pulmonary metastasis, the absence of response to chemotherapy and the possibility of tumoral extension in the renal pelvis and ureter. His prognosis is similar to the classical nephroblastoma.
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Affiliation(s)
- M Mekki
- Service de chirurgie pédiatrique, hôpital Fattouma Bourguiba, 5000 Monastir, Tunisie.
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Jouini R, Krichéne I, Mekki M, Chelly S, Belghith M, Nouri A. [Mediastinal abscess in a child]. Presse Med 2001; 30:1931. [PMID: 11819923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/23/2023] Open
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Galifer RB, Forgues D, Mourregot A, Guibal MP, Allal H, Mekki M, Rizet D. Blunt traumatic injuries of the gastrointestinal and biliary tract in childhood. Analysis of 16 cases. Eur J Pediatr Surg 2001; 11:230-4. [PMID: 11558011 DOI: 10.1055/s-2001-17157] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Abstract
BACKGROUND Little attention has been given to abdominal hollow viscus injuries in pediatric literature. The purpose of this report is to describe their main features, and the current methods of diagnosis and treatment. METHODS We reviewed our experience with 16 cases of blunt injuries involving the gastrointestinal (GI) and biliary tract in the last seven years. RESULTS Male to female ratio was 0.68 and mean age 9.4 years. The site of injury was the stomach in 2 cases, duodenum in 5, jejunum or ileum in 7, caecum in 2, left mesocolon in 2, and gallbladder in 1. Diagnosis of the 8 perforations was clinically suspected in 6, and confirmed by radiography in 6 or surgery in 2, with a mean delay of 0.42 days. Diagnosis of the 11 hematomas was clinically suspected in 6, and confirmed by radiography in 9 or surgery in 2, with a mean delay of 12.6 days. Hematomas were managed nonoperatively, and perforations were surgically or laparoscopically closed. Mortality was 1/16 by pancreatic injury, and morbidity was 4/16. CONCLUSION Incidence of blunt hollow viscus injuries is low in children. Hematomas are easily recognized by modern radiography, and simply managed nonoperatively. Diagnosis of perforations still remains difficult. This results in dangerous delays for lesions which need prompt repair.
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Affiliation(s)
- R B Galifer
- Department of Visceral Pediatric Surgery, Lapeyronie Hospital, Montpellier, France
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Mekki M, Said M, Belghith M, Krichène I, Chelly S, Jouini R, Nouri A, Gannouni A. [Pneumatic dilatation of caustic esophageal stenosis in children. Report of five cases]. Arch Pediatr 2001; 8:489-92. [PMID: 11396108 DOI: 10.1016/s0929-693x(00)00250-5] [Citation(s) in RCA: 5] [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] [Indexed: 11/28/2022]
Abstract
UNLABELLED The ingestion of caustic substances is a frequent accident in the child. The treatment of caustic strictures of the esophagus, which constitute the most frightening complication, varies from conservative treatment to esophageal replacement. We report the preliminary results of a prospective work established since July 1998 and aimed at evaluating the role of pneumatic dilatation in the treatment of these injuries. STUDIED POPULATION The series included five boys with an average age of six years. Two children were neurologically handicapped. RESULTS The caustic product was soda (three cases), a dishwasher solution (one case) and bleach (one case). Dysphagia was constant and concerned the semi-fluids in four cases. The stricture was extended over an average length of 4 cm. The total number of dilatations was 36, with an average of seven sessions/patient. No complication was noted. The result was good in four cases. The only failure was noted in a child who presented a gastroesophageal reflux secondary to the scarring phenomena. CONCLUSION Pneumatic dilatation constitute a therapeutic mean whose results are attested. The best treatment remains, however, preventive: it is the setting out of reach of the child the dangerous products.
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Affiliation(s)
- M Mekki
- Service de chirurgie pédiatrique, centre hospitalier universitaire Fattouma-Bourguiba, 5000 Monastir, Tunisie.
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