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Zaghbib S, Chakroun M, Saadi A, Boussaffa H, Bouzouita A, Derouiche A, Ben Slama R, Bacha M, Abdallah Taieb B, Ayed H, Chebil M. MO967: Lymphocele After Renal Transplantation: Management, Risk Factors and Impact on Transplant Survival. Nephrol Dial Transplant 2022. [DOI: 10.1093/ndt/gfac087.025] [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] [Indexed: 11/14/2022] Open
Abstract
Abstract
BACKGROUND AND AIMS
Lymphocele after renal transplantation remains a common complication, despite all the technical precautions taken, in particular the ligation of lymphatic vessels. Its incidence varies according to the series, depending on the diagnostic methodology, and whether or not it is systematically screened.
This study aims to investigate the risk factors for lymphocele and its impact on transplant survival.
METHOD
We performed a retrospective longitudinal descriptive study including all patients who had a kidney transplant in a Urology department from 1986 to 2017. Clinical presentation and management of lymphocele were studied. Then, the characteristics of patients who presented a lymphocele were compared with those of the rest of the population including characteristics related to the recipient, the donor, the transplant and the procedure to identify risk factors. The impact of lymphocele on patient and transplant survival was then studied.
RESULTS
A total of 720 patients were included with a mean age of 32.7 years. The transplant was from a living donor in 79% and a brain-dead donor in 21%. Lymphocele occurred in 51 patients (7.1%). The lymphocele was asymptomatic in 80%, and clinical manifestations were related to the compression of the transplant or its important size, requiring active treatment, most often percutaneous (13.7%). The lymphocele did not require treatment in 42 cases (82.4%) with disappearance in 90.5%. Revision surgery for a lymphocele was necessary in two cases.
The risk factors for lymphocele were a cadaveric donor (P = 0.003) and an advanced age of the recipient (P < 0.001). No predictive factors related to the transplant (vascular anatomy), or procedure (location and type of anastomoses, ischemia time) were identified.
Transplant survival was 77.9% at 5 years, with a median survival of 15.9 years. The occurrence of a lymphocele did not influence the survival of the transplant (P = 0.25) (Figure 1).
CONCLUSION
Our study showed that lymphocele is usually asymptomatic, not requiring a specific treatment in most cases with a high rate of spontaneous disappearance with no impact on transplant survival. Risk factors were a cadaveric donor which may reflect the absence of careful ligation of the transplant's lymphatic vessels in the context of urgent, sometimes multi-organ, cadaveric procurement and advanced recipient age.
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Affiliation(s)
| | | | - Ahmed Saadi
- Charles Nicolle Hospital, Urology, Tunis, Tunisia
| | | | | | | | | | - Mongi Bacha
- Charles Nicolle Hospital, Nephrology, Tunisia
| | | | - Haroun Ayed
- Charles Nicolle Hospital, Urology, Tunis, Tunisia
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Zaghbib S, Chakroun M, Saadi A, Boussaffa H, Bouzouita A, Derouiche A, Ben Slama R, Bacha M, Abdallah Taieb B, Ayed H, Chebil M. MO968: Vascular Complications of Renal Transplantation: Risk Factors and Impact on Graft Survival. Nephrol Dial Transplant 2022. [DOI: 10.1093/ndt/gfac087.026] [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] [Indexed: 11/12/2022] Open
Abstract
Abstract
BACKGROUND AND AIMS
Despite the progress made in renal transplantation, vascular complications can occur, jeopardizing the prognosis of the transplant.
This study aims to investigate the risk factors of vascular complications and their impact on transplant survival.
METHOD
We performed a retrospective longitudinal descriptive study including all patients who had a kidney transplant in a Urology department from 1986 to 2017. Transplant Vascular complications included: Arterial thrombosis (AT), Venous thrombosis (VT), hemorrhagic complications (hemorrhage and hematoma) and arterial stenosis (AS). The potential risk factors for vascular complications that were investigated included characteristics related to the recipient, the donor, the transplant and the procedure. The impact of vascular complications on transplant survival was then studied.
RESULTS
A total of 720 patients were included with a mean age of 32.7 years. The transplant was from a living donor in 79% and a brain-dead donor in 21%.
AT occurred in 15 patients (2.1%) and VT occurred in 10 patients (1.4%). Risk factors for vascular thrombosis were recipient age >35 years (P = 0.001; OR = 10.78), recipient smoking (P = 0.005; OR = 1.8), multiple arteries (P < 0.001; OR = 1.45) and prolonged warm ischemia (P = 0.02). Perirenal hematoma occurred in 11 patients (1.5%) and hemorrhage occurred in six patients (0.8%). The risk factors for bleeding complications were a prolonged pre-transplantation dialysis time (P = 0.03; OR = 1.35), and prolonged warm ischemia (P = 0.02; OR = 1.26). AS was the most frequent vascular complication, occurring in 20 cases (2.8%) and no risk factors were identified.
Transplant survival was 77.9% at 5 years, with a median survival of 15.9 years. Vascular thrombosis led to the loss of the transplant in all cases, and externalized hemorrhage significantly reduced transplant survival (P < 0.001). Perirenal hematoma (P = 0.42) and transplant artery stenosis (P = 0.25) had no impact on transplant survival (Figure 1).
CONCLUSION
Our study showed that the vascular complications impacted the survival of the transplant and that they were related to factors related to the recipient, the transplant and the procedure insisting on a multidisciplinary and personalized management for each case.
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Affiliation(s)
| | | | | | | | | | | | | | - Mongi Bacha
- Charles Nicolle Hospital, Nephrology, Tunisia
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Tekaya A, Kefi A, Cherif F, Bouzidi M, Bacha M, Ben Abdelghani K, Hedri H, Turki S, El Euch M, Abderrahim E. Microangiopathie thrombotique en médecine interne : étude de 39 cas. Rev Med Interne 2021. [DOI: 10.1016/j.revmed.2021.10.065] [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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Harzallah A, Ounissi M, Hajji M, Chargui S, Hedri H, Abderrahim E, Ben Hamida F, Bacha M, Ben Abdallah T. [Successful treatment with paclitaxel of a visceral relapse of post-transplant Kaposi's sarcoma]. Nephrol Ther 2021; 17:132-136. [PMID: 33563572 DOI: 10.1016/j.nephro.2020.10.010] [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: 06/03/2020] [Revised: 08/23/2020] [Accepted: 10/11/2020] [Indexed: 10/22/2022]
Abstract
We report the observation of a patient who presented with post-transplant Kaposi's sarcoma after a delay of eight months with a dual cutaneous and palatal localisation. The reduction in immunosuppressive treatment and the introduction of Rapamune® allowed good clinical progress initially with regression of the skin lesions. He subsequently presented later a skin relapse with visceral localisation. Chemotherapy was conducted based on weekly paclitaxel infusions allowing partial remission and maintenance of renal graft function with good clinical tolerance.
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Affiliation(s)
- Amel Harzallah
- Faculté de médecine de Tunis, université de Tunis El Manar, 1007 Tunis, Tunisie; Service de médecine A, hôpital Charles-Nicolle, 1006 Tunis, Tunisie.
| | - Mondher Ounissi
- Faculté de médecine de Tunis, université de Tunis El Manar, 1007 Tunis, Tunisie; Service de médecine A, hôpital Charles-Nicolle, 1006 Tunis, Tunisie
| | - Meriem Hajji
- Faculté de médecine de Tunis, université de Tunis El Manar, 1007 Tunis, Tunisie; Service de médecine A, hôpital Charles-Nicolle, 1006 Tunis, Tunisie
| | - Soumaya Chargui
- Faculté de médecine de Tunis, université de Tunis El Manar, 1007 Tunis, Tunisie; Service de médecine A, hôpital Charles-Nicolle, 1006 Tunis, Tunisie
| | - Hafedh Hedri
- Faculté de médecine de Tunis, université de Tunis El Manar, 1007 Tunis, Tunisie; Service de médecine A, hôpital Charles-Nicolle, 1006 Tunis, Tunisie
| | - Ezzeddine Abderrahim
- Faculté de médecine de Tunis, université de Tunis El Manar, 1007 Tunis, Tunisie; Service de médecine A, hôpital Charles-Nicolle, 1006 Tunis, Tunisie
| | - Fathi Ben Hamida
- Service de médecine A, hôpital Charles-Nicolle, 1006 Tunis, Tunisie; Laboratoire de pathologie rénale LR00SP01, hôpital Charles-Nicolle, 1006 Tunis, Tunisie
| | - Mongi Bacha
- Faculté de médecine de Tunis, université de Tunis El Manar, 1007 Tunis, Tunisie; Service de médecine A, hôpital Charles-Nicolle, 1006 Tunis, Tunisie
| | - Taieb Ben Abdallah
- Faculté de médecine de Tunis, université de Tunis El Manar, 1007 Tunis, Tunisie; Service de médecine A, hôpital Charles-Nicolle, 1006 Tunis, Tunisie
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Mannai K, Gaied H, Jerbi M, Hajri M, Trabelsi R, Bacha M, Barbouch S, Ben Hamida F, Goucha R, Ben Abdallah T. Prévalence de la microangiopathie au cours de la néphropathie à IgA primitive. Nephrol Ther 2020. [DOI: 10.1016/j.nephro.2020.07.209] [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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Kaaroud H, Harzallah A, Sayhi M, Bacha M, Khadhar M, Goucha R, Bouzid K, Ayed H, Bouzouita A, Cherif M, Chebil M, Mrad R, Omezzine A, Jallouli M, Gargah T, Ben Hamida F, Ben Abdallah T. [Inherited kidney stones: A nephrology center experience]. Prog Urol 2019; 29:962-973. [PMID: 31537493 DOI: 10.1016/j.purol.2019.08.262] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [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: 04/11/2019] [Revised: 07/06/2019] [Accepted: 08/06/2019] [Indexed: 10/26/2022]
Abstract
INTRODUCTION Genetic factors must be considered in etiological diagnosis of urinary lithiasis. The aim of this study was to determine clinical, metabolic characteristics and the progression of hereditary urinary lithiasis in our patients. METHODS A retrospective study was conducted between 2008 and 2018 and 60 patients were included. Patients were referred to our department from pediatrics departments to be followed-up in adulthood in 9 cases, for etiological investigation in 42 cases and for chronic renal failure in 9 cases. RESULTS Thirty-five men and twenty-five women were enrolled in this study with a M/F sex ratio equal to 1.4. The mean age at the time of diagnosis of the hereditary character of the urinary lithiasis was 28.6years (3months-63years). The average delay between the onset of the lithiasis disease and the etiological diagnosis was 8years (0-42years). We noted 31 cases of cystinuria, 18 cases of primary hyperoxaluria type 1 with two mutations (I244T in 14 cases, 33-34 Insc in 23 cases) and 11 cases of renal tubulopathy. Fourteen patients were affected with chronic renal failure, of which five were in the end-stage renal disease. Crystalluria was positive in 62% of cases. The morpho-constitutional analysis of stones was performed in 37 cases and it contributed to the diagnosis in 29 cases. After an average follow-up of 16years, we noted normal renal function in 42 cases, chronic renal failure in 7 cases, hemodialysis in 10 cases all with primary hyperoxaluria and transplantation in 1 case. CONCLUSION The etiological diagnosis of hereditary urinary lithiasis in our study was made with considerable delay. Cystinuria was the most frequent etiology and primary hyperoxaluria was the most serious affection. LEVEL OF EVIDENCE 4.
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Affiliation(s)
- H Kaaroud
- Service de médecine A, hôpital Charles-Nicolle, Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis El Manar, Tunis, Tunisie.
| | - A Harzallah
- Service de médecine A, hôpital Charles-Nicolle, Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis El Manar, Tunis, Tunisie
| | - M Sayhi
- Service de médecine A, hôpital Charles-Nicolle, Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis El Manar, Tunis, Tunisie
| | - M Bacha
- Service de médecine A, hôpital Charles-Nicolle, Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis El Manar, Tunis, Tunisie
| | - M Khadhar
- Service de néphrologie, hôpital La Marsa, Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis El Manar, Tunis, Tunisie
| | - R Goucha
- Service de néphrologie, hôpital La Marsa, Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis El Manar, Tunis, Tunisie
| | - K Bouzid
- Service de biochimie, hôpital Charles-Nicolle, Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis El Manar, Tunis, Tunisie
| | - H Ayed
- Service d'urologie, hôpital Charles-Nicolle, Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis El Manar, Tunis, Tunisie
| | - A Bouzouita
- Service d'urologie, hôpital Charles-Nicolle, Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis El Manar, Tunis, Tunisie
| | - M Cherif
- Service d'urologie, hôpital Charles-Nicolle, Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis El Manar, Tunis, Tunisie
| | - M Chebil
- Service d'urologie, hôpital Charles-Nicolle, Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis El Manar, Tunis, Tunisie
| | - R Mrad
- Service de génétique, hôpital Charles-Nicolle, Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis El Manar, Tunis, Tunisie
| | - A Omezzine
- Service de biochimie, hôpital Sahloul, Sousse, Tunisie
| | - M Jallouli
- Service de pédiatrie, hôpital Charles-Nicolle, Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis El Manar, Tunis, Tunisie
| | - T Gargah
- Service de pédiatrie, hôpital Charles-Nicolle, Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis El Manar, Tunis, Tunisie
| | - F Ben Hamida
- Laboratoire de pathologie rénale LR00SP01, hôpital Charles-Nicolle, Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis El Manar, Tunis, Tunisie
| | - T Ben Abdallah
- Service de médecine A, hôpital Charles-Nicolle, Tunis, Tunisie; Faculté de médecine de Tunis, université de Tunis El Manar, Tunis, Tunisie
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Charfi R, Ben Sassi M, Gaïes E, Bacha M, Jebabli N, El Jebari H, Daghfous R, Ben Abdallah T, Trabelsi S. Early interaction between tacrolimus and rifampin. Tunis Med 2019; 97:722-725. [PMID: 31729747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Drug interactions are unavoidable and need to be proactively identified and managed, in particular, the inductive effect of rifampin on tacrolimus whose potency and duration data are limited. We report the case of a renal transplant patient who was prescribed tacrolimus with preserved tough blood levels (C0) of 7.9 +/- 2 ng/mL. He presented ganglionic tuberculosis and started rifampin. One day later, C0 was 2.6 ng/mL with 5 mg/day. The serum creatinin was normal. Nine days later, C0 was 1.6 ng/mL with 7 mg/day. In this case-report, the tacrolimus-rifampin interaction occurred just one day after rifampin introduction necessitating early C0 monitoring.
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Haouami Y, Dhaouadi T, Sfar I, Bacha M, Gargah T, Bardi R, Abderrahim E, Goucha R, Ben Abdallah T, Gorgi Y. The role of IL‐23/IL‐17 axis in human kidney allograft rejection. J Leukoc Biol 2018; 104:1229-1239. [DOI: 10.1002/jlb.5ab0318-148r] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2018] [Revised: 06/25/2018] [Accepted: 07/01/2018] [Indexed: 12/20/2022] Open
Affiliation(s)
- Youssra Haouami
- Research Laboratory in Immunology of Renal Transplantation and Immunopathology (LR03SP01)Charles Nicolle Hospital, Tunis El Manar University Tunis Tunisia
| | - Tarak Dhaouadi
- Research Laboratory in Immunology of Renal Transplantation and Immunopathology (LR03SP01)Charles Nicolle Hospital, Tunis El Manar University Tunis Tunisia
| | - Imen Sfar
- Research Laboratory in Immunology of Renal Transplantation and Immunopathology (LR03SP01)Charles Nicolle Hospital, Tunis El Manar University Tunis Tunisia
| | - Mongi Bacha
- Research Laboratory in Immunology of Renal Transplantation and Immunopathology (LR03SP01)Charles Nicolle Hospital, Tunis El Manar University Tunis Tunisia
- Department of Nephrology and Internal MedicineCharles Nicolle Hospital Tunis Tunisia
| | - Tahar Gargah
- Research Laboratory in Immunology of Renal Transplantation and Immunopathology (LR03SP01)Charles Nicolle Hospital, Tunis El Manar University Tunis Tunisia
- Department of Pediatric nephrologyCharles Nicolle Hospital Tunis Tunisia
| | - Rafika Bardi
- Research Laboratory in Immunology of Renal Transplantation and Immunopathology (LR03SP01)Charles Nicolle Hospital, Tunis El Manar University Tunis Tunisia
| | - Ezzeddine Abderrahim
- Research Laboratory in Immunology of Renal Transplantation and Immunopathology (LR03SP01)Charles Nicolle Hospital, Tunis El Manar University Tunis Tunisia
- Department of Nephrology and Internal MedicineCharles Nicolle Hospital Tunis Tunisia
| | - Rym Goucha
- Research Laboratory in Immunology of Renal Transplantation and Immunopathology (LR03SP01)Charles Nicolle Hospital, Tunis El Manar University Tunis Tunisia
- Department of Nephrology and Internal MedicineCharles Nicolle Hospital Tunis Tunisia
| | - Taïeb Ben Abdallah
- Research Laboratory in Immunology of Renal Transplantation and Immunopathology (LR03SP01)Charles Nicolle Hospital, Tunis El Manar University Tunis Tunisia
- Department of Nephrology and Internal MedicineCharles Nicolle Hospital Tunis Tunisia
| | - Yousr Gorgi
- Research Laboratory in Immunology of Renal Transplantation and Immunopathology (LR03SP01)Charles Nicolle Hospital, Tunis El Manar University Tunis Tunisia
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Ounissi M, Omrane M, Bacha M, Aoudia R, Abederrahim E, Ben Abdallah T. SP518PERITONEAL DIALYSIS AS A RENAL REPLACEMENT THERAPY IN PATIENTS WITH POLYCYSTIC KIDNEY DISEASE. Nephrol Dial Transplant 2017. [DOI: 10.1093/ndt/gfx151.sp518] [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: 11/12/2022] Open
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Tsikouras P, Bacha M, Zervoudis S, Koukouli Z, Iatrakis G, Galazios G, Maroulis G, Virtej I, Onofriescu M. Controversies on Transvaginal Ultrasound Screening for Endometrial Cancer in Asymptomatic Postmenopausal Women. Rev Med Chir Soc Med Nat Iasi 2016; 120:855-860. [PMID: 30141611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Endometrial cancer (EC) in postmenopausal women is usually associated with abnormal vaginal bleeding. However, asymptomatic cases of EC have been reported. The incidence of EC has been estimated to 1.3-3.05 per 1,000 screened postmenopausal asymptomatic women, the most significant ultra-sonographic feature being the thickened endometrium. We reviewed the literature on the accuracy of endometrial thickness measurement by transvaginal sonography (TVS) in predicting EC in asymptomatic postmenopausal women. The use of endometrial thickness as a sole screening test was found not to be of high predictive value and it should be combined with the evaluation of EC risk factors and followed by hysteroscopy and biopsy in suspicious cases. The lack of a universal cut-off value for endometrial thickness that could be correlated to EC is pointed out.
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Bacha M, Jeyid AM, Jaafour S, Yahyaoui A, Diop M, Amara R. Insights on stock structure of round sardinella Sardinella aurita off north-west Africa based on otolith shape analysis. J Fish Biol 2016; 89:2153-2166. [PMID: 27506834 DOI: 10.1111/jfb.13117] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/27/2015] [Accepted: 07/18/2016] [Indexed: 06/06/2023]
Abstract
This study examines the geographic variability in otolith shape of round sardinella Sardinella aurita as a tool for stock discrimination. Fish were analysed from six sampling locations from Senegal to the Mediterranean coast of Morocco. A combination of otolith shape indices and elliptic Fourier descriptors was investigated by multivariate statistical procedures. Within the studied area, three distinct groups were identified with an overall correct classification of 78%. Group A: Nador (Alboran Sea), group B: Casablanca (northern Morocco) and group C: Senegalese-Mauritanian. The results of this study confirm the absence of an Atlantic Ocean-Mediterranean Sea transition for this species, the Gibraltar Strait acting as an efficient barrier for S. aurita population separation. Off north-west Africa, fish from northern Morocco form a single group which is clearly isolated from Senegalese-Mauritanian waters, confirming the existence of a distinct stock in this area. Among group C, some discontinuity exists and suggests the existence of a sedentary fraction of S. aurita in northern Mauritania (Arguin Bank). The results are discussed in relation to oceanographic features and physical barriers to dispersal and fish management strategy in the study area.
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Affiliation(s)
- M Bacha
- Université du Littoral Côte d'Opale, Laboratory of Oceanography and Geosciences, Wimereux, 62930, France.
| | - A M Jeyid
- Université du Littoral Côte d'Opale, Laboratory of Oceanography and Geosciences, Wimereux, 62930, France
- Institut Mauritanien de Recherches Océanographiques et des Pêches (IMROP), BP 22, Nouadhibou, Mauritania
| | - S Jaafour
- Université du Littoral Côte d'Opale, Laboratory of Oceanography and Geosciences, Wimereux, 62930, France
- Mohammed V University of Agdal, Laboratory of Zoology and General Biology, Rabat, Morocco
| | - A Yahyaoui
- Mohammed V University of Agdal, Laboratory of Zoology and General Biology, Rabat, Morocco
| | - M Diop
- Université du Littoral Côte d'Opale, Laboratory of Oceanography and Geosciences, Wimereux, 62930, France
- Laboratoire de Toxicologie et d'Hydrologie (LTH), UCAD, 5005, Dakar, Senegal
| | - R Amara
- Université du Littoral Côte d'Opale, Laboratory of Oceanography and Geosciences, Wimereux, 62930, France
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Kallel H, Jerbi M, Gaied H, Trabelsi R, Goucha R, Bacha M, Ounissi M, Abderrahim E, Younsi F, Ben A. La microangiopathie thrombotique chez les transplantés rénaux. Nephrol Ther 2016. [DOI: 10.1016/j.nephro.2016.07.294] [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: 10/21/2022]
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13
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Menjour M, Bacha M, Azaiez S, Hajri M, Selmi Y, Ben Azouz O, Ounissi M, Trabelsi S, Aoun K, Abderrahim E, Ben Abdallah T. Leishmaniose viscérale après transplantation rénale. Rev Med Interne 2015. [DOI: 10.1016/j.revmed.2015.03.217] [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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14
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Ounissi M, Cherif M, Abdallah TB, Bacha M, Hedri H, Abderrahim E, Goucha R, Kheder A, Slama RB, Derouiche A, Chebil M, Bardi R, Sfar I, Gorgi Y. Risk factors and consequences of delayed graft function. Saudi J Kidney Dis Transpl 2013; 24:243-6. [PMID: 23538345 DOI: 10.4103/1319-2442.109564] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
The impact of delayed graft function (DGF) on the outcome of renal transplantation remains controversial. We analyzed the risk factors for DGF and its impact on graft and patient survival. A total of 354 renal transplants performed between June 1986 and April 2000 were analyzed. Variables analyzed included donor and recipient age, method and duration of renal replacement therapy, HLA mismatch, cold and warm ischemia times, biopsy-confirmed acute rejection, length of stay in the hospital, serum creatinine at the end of first hospitalization as well as graft and patient survival at one, three, five and ten years. The study patients were divided into two groups: patients with DGF (G1) and those without DGF (G2). DGF occurred in 50 patients (14.1%), and it was seen more frequently in patients transplanted from deceased donors (60% vs. 40%, P <0.0001). The cause of DGF was acute tubular necrosis, seen in 98% of the cases. Univariate analysis showed a statistically significant difference between the two groups G1 and G2 in the following parameters: average duration on dialysis (52.3 vs. 36.4 months, P = 0.006), HLA mismatch (44.9% vs. 32.11% P = 0.015), donor age (35.9 vs. 40.2 years, P = 0.026), cold ischemia time (23 vs. 18.2 h, P = 0.0016), warm ischemia time (41.9 vs. 38.6 mn, P = 0.046), length of stay in the hospital during first hospitalization (54.7 vs. 33.2 days, P <0.0001), serum creatinine at the end of first hospitalization (140 vs. 112 μmol/L, P <0.0001) and at three months following transplantation (159 vs. 119 μmol/L, P = 0.0002). Multivariate analysis revealed the following independent risk factors for DGF: deceased donor (RR = 13.2, P <0.0001) and cold ischemia time (RR = 1.17, P = 0.008). The graft survival at one, three, five and ten years was 100%, 93%, 88.3% and 78.3% in G1 versus 100%, 95.9% 92.8% and 82.3% in G2; there was no statistically significant difference. The patient survival at one, three, five and ten years was 100%, 91.3%, 83.6% and 74.4% in G1 versus 100%, 95.9%, 94% and 82.6% in G2 with a statistically significant difference (P = 0.04). Prolonged cold ischemia time and transplantation of kidneys from deceased donors were the main risk factors for DGF in our study. Also, DGF significantly affected patient survival but had no influence on graft survival.
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Affiliation(s)
- Mondher Ounissi
- Department of Internal Medicine A, Charles Nicolle Hospital, Tunis, Tunisia.
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15
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Kateb H, Barbouch S, Bacha M, Aouachri I, Ben Kaab B, Ounissi M, Hedri H, Ben Maiz H, Ben Hmida F, Abderrahim E, Ben Abdallah T, Khedher A. Leucoencéphalopathie postérieure réversible, une entité rare souvent méconnue : à propos de quatre observations. Nephrol Ther 2012. [DOI: 10.1016/j.nephro.2012.07.144] [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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16
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Trabelsi S, Bouchekoua M, Aloui D, Sellami A, Bacha M, Abderrahim E, Ben Abdallah T, Khedher A, Khaled S. Visceral leishmaniasis in renal transplant patient. Tunis Med 2011; 89:954. [PMID: 22198886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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17
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Touati I, Mechri A, Gassab L, Bacha M, Gaha L. Tempéraments affectifs prébipolaires dans les dépressions récurrentes : vers un dépistage de « fausse unipolarité ». Annales Médico-psychologiques, revue psychiatrique 2009. [DOI: 10.1016/j.amp.2009.03.006] [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] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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18
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Gassab L, Mechri A, Bacha M, Gaddour N, Gaha L. Tempéraments affectifs dans les troubles bipolaires et unipolaires : comparaison des profils tempéramentaux et relation avec les caractéristiques cliniques. Encephale 2008; 34:477-82. [DOI: 10.1016/j.encep.2007.08.003] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2007] [Accepted: 08/17/2007] [Indexed: 10/22/2022]
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19
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Harzallah L, Bacha M, Garrouche A, Messak A, Ben Chérifa L, Bakir D, Kraiem C. [Primitive pleural hydatid cyst: case report]. Rev Med Liege 2007; 62:506-8. [PMID: 17853674] [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: 05/17/2023]
Abstract
Even in endemic countries, the primitive pleural hydatid cyst is exceptionnal and it's very difficult to distinguish from other pleural and parietal cystic masses all the more the immunologic tests are negative. We report the case of a primitive pleural hydatid cyst diagnosed in 43 years old man. Throug this case, imaging features are emphasized.
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Affiliation(s)
- L Harzallah
- Service d'Imagerie Médicale, Hôpital Farhat Hached Sousse, Tunisie.
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20
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Bacha M, Golli M, Hafsa C, Kriaa S, Jallali MA, Rachdi H, Abdelhedi N, Gannouni A. Formation polypoïde intranasale. Arch Pediatr 2006; 13:479-80, 463. [PMID: 16542830 DOI: 10.1016/j.arcped.2006.01.022] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2005] [Accepted: 01/12/2006] [Indexed: 10/24/2022]
Affiliation(s)
- M Bacha
- Service d'Imagerie Médicale CHU Fattouma-Bourguiba, Monastir, Tunisie
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21
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Arifa Achour N, Jemni H, Alouini R, Bacha M, Mhiri Souei M, Mrad Dali K, Zakhama A, Harbi A, Tlili Graiess K. [Atypic radiologic aspect of a renal cell carcinoma in children]. Arch Pediatr 2005; 13:41-3. [PMID: 16289782 DOI: 10.1016/j.arcped.2005.09.024] [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: 09/14/2004] [Accepted: 09/21/2005] [Indexed: 11/30/2022]
Abstract
Renal cell carcinoma is rare in children and is usually found in late childhood. The authors report on an exceptional case of renal cell carcinoma in a 10-year-old girl. The radiological aspect is misleading and has not been previously reported in the literature. Renal cortex was thin because of congenital megalo-ureter, so the tumor developed entirely into excretory cavities (to the proximal ureter), while a primitive urothelial disease (tumoral or inflammatory) was first evoked. The atrophied cortex was the tumoral starting point which prolapsed into excretory cavities, upraising the urothelial epithelium.
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Affiliation(s)
- N Arifa Achour
- Service de radiologie, hôpital Sahloul, 4051 Sousse, Tunisie
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