1
|
Maasaoui K, Hamdaoui A, Akammar A, Bouardi NE, Haloua M, Lamrani MYA, Boubbou M, Maaroufi M, Alami B. Intramyocardial hydatid cyst revealed with ischemic stroke due to left ventricular systolic dysfunction: A case report. Radiol Case Rep 2024; 19:2841-2844. [PMID: 38689810 PMCID: PMC11059290 DOI: 10.1016/j.radcr.2024.03.080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2024] [Revised: 03/24/2024] [Accepted: 03/28/2024] [Indexed: 05/02/2024] Open
Abstract
Cardiac echinococcosis, although rare, presents a range of clinical manifestations depending on the cyst's location within the heart. These manifestations can range from asymptomatic conditions to serious complications such as arrhythmias, valvular dysfunction, cardiac tamponade, heart failure, shock, or even death. This case report describes the unusual presentation of a young man with an intramyocardial hydatid cyst, which was incidentally discovered following an ischemic stroke. Diagnostic evaluation included echocardiography, as well as chest and abdominal angiography via computed tomography (angio-CT). Surgical intervention was undertaken, involving cystectomy and the removal of the cyst contents. The patient's postoperative recovery was uneventful and favorable. This report emphasizes important diagnostic and management considerations specific to cardiac hydatid cysts and includes a review of the relevant literature to provide context and depth to our findings.
Collapse
Affiliation(s)
- Kaoutar Maasaoui
- Department of radiology and interventional imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Amina Hamdaoui
- Department of radiology and interventional imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Amal Akammar
- Department of radiology and interventional imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Nizar El Bouardi
- Department of radiology and interventional imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Meryem Haloua
- Department of radiology and interventional imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Moulay Youssef Alaoui Lamrani
- Department of radiology and interventional imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Meryem Boubbou
- Department of radiology and interventional imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Mustapha Maaroufi
- Department of radiology and interventional imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Badreeddine Alami
- Department of radiology and interventional imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| |
Collapse
|
2
|
Rhalem I, Bouanani Z, Akammar A, El Bouardi N, Alami B, Lamrani MYA, Hammas N, Maaroufi M, Boubbou M, Haloua M. Using imaging to diagnose renal tumors beyond nephroblastoma. Radiol Case Rep 2024; 19:2773-2780. [PMID: 38680746 PMCID: PMC11046045 DOI: 10.1016/j.radcr.2024.03.081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Revised: 03/25/2024] [Accepted: 03/28/2024] [Indexed: 05/01/2024] Open
Abstract
Wilm's tumor (WT) accounted for the vast majority of renal tumors in children (92%). However, there are many atypical or rare forms of kidney cancer, and it is certainly useful to have a diagnostic orientation in imaging to differentiate between the different diagnoses, guiding that way the therapeutic management. We report the cases of 3 patients who were initially diagnosed with nephroblastoma on the basis of radiological data (via PACS search), underwent pre-operative chemotherapy and then nephrectomy, and whose anatomopathological evidence came back in favor of benign renal tumors. Nephroblastoma is the most common renal tumor in children, but other benign tumors should not be neglected, radiological signs that may point to this entity should be taken into account, so that neoadjuvant chemotherapy with its enfeebling side effects can be avoided.
Collapse
Affiliation(s)
- Insaf Rhalem
- Department of radiology and interventional imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco
| | - Zineb Bouanani
- Department of radiology and interventional imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco
| | - Amal Akammar
- Department of radiology and interventional imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco
| | - Nizar El Bouardi
- Department of radiology and interventional imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco
| | - Badreeddine Alami
- Department of radiology and interventional imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco
| | - Moulay Youssef Alaoui Lamrani
- Department of radiology and interventional imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco
| | - Nawal Hammas
- Department of anathomopathology, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco
| | - Mustapha Maaroufi
- Department of radiology and interventional imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco
| | - Meryem Boubbou
- Department of radiology and interventional imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco
| | - Meriem Haloua
- Department of radiology and interventional imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco
| |
Collapse
|
3
|
Ouazzani Chahdi H, El Bouardi N, Ferhi M, Akammar A, Haloua M, Youssef Alaoui Lamrani M, Boubbou M, Maaroufi M, Alami B. Lipoma arborescens of the knee: A case report. Radiol Case Rep 2024; 19:2272-2276. [PMID: 38559650 PMCID: PMC10978464 DOI: 10.1016/j.radcr.2024.02.106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2024] [Revised: 02/26/2024] [Accepted: 02/28/2024] [Indexed: 04/04/2024] Open
Abstract
Lipoma arborescens is a rare and benign intra-articular lesion characterized by a lipomatous proliferation of the synovial membrane, usually affects the knee joint. It presents as an unusual cause of intermittent knee pain and joint effusion. We report a case of lipoma arborescens of the knee in a 23-year-old man that initially resembled inflammatory arthropathy. The diagnosis of Lipoma arborescens was made by magnetic resonance imaging of the knee and confirmed histologically by synovectomy. The purpose of our case is to show the imaging features enabling early diagnosis and appropriate treatment.
Collapse
Affiliation(s)
- Hajar Ouazzani Chahdi
- Hassan II university hospital of Fez, department of radiology/Faculty of medicine, pharmacy and dental care, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Nizar El Bouardi
- Hassan II university hospital of Fez, department of radiology/Faculty of medicine, pharmacy and dental care, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Mariyem Ferhi
- Hassan II university hospital of Fez, department of radiology/Faculty of medicine, pharmacy and dental care, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Amal Akammar
- Hassan II university hospital of Fez, department of radiology/Faculty of medicine, pharmacy and dental care, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Meriam Haloua
- Hassan II university hospital of Fez, department of radiology/Faculty of medicine, pharmacy and dental care, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Moulay Youssef Alaoui Lamrani
- Hassan II university hospital of Fez, department of radiology/Faculty of medicine, pharmacy and dental care, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Meryem Boubbou
- Hassan II university hospital of Fez, department of radiology/Faculty of medicine, pharmacy and dental care, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Mustapha Maaroufi
- Hassan II university hospital of Fez, department of radiology/Faculty of medicine, pharmacy and dental care, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Badreedine Alami
- Hassan II university hospital of Fez, department of radiology/Faculty of medicine, pharmacy and dental care, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| |
Collapse
|
4
|
Chahdi HO, Mourabiti AY, Houssaini MS, Akammar A, Bouardi NE, Haloua M, Lamrani MYA, Boubbou M, Maaroufi M, Alami B. Crack lung with toxic cerebral vasculitis: Case report. Radiol Case Rep 2024; 19:2020-2023. [PMID: 38444596 PMCID: PMC10914549 DOI: 10.1016/j.radcr.2024.02.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2023] [Revised: 01/27/2024] [Accepted: 02/05/2024] [Indexed: 03/07/2024] Open
Abstract
Crack is the most potent form of cocaine. It directly affects lungs if inhaled and the damage may include barotrauma, acute pulmonary edema, alveolar hemorrhage, bronchiolitis obliterans with organizing pneumonia, or vasculitis. The diagnosis of cocaine-related lung damage is based on clinical symptoms and radiological findings. When young individuals develop respiratory symptoms, investigation into cocaine use is necessary. We report the case of a young man with a history of cocaine use who presented for respiratory and neurological symptoms revealing crack lung and toxic cerebral vasculitis.
Collapse
Affiliation(s)
- Hajar Ouazzani Chahdi
- Hassan II University Hospital-Fez, Department of Radiology, Faculty of Medicine, Pharmacy and Dental Care, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Abdelaali Yahya Mourabiti
- Hassan II University Hospital-Fez, Department of Radiology, Faculty of Medicine, Pharmacy and Dental Care, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Meryem Sqalli Houssaini
- Hassan II University Hospital-Fez, Department of Radiology, Faculty of Medicine, Pharmacy and Dental Care, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Amal Akammar
- Hassan II University Hospital-Fez, Department of Radiology, Faculty of Medicine, Pharmacy and Dental Care, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Nizar El Bouardi
- Hassan II University Hospital-Fez, Department of Radiology, Faculty of Medicine, Pharmacy and Dental Care, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Meriam Haloua
- Hassan II University Hospital-Fez, Department of Radiology, Faculty of Medicine, Pharmacy and Dental Care, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Moulay Youssef Alaoui Lamrani
- Hassan II University Hospital-Fez, Department of Radiology, Faculty of Medicine, Pharmacy and Dental Care, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Meryem Boubbou
- Hassan II University Hospital-Fez, Department of Radiology, Faculty of Medicine, Pharmacy and Dental Care, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Mustapha Maaroufi
- Hassan II University Hospital-Fez, Department of Radiology, Faculty of Medicine, Pharmacy and Dental Care, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Badreedine Alami
- Hassan II University Hospital-Fez, Department of Radiology, Faculty of Medicine, Pharmacy and Dental Care, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| |
Collapse
|
5
|
Ezzahi M, Ennasery Z, Malih SE, Akammar A, Bouardi NE, Haloua M, Alaoui Lamrani MY, Boubbou M, Serraj M, Maaroufi M, Smahi M, Bouchra A, Alami B. Mediastinal fibrosis as a late and fatal complication of treated tuberculosis mimicking a neoplastic process in a 34-year-old man. Radiol Case Rep 2023; 18:4287-4293. [PMID: 37771381 PMCID: PMC10522869 DOI: 10.1016/j.radcr.2023.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2023] [Revised: 08/27/2023] [Accepted: 09/01/2023] [Indexed: 09/30/2023] Open
Abstract
Fibrosing mediastinitis, also known as sclerosing mediastinitis, is an uncommon condition marked by abnormal proliferation of fibrous tissue in the mediastinum. This condition may accrue either as an idiopathic condition or as a complication of an underlying disease process. Its pathogenesis remains unknown. However, most reported cases are incriminating abnormal immune-mediated hypersensitivity responses to Histoplasma infection. Other rare causes include tuberculosis, blastomycosis, and an idiopathic form that may be associated with other miscellaneous conditions. CT and MR imaging play a vital role in the diagnosis and management of this disease. We present a rare case of fibrosing mediastinitis as a late complication of tuberculosis in a 34-year-old man with a prior history of mediastinal tuberculosis, mimicking initially a neoplastic mediastinal process. We will describe this clinical case in the light of the literature and point out the contribution of radiological imaging in the diagnosis of this rare pathology.
Collapse
Affiliation(s)
- Manar Ezzahi
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Zaid Ennasery
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Sara El Malih
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Amal Akammar
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Nizar El Bouardi
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Meriem Haloua
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Moulay Youssef Alaoui Lamrani
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Meryem Boubbou
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Mounia Serraj
- Department of Pneumology - CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Mustapha Maaroufi
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Mohamed Smahi
- Department of Thoracic Surgery - CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Amara Bouchra
- Department of Pneumology - CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Badreeddine Alami
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| |
Collapse
|
6
|
El Malih S, Akammar A, El Mounssefe G, Tahiri L, El Bouardi N, Haloua M, Alami B, Lamrani MYA, Maaroufi M, Boubbou M. Synchronous congenital malignant rhabdoid tumor of the orbit and cerebellar atypical teratoid/rhabdoid tumor: Case report. Radiol Case Rep 2023; 18:3979-3983. [PMID: 37680666 PMCID: PMC10480453 DOI: 10.1016/j.radcr.2023.07.074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2023] [Revised: 07/25/2023] [Accepted: 07/29/2023] [Indexed: 09/09/2023] Open
Abstract
Malignant rhabdoid tumor is an uncommon pediatric tumor that often arises from the kidneys but can also develop in other soft tissues including the orbits, where it is known as atypical teratoid rhabdoid tumor. Orbital location is exceptional, with just a few reported cases. Imaging allows for an accurate diagnosis, but histological confirmation is required. The treatment is yet unclear but nearly often surgical, either with or without chemotherapy. In this report, we present a case of a neonate of 1-month-old with an orbital primary malignant rhabdoid tumor with synchronous cerebellar location. The patient was unable to undergo surgery, he had chemotherapy, and unfortunately died 1 week after following palliative treatment. We will illustrate this clinical experience and point out the importance of radiological imaging in the assessment of this uncommon condition.
Collapse
Affiliation(s)
- Sara El Malih
- Department of radiology Mother and child, University Hospital Hassan 2, Fez, Morocco
| | - Amal Akammar
- Department of radiology Mother and child, University Hospital Hassan 2, Fez, Morocco
| | - Ghada El Mounssefe
- Department of radiology Mother and child, University Hospital Hassan 2, Fez, Morocco
| | - Laila Tahiri
- Department of Pathology, University Hospital Hassan 2, Fez, Morocco
| | - Nizar El Bouardi
- Department of radiology and interventional imaging, University Hospital Hassan 2, Fez, Morocco
| | - Meriem Haloua
- Department of radiology Mother and child, University Hospital Hassan 2, Fez, Morocco
| | - Badreeddine Alami
- Department of radiology and interventional imaging, University Hospital Hassan 2, Fez, Morocco
| | | | - Mustapha Maaroufi
- Department of radiology and interventional imaging, University Hospital Hassan 2, Fez, Morocco
| | - Meryem Boubbou
- Department of radiology Mother and child, University Hospital Hassan 2, Fez, Morocco
| |
Collapse
|
7
|
Sqalli Houssaini M, Haloua M, Mourabiti AY, Tahiri L, Fdili Alaoui FZ, Akammar A, El Bouardi N, Alami B, Alaoui Lamrani MY, Maaroufi M, Boubbou M. A case of ovarian endometrial stromal sarcoma: Radiological and histopathological findings. Radiol Case Rep 2023; 18:3529-3534. [PMID: 37547797 PMCID: PMC10400806 DOI: 10.1016/j.radcr.2023.07.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Revised: 07/09/2023] [Accepted: 07/14/2023] [Indexed: 08/08/2023] Open
Abstract
Endometrial stromal sarcoma (ESS) is an uncommon uterine mesenchymal neoplasm. The primary extra-uterine location of ESS is a very rare occurrence. We present a case of a 39-year-old woman presented with severe abdominal pain, MRI showed bilateral ovarian tumors with heterogeneous intensity on T2-weighted imaging (T2WI) and T1-weighted imaging (T1WI), with restricted diffusion, including hyperintense areas on T1WI, not erased on T1-weighted fat-suppressed imaging, hypointense on T2WI, and not enhanced after contrast. This mass extended to the Douglas and invaded the uterine and the rectum serosa suggesting an underlying endometriosis. No abnormalities were suspected in the endometrium. The exploration revealed a friable mass arising from ovaries associated with nodules in the small intestine and sigmoid. The patient underwent bilateral adnexectomy and the anatomopathological study revealed a low-grade endometrial stromal sarcoma. This is one of the few reports covering the radiological features of low-grade extra-uterine ESS in the ovary which is probably secondary to degeneration of endometriosis with no evidence of primary uterine ESS.
Collapse
Affiliation(s)
| | - Meriem Haloua
- Child and Mother Department of Radiology, Hassan II University Hospital, Fez, Morocco
| | | | - Layla Tahiri
- Department of Pathology, Hassan II University Hospital, Fez, Morocco
| | | | - Amal Akammar
- Child and Mother Department of Radiology, Hassan II University Hospital, Fez, Morocco
| | - Nizar El Bouardi
- Central Department of Radiology, Hassan II University Hospital, Fez, Morocco
| | - Badreedine Alami
- Central Department of Radiology, Hassan II University Hospital, Fez, Morocco
| | | | - Mustapha Maaroufi
- Central Department of Radiology, Hassan II University Hospital, Fez, Morocco
| | - Meryem Boubbou
- Child and Mother Department of Radiology, Hassan II University Hospital, Fez, Morocco
| |
Collapse
|
8
|
Ezzahi M, Malih SE, Ennasery Z, Boumahdi N, Akammar A, Bouardi NE, Haloua M, Alami B, Lamrani MYA, Maaroufi M, Bouabdallah Y, Boubbou M. Neglected trauma-induced testicular torsion: Clinical, sonographic, and surgical correlation in a 13-year-old adolescent. Radiol Case Rep 2023; 18:3457-3462. [PMID: 37502489 PMCID: PMC10369384 DOI: 10.1016/j.radcr.2023.07.008] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Accepted: 07/03/2023] [Indexed: 07/29/2023] Open
Abstract
Post-traumatic testicular torsion is a rare condition, accounting for approximately 4%-8% of all reported cases of testicular torsion in the literature. Prompt clinical suspicion and intervention are crucial; as testicular torsion is considered a medical and surgical emergency that may lead to testicular necrosis. Ultrasound imaging plays an important role in assessing the integrity of the traumatized scrotum and facilitating early detection of associated testicular torsion. In this case report, we present a neglected post-traumatic testicular torsion in a 13-year-old child that led to orchiectomy.
Collapse
Affiliation(s)
- Manar Ezzahi
- Department of Mother and Child Radiology, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Sara El Malih
- Department of Mother and Child Radiology, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Zaid Ennasery
- Department of Mother and Child Radiology, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Naoufal Boumahdi
- Department of Pediatric Surgery, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Amal Akammar
- Department of Mother and Child Radiology, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Nizar El Bouardi
- Department of Adult Radiology, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Meriem Haloua
- Department of Mother and Child Radiology, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Badreeddine Alami
- Department of Adult Radiology, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | | | - Mustapha Maaroufi
- Department of Adult Radiology, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Youssef Bouabdallah
- Department of Pediatric Surgery, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Meryem Boubbou
- Department of Mother and Child Radiology, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| |
Collapse
|
9
|
El Malih S, Ezzahi M, Haloua M, Tahiri L, Akammar A, El Bouardi N, Alami B, Alaoui Lamrani MY, Maaroufi M, Boubbou M. Unusual intracystic papilloma arising from ectopic axillary breast tissue: Case report. Radiol Case Rep 2023; 18:3414-3420. [PMID: 37502486 PMCID: PMC10369401 DOI: 10.1016/j.radcr.2023.06.053] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Revised: 06/18/2023] [Accepted: 06/23/2023] [Indexed: 07/29/2023] Open
Abstract
Accessory breast tissue (supernumerary breast tissue) is due to the absence of regression of the primitive milk lines during embryonic life which extends from the axilla to the groin. It is mostly located in the axilla where it is often confused with the axillary extension of the breast, or any pathological process occurring in armpits. Ectopic mammary glands should not be misdiagnosed as it can potentially undergo the same pathological processes that occur in a normally located breast including benign or malignant breast tumors. We report the case of an intracystic papilloma arising from left axillary accessory breast tissue in a 63-year-old woman. The principal symptom was pain in a palpable left axillary mass without inflammatory signs. Subsequent imaging and histopathologic examination proved it to be a papillary tumor in ectopic breast tissue.
Collapse
Affiliation(s)
- Sara El Malih
- Department of Radiology Mother and Child, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Manar Ezzahi
- Department of Radiology Mother and Child, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Meriem Haloua
- Department of Radiology Mother and Child, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Layla Tahiri
- Department of Pathology, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Amal Akammar
- Department of Radiology Mother and Child, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Nizar El Bouardi
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Badreeddine Alami
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Moulay Youssef Alaoui Lamrani
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Mustapha Maaroufi
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Meryem Boubbou
- Department of Radiology Mother and Child, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| |
Collapse
|
10
|
Ezzahi M, Bijbij A, Akammar A, El Bouardi N, Haloua M, Lamrani MYA, Boubbou M, Maaroufi M, Alami B. Incidental finding of undiagnosed aortic coarctation in an elderly patient with a rare association with thymic carcinoma: a case report with review of the literature. Radiol Case Rep 2023; 18:3317-3322. [PMID: 37483377 PMCID: PMC10362250 DOI: 10.1016/j.radcr.2023.07.003] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Accepted: 07/03/2023] [Indexed: 07/25/2023] Open
Abstract
Aortic coarctation is a congenital malformation that is relatively prevalent, occurring in approximately 5 out of every 1000 births. The narrowing typically happens at the aortic isthmus between the left subclavian artery and the arterial ligament. It is frequently associated with a bicuspid aortic valve. Generally, coarctation of the aorta is identified and treated during childhood or early adulthood. If left untreated, this condition can lead to a reduced life expectancy in individuals who have not received treatment. We present a case of a 52-year-old man who complained of chest pain, sputum, and hemoptysis persisting for approximately 2 years. Contrast-enhanced computed tomography (CT) scans revealed the presence of an anterior mediastinal mass, which was later confirmed to be a thymic carcinoma (on histological study). Additionally, an incidental finding of a thoracic aortic coarctation with a well-developed collateral circulation was observed. The discovery of aortic coarctation in adult patients as an incidental finding is rare and particularly uncommon in association with mediastinal or thoracic tumor pathology. Adult and elderly patients with uncorrected coarctation generally have a low survival rate, and the management strategies for such cases are controversial, especially when it is associated to other pathologies. Due to the complexity of therapeutic management and the limited literature available on postsurgical outcomes in these cases, making therapeutic decisions requires a multidisciplinary approach and personalized consideration for each individual case. This approach is necessary to evaluate the risk-benefit ratio and determine the most suitable therapeutic solution.
Collapse
|
11
|
Malih SE, Ezzahi M, Ismail O, Akammar A, Bouardi NE, Haloua M, Alami B, Boubbou M, Maaroufi M, Lamrani MYA. Diagnosis and treatment of mycotic aneurysms secondary to cardiac hydatid cyst: An unusual cause of multiple cerebral strokes in a 23-year-old female. Radiol Case Rep 2023; 18:3281-3286. [PMID: 37520388 PMCID: PMC10375374 DOI: 10.1016/j.radcr.2023.06.047] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Revised: 06/19/2023] [Accepted: 06/21/2023] [Indexed: 08/01/2023] Open
Abstract
Mycotic aneurysms (MA) are a rare but severe complication of systemic infections, carrying a high risk of rupture, hemorrhage, sepsis, and potential multiple organ failure. Intracranial arteries are often affected and present a significant mortality risk due to cerebral bleeding and ischemic strokes. In this paper we describe the case of a 23-year-old female patient who presented with a sudden onset of right hemiparesis, followed by loss of consciousness. Cerebral imaging revealed multiple infarcts in both hemispheres and intracranial hemorrhage secondary to ruptured pseudoaneurysms. On transthoracic echocardiogram, she was found to have a left ventricular cardiac cyst with mobile vegetations potentially responsible for mycotic aneurysms and cerebral strokes. The patient underwent endovascular embolization for the mycotic aneurysms and cardiac surgery for the left ventricular cyst with satisfying clinical outcomes. Postsurgical analysis revealed the cyst to be of hydatid (Echinococcus) origin.
Collapse
Affiliation(s)
- Sara El Malih
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Centre Hospitalier Hrazem, BP:1835 Atlas, Fès, Avenue Hassan II, Fes 30050, Morocco
| | - Manar Ezzahi
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Centre Hospitalier Hrazem, BP:1835 Atlas, Fès, Avenue Hassan II, Fes 30050, Morocco
| | - Oughebbi Ismail
- Department of Cardiovascular Surgery, Ghassani Hospital, Fez, Morocco
| | - Amal Akammar
- Department of Radiology Mother and Child, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Nizar El Bouardi
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Centre Hospitalier Hrazem, BP:1835 Atlas, Fès, Avenue Hassan II, Fes 30050, Morocco
| | - Meriem Haloua
- Department of Radiology Mother and Child, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Badreeddine Alami
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Centre Hospitalier Hrazem, BP:1835 Atlas, Fès, Avenue Hassan II, Fes 30050, Morocco
| | - Meryem Boubbou
- Department of Radiology Mother and Child, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Mustapha Maaroufi
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Centre Hospitalier Hrazem, BP:1835 Atlas, Fès, Avenue Hassan II, Fes 30050, Morocco
| | - Moulay Youssef Alaoui Lamrani
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Centre Hospitalier Hrazem, BP:1835 Atlas, Fès, Avenue Hassan II, Fes 30050, Morocco
| |
Collapse
|
12
|
Essolaymany Z, Amara B, Khacha A, El Bouardi N, Haloua M, Alaoui Lamrani MY, Boubbou M, Serraj M, Maâroufi M, Alami B. Hydatid pulmonary embolism underlying cardiac hydatid cysts - A case report. Respir Med Case Rep 2023; 44:101856. [PMID: 37388239 PMCID: PMC10302506 DOI: 10.1016/j.rmcr.2023.101856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2023] [Revised: 04/22/2023] [Accepted: 04/23/2023] [Indexed: 07/01/2023] Open
Abstract
Cystic hydatidosis is an endemic parasitic disease with usual localization in liver and lungs. Rarely it localizes in uncommon sites, the right ventricle being an exceptional localization. We present an extremely rare case of a young man with hydatid pulmonary embolism complicating right-ventricle hydatid cysts. Echocardiography, CT pulmonary angiogram and MR-angiography were performed for the diagnostic evaluation. Our patient did not undergo surgery. He was discharged on a regimen of albendazole, and is still being followed-up. Hydatid disease rarely presents with pulmonary embolism. It has uncharacteristic clinical features, requiring particular diagnosis and therapy.
Collapse
Affiliation(s)
- Zineb Essolaymany
- Radiology Department, CHU Hassan II, Fez, Morocco
- Faculty of Medicine and Pharmacy of Fez, University Sidi Mohammed Ben Abdellah, Morocco
| | - Bouchra Amara
- Faculty of Medicine and Pharmacy of Fez, University Sidi Mohammed Ben Abdellah, Morocco
- Department of Pneumology and Phtiseology, CHU Hassan II, Fez, Morocco
| | - Anass Khacha
- Radiology Department, CHU Hassan II, Fez, Morocco
- Faculty of Medicine and Pharmacy of Fez, University Sidi Mohammed Ben Abdellah, Morocco
| | - Nizar El Bouardi
- Radiology Department, CHU Hassan II, Fez, Morocco
- Faculty of Medicine and Pharmacy of Fez, University Sidi Mohammed Ben Abdellah, Morocco
| | - Meriem Haloua
- Faculty of Medicine and Pharmacy of Fez, University Sidi Mohammed Ben Abdellah, Morocco
- Radiology Department of Mother and Child, CHU Hassan II, Fez, Morocco
| | - Moulay Youssef Alaoui Lamrani
- Radiology Department, CHU Hassan II, Fez, Morocco
- Faculty of Medicine and Pharmacy of Fez, University Sidi Mohammed Ben Abdellah, Morocco
| | - Meryem Boubbou
- Faculty of Medicine and Pharmacy of Fez, University Sidi Mohammed Ben Abdellah, Morocco
- Radiology Department of Mother and Child, CHU Hassan II, Fez, Morocco
| | - Mounia Serraj
- Faculty of Medicine and Pharmacy of Fez, University Sidi Mohammed Ben Abdellah, Morocco
- Department of Pneumology and Phtiseology, CHU Hassan II, Fez, Morocco
| | - Mustapha Maâroufi
- Radiology Department, CHU Hassan II, Fez, Morocco
- Faculty of Medicine and Pharmacy of Fez, University Sidi Mohammed Ben Abdellah, Morocco
| | - Badreeddine Alami
- Radiology Department, CHU Hassan II, Fez, Morocco
- Faculty of Medicine and Pharmacy of Fez, University Sidi Mohammed Ben Abdellah, Morocco
| |
Collapse
|
13
|
Ezzahi M, Zaid E, Farid A, Allali S, Bouardi NE, Haloua M, Hakima A, Alami B, Boubbou M, Maaroufi M, Lamrani MYA. Budd-Chiari syndrome secondary to retro-hepatic vena cava web: An unusual cause of epigastric pain. Radiol Case Rep 2023; 18:1088-1092. [PMID: 36684614 PMCID: PMC9849858 DOI: 10.1016/j.radcr.2022.12.044] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Revised: 12/19/2022] [Accepted: 12/20/2022] [Indexed: 01/09/2023] Open
Abstract
Epigastric abdominal pain is a common indication for consultation. In the majority of cases, medical history, clinical examination and routine biological exams allow for an easy diagnosis. Sometimes the symptomatology is unusual, in which case it is essential to perform a complete clinical examination and to use various imaging techniques to search for eventual atypical causes. Membranous obstruction of inferior vena cava is a rare cause of such a phenomenon. We describe a Budd-Chiari syndrome caused by membranous obstruction of inferior vena cava in a 66-year-old woman with no medical history as a rare cause of epigastric abdominal pain. We will describe this clinical experience in the light of the literature and point out the contribution of radiological imaging in the diagnosis of this rare pathology.
Collapse
Key Words
- ALP, alkaline phosphatase
- ALT, alanine transaminase
- APS, antiphospholipid syndrome
- AST, aspartate aminotransferase
- Anti-LKM, anti-liver and kidney microsome
- Anti-SLA, anti-soluble liver antigen
- BCS, Budd-Chiari syndrome
- Budd-Chiari
- CT
- CT, computed tomography
- GGT, gamma-glutamyl transferase
- HBc, hepatitis B core
- HBs Ag, hepatitis B surface antigen
- HCV, hepatitis C virus
- IVC, inferior vena cava
- MOIVC
- MOIVC, membranous obstruction of inferior vena cava
- MPS, myeloproliferative syndromes
- MRI, magnetic resonance imaging
- PT, prothrombin time
- Supra-hepatic veins
- TIPS, trans-jugular intra-hepatic portosystemic shunt
- Ultrasound
- Vena cava
- WCC, white count cell
- Web
Collapse
Affiliation(s)
- Manar Ezzahi
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Centre Hospitalier Hrazem, BP:1835 Atlas, Fès, Avenue Hassan II, Fez 30050, Morocco,Corresponding author.
| | - Ennasery Zaid
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Centre Hospitalier Hrazem, BP:1835 Atlas, Fès, Avenue Hassan II, Fez 30050, Morocco
| | - Aassouani Farid
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Centre Hospitalier Hrazem, BP:1835 Atlas, Fès, Avenue Hassan II, Fez 30050, Morocco
| | - Soukayna Allali
- Department of Gastro-Hepato-Enterology - CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Nizar El Bouardi
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Centre Hospitalier Hrazem, BP:1835 Atlas, Fès, Avenue Hassan II, Fez 30050, Morocco
| | - Meriem Haloua
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Centre Hospitalier Hrazem, BP:1835 Atlas, Fès, Avenue Hassan II, Fez 30050, Morocco
| | - Abid Hakima
- Department of Gastro-Hepato-Enterology - CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Badreeddine Alami
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Centre Hospitalier Hrazem, BP:1835 Atlas, Fès, Avenue Hassan II, Fez 30050, Morocco
| | - Meriem Boubbou
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Centre Hospitalier Hrazem, BP:1835 Atlas, Fès, Avenue Hassan II, Fez 30050, Morocco
| | - Mustapha Maaroufi
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Centre Hospitalier Hrazem, BP:1835 Atlas, Fès, Avenue Hassan II, Fez 30050, Morocco
| | - Moulay Youssef Alaoui Lamrani
- Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Centre Hospitalier Hrazem, BP:1835 Atlas, Fès, Avenue Hassan II, Fez 30050, Morocco
| |
Collapse
|
14
|
Aassouani F, Lkharrat FZ, Charifi Y, Attar A, Lahlali M, El Bouardi N, Abid H, Haloua M, Alami B, Boubbou M, Maaroufi M, Lamrani MYA. Early hepatocellular carcinoma developed within dysplastic nodule as nodule-within-nodule appearance: Case report with literature review. Radiol Case Rep 2022; 17:4087-4090. [PMID: 36065239 PMCID: PMC9440365 DOI: 10.1016/j.radcr.2022.07.109] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Revised: 07/28/2022] [Accepted: 07/31/2022] [Indexed: 11/15/2022] Open
Affiliation(s)
- Farid Aassouani
- Department of Radiology and Interventional Imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Fez, Morocco
- Department of Radiology and Clinical Imaging, Faculty of Medicine and Pharmacy, University of Fez, BP. 1893; Km 2.200, Sidi Hrazem Rd, Fez 30000, Morocco
- Corresponding author.
| | - Fatima-Zahra Lkharrat
- Department of Radiology and Interventional Imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Yahya Charifi
- Department of Radiology and Interventional Imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Aicha Attar
- Department of Gastroenterology CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Maria Lahlali
- Department of Gastroenterology CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Nizar El Bouardi
- Department of Radiology and Interventional Imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Hakima Abid
- Department of Gastroenterology CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Meryem Haloua
- Department of Radiology and Interventional Imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Badreeddine Alami
- Department of Radiology and Interventional Imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Meriem Boubbou
- Department of Radiology and Interventional Imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Mustapha Maaroufi
- Department of Radiology and Interventional Imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Moulay Youssef Alaoui Lamrani
- Department of Radiology and Interventional Imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| |
Collapse
|
15
|
Aassouani F, Ennacery Z, bensalah A, Charifi Y, Mamadou D, El Bouardi N, Haloua M, Lamrani MYA, Ousadden A, Boubbou M, Maaroufi M, Alami B. Lumbar puncture as a cause of tension pneumocephalus, pneumorrachis, and sacral meningocele infection leading to death: An extremely rare case report. Radiol Case Rep 2022; 17:4379-4383. [PMID: 36188081 PMCID: PMC9520414 DOI: 10.1016/j.radcr.2022.08.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2022] [Revised: 08/13/2022] [Accepted: 08/18/2022] [Indexed: 11/28/2022] Open
Abstract
Although it was first described over 100 years ago, lumbar puncture is still an important diagnostic tool for a variety of infectious and noninfectious neurologic conditions. With the widespread use of this common and relatively safe performed medical procedure, minor and major complications can occur even when standard infection control measures and good techniques are used, including post lumbar puncture headaches, infection, bleeding, cerebral herniation, radicular pain, and even pneumocephalus in extremely rare cases. We describe a previously unreported complication of lumbar puncture performed for the diagnosis of meningitis in a 33-year-old woman with no medical history causing pneumorrachis, tension pneumocephalus, and sacral meningocele infection leading to death. Lumbar puncture is a simple diagnostic procedure with few complications, but if the technique is incorrectly performed, or if it is accompanied by occult congenital malformations such as sacral anterior meningocele in our case, the consequences can be fatal.
Collapse
|
16
|
Aassouani F, El Bouardi N, Charifi Y, Maadin K, Bouziane A, Haloua M, Lamrani MYA, Arifi S, Bouhafa T, Boubbou M, Maaroufi M, Alami B. A rare case of sphenoid giant cell tumor: Case report & review of imaging features post short-term denosumab treatment. Radiol Case Rep 2022; 17:3830-3834. [PMID: 35982722 PMCID: PMC9379972 DOI: 10.1016/j.radcr.2022.07.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Revised: 07/06/2022] [Accepted: 07/08/2022] [Indexed: 11/17/2022] Open
Abstract
Background: Giant cell tumors (GCTs) are locally aggressive but rarely malignant bone neoplasms that uncommonly involve the skull. In this report, we describe a tumor of the sphenoid sinus. Case presentation: A 51-year-old female was presented with headache, and bilateral decreased visual acuity, CT scan, and brain MRI revealed an infra-sellar enhancing tumor expanding to the sellar and supra-sellar region which proved to be a GCT. the patient had received 03 months of preoperative denosumab-based treatment and imaging follow-up showed regression in size and morphology modifications of tumor tissue. Conclusion: This is one of few reports to describe the appearance of sphenoid bone GCT, and the first report to highlight the effects of short-term denosumab treatment in GCTb in such a location.
Collapse
|
17
|
Charifi Y, Bouchal S, Sekkat G, Aassouani F, El Bouardi N, Haloua M, Alami B, Boubbou M, Belahsen MF, Maaroufi M, Lamrani MYA. Recurrent stroke in young adults caused by atypical fibromuscular carotid dysplasia. Radiol Case Rep 2022; 17:4034-4042. [PMID: 36042892 PMCID: PMC9420354 DOI: 10.1016/j.radcr.2022.07.081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Revised: 07/15/2022] [Accepted: 07/20/2022] [Indexed: 11/23/2022] Open
Abstract
Background Carotid Web and focal carotid diaphragm are atypical fibromuscular dysplasia. The bilateral stroke due to this dysplasia is extremely rare. We will report a series of three young patients, admitted for a bilateral ischemic stroke caused by carotid bulb web and internal carotid diaphragm. Also, we will discuss their manifestations and treatment modalities. Case presentations In our study, we will report a series of three North African patients, two females an one male, at the mean age of 37, admitted for an ischemic stroke caused by bilateral carotid bulb web and bilateral internal carotid diaphragm.All of our patients were young and didn't have a history of drug use. Conclusions In our series, only end-vascular treatment was performed which was necessary to prevent any recurrence. Antiplatelet therapy was used in all cases to prevent any stroke during the follow-up.
Collapse
|
18
|
Aassouani F, Bassim Alami G, Charifi Y, Assofi H, Attar A, El Bouardi N, Abid H, Haloua M, Ibnmajdoub K, Lamrani MYA, Boubbou M, Maaroufi M, Alami B. Sigmoid lipoma as an exceptional cause of intussusception and bowel obstruction in adults: A case report and review of literature. Radiol Case Rep 2022; 17:3955-3958. [PMID: 36032208 PMCID: PMC9399410 DOI: 10.1016/j.radcr.2022.07.088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Revised: 07/19/2022] [Accepted: 07/23/2022] [Indexed: 11/17/2022] Open
Abstract
Acute intestinal intussusception in adults is a rare condition, most often secondary to an organic lesion (tumor or inflammation), representing 1%-5% of intestinal obstructions. Pure colic intussusception on lipoma rectal causing bowel obstruction is an exceptional situation. A 60-year-old man presented to the emergency department for acute abdominal pain with marked abdominal distention and red rectal bleeding. A contrast-enhanced abdominal CT scan was performed, which revealed a recto-sigmoid intussusception on lipoma, causing mechanical intestinal obstruction. The patient underwent a partial reduction of the intussusception with partial sigmoid resection and end colostomy. Colonic lipomas of the recto-sigmoid region represent a very rare condition and a subsequent etiology for intussusception and bowel obstruction in adults. However, it should be considered in the differential diagnosis of such situations.
Collapse
|
19
|
Zouraq SA, Haloua M, Alami B, Lamrani MYA, Maaroufi M, Boubbou M. Malignant pelvic paraganglioma: A case report. Radiol Case Rep 2022; 17:2342-2345. [PMID: 35570870 PMCID: PMC9096467 DOI: 10.1016/j.radcr.2022.03.112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2021] [Revised: 03/27/2022] [Accepted: 03/30/2022] [Indexed: 11/23/2022] Open
Abstract
Pheochromocytomas arising from outside the adrenal glands are called paragangliomas and constitute a rare disease and can occur in the pelvic retroperitoneum. Symptoms of excess catecholamine production, as well as elevated urine vanillylmandelic acid levels and serum and urine norepinephrine levels, are highly diagnostic for paraganglioma. Imaging can be helpful for the diagnostic of these pelvic tumors, differentiating them from other pelvic masses. We hereby present a case of pelvic malignant paraganglioma.
Collapse
|
20
|
Hajjar C, Haloua M, Bouardi NE, Alami B, Lamrani MYA, Maaroufi M, Boubbou M. Hemimelic epiphyseal dysplasia: a case report. Radiol Case Rep 2022; 17:2277-2282. [PMID: 35515508 PMCID: PMC9062141 DOI: 10.1016/j.radcr.2022.03.103] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Revised: 03/23/2022] [Accepted: 03/25/2022] [Indexed: 11/28/2022] Open
Abstract
Hemimelic epiphyseal dysplasia HED also known as Trevor's disease is a rare pathology, characterized by a developmental disorder of an internal or external half of one or more epiphyses of a limb, mainly the lower limb, and/or of the short tarsal bones in children and young adolescents, with a male predominance. Its etiology remains unclear. Its clinical symptomatology is variable, ranging from asymptomatic involvement to orthopedic complications such as limb length inequality. As the clinic is non-specific, radiological assessment is the essential diagnostic tool for Trevor's disease, including standard radiography, MRI, CT, and possibly biopsy in some cases. The radio clinical signs make it possible to establish the diagnosis, even if it remains difficult because of the rarity of the disease and the presence of multiple differential diagnoses which are often better known such as osteochondroma and exostosis. After diagnostic confirmation, the therapeutic decision remains debated, ranging from simple observation to surgical excision. The prognosis of HED remains good, given the absence of the risk of malignant transformation. Post-therapeutic complications are dominated by recurrence or the appearance of secondary osteoarthritis. Objective: This clinical case challenges us to keep in mind the hemimelic epiphyseal dysplasia (HED) in front of a mass that originates at the level of the internal or external half of one or more epiphyses in children.
Collapse
Affiliation(s)
- Chaymae Hajjar
- Department of mother and children's radiology of Fez, CHU Hassan II, Sidi Mohamed Ben Abdellah University Fes, Fes, Morocco
- Corresponding author.
| | - Meriem Haloua
- Department of mother and children's radiology of Fez, CHU Hassan II, Sidi Mohamed Ben Abdellah University Fes, Fes, Morocco
| | - Nizar El Bouardi
- Radiology department of Fez, CHU Hassan II, Sidi Mohamed Ben Abdellah University Fes, Fes, Morocco
| | - Badreeddine Alami
- Radiology department of Fez, CHU Hassan II, Sidi Mohamed Ben Abdellah University Fes, Fes, Morocco
| | | | - Mustapha Maaroufi
- Radiology department of Fez, CHU Hassan II, Sidi Mohamed Ben Abdellah University Fes, Fes, Morocco
| | - Meriem Boubbou
- Department of mother and children's radiology of Fez, CHU Hassan II, Sidi Mohamed Ben Abdellah University Fes, Fes, Morocco
| |
Collapse
|
21
|
Akammar A, Sekkat G, Kolani S, El Bouardi N, Haloua M, Boubbou M, Maâroufi M, Alaoui Lamrani MY, Alami B. Unusual cause of binocular diplopia: Cavernous sinus hemangioma. Radiol Case Rep 2021; 16:2605-2608. [PMID: 34285729 PMCID: PMC8278149 DOI: 10.1016/j.radcr.2021.06.042] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2021] [Revised: 06/16/2021] [Accepted: 06/16/2021] [Indexed: 11/22/2022] Open
Abstract
Cavernous hemangiomas are rare account representing 5%-13% of the intracranial vascular malformations and occur in approximately 0.5%-1% of the population. We report the case of 34-years-old woman, having a medical history of seizure, admitted for headache with binocular diplopia. The radiology investigation and operatory piece has shown an association of cavernous sinus hemangioma and frontal focal cortical dysplasia. This study highlights clinical, radiological and therapeutic features of this entity.
Collapse
Affiliation(s)
- Amal Akammar
- Radiology department of Hassan II university hospital of Fez, Sidi Mohammed Ben Abdallah University, Fez Morroco
| | - Ghita Sekkat
- Radiology department of Hassan II university hospital of Fez, Sidi Mohammed Ben Abdallah University, Fez Morroco
| | - Sylvie Kolani
- Radiology department of Hassan II university hospital of Fez, Sidi Mohammed Ben Abdallah University, Fez Morroco
| | - Nizar El Bouardi
- Radiology department of Hassan II university hospital of Fez, Sidi Mohammed Ben Abdallah University, Fez Morroco
| | - Meriem Haloua
- Radiology department of Hassan II university hospital of Fez, Sidi Mohammed Ben Abdallah University, Fez Morroco
| | - Meriem Boubbou
- Radiology department of Hassan II university hospital of Fez, Sidi Mohammed Ben Abdallah University, Fez Morroco
- Clinical Neurosciences Labortory, Sidi Mohammed Ben Abdellah University, Fez, Morroco
| | - Mustapha Maâroufi
- Radiology department of Hassan II university hospital of Fez, Sidi Mohammed Ben Abdallah University, Fez Morroco
- Clinical Neurosciences Labortory, Sidi Mohammed Ben Abdellah University, Fez, Morroco
| | - Moulay Youssef Alaoui Lamrani
- Radiology department of Hassan II university hospital of Fez, Sidi Mohammed Ben Abdallah University, Fez Morroco
- Clinical Neurosciences Labortory, Sidi Mohammed Ben Abdellah University, Fez, Morroco
| | - Badreeddine Alami
- Radiology department of Hassan II university hospital of Fez, Sidi Mohammed Ben Abdallah University, Fez Morroco
- Clinical Neurosciences Labortory, Sidi Mohammed Ben Abdellah University, Fez, Morroco
- Department of Biophysics and Clinical MRI Methods, Sidi Mohammed Ben Abdellah University , Fez, Morroco
| |
Collapse
|
22
|
Akammar A, Kolani S, Benchekroune Z, Bouardi NEL, Haloua M, Lamrani MYA, Boubbou M, Serraj M, Smahi M, Maâroufi M, Alami B. Rare mass of the anterior mediastinum: Thymolipomas. Radiol Case Rep 2021; 16:2570-2572. [PMID: 34306289 PMCID: PMC8283151 DOI: 10.1016/j.radcr.2021.06.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Revised: 06/01/2021] [Accepted: 06/07/2021] [Indexed: 10/28/2022] Open
Abstract
Thymolipoma is a rare benign neoplasm of the thymus containing both mature adipose tissue and thymic tissue. We report a case of a 34-year-οld man, presenting a mass of the anterior mediastinum, the radiology investigation and operatory piece diagnosed a thymolipoma. This study highlights the clinical diagnostic and therapeutic features as well as the evolutionary characteristics of this entity.
Collapse
Affiliation(s)
- Amal Akammar
- Radiology department of Hassan II university hospital of Fez, Sidi Mohammed Ben Abdallah University of Fez Morroco
| | - Sylvie Kolani
- Radiology department of Hassan II university hospital of Fez, Sidi Mohammed Ben Abdallah University of Fez Morroco
| | - Zineb Benchekroune
- Radiology department of Hassan II university hospital of Fez, Sidi Mohammed Ben Abdallah University of Fez Morroco
| | - Nizar EL Bouardi
- Radiology department of Hassan II university hospital of Fez, Sidi Mohammed Ben Abdallah University of Fez Morroco
| | - Meriem Haloua
- Radiology department of Hassan II university hospital of Fez, Sidi Mohammed Ben Abdallah University of Fez Morroco
| | - Moulay Youssef Alaoui Lamrani
- Radiology department of Hassan II university hospital of Fez, Sidi Mohammed Ben Abdallah University of Fez Morroco
- Clinical Neurosciences Labortory, Sidi Mohammed Ben Abdellah University of Fez Morroco
| | - Meryem Boubbou
- Radiology department of Hassan II university hospital of Fez, Sidi Mohammed Ben Abdallah University of Fez Morroco
- Clinical Neurosciences Labortory, Sidi Mohammed Ben Abdellah University of Fez Morroco
| | - Mounia Serraj
- Clinical Neurosciences Labortory, Sidi Mohammed Ben Abdellah University of Fez Morroco
- Pneumology department of Hassan II university hospital of Fez, Sidi Mohammed Ben Abdallah University Fez Morroco
| | - Mohamed Smahi
- Clinical Neurosciences Labortory, Sidi Mohammed Ben Abdellah University of Fez Morroco
- Thoracic surgery department of Hassan II university hospital of Fez, Sidi Mohammed Ben Abdallah University of Fez Morroco
| | - Maaroufi Maâroufi
- Radiology department of Hassan II university hospital of Fez, Sidi Mohammed Ben Abdallah University of Fez Morroco
- Clinical Neurosciences Labortory, Sidi Mohammed Ben Abdellah University of Fez Morroco
| | - Badreeddine Alami
- Radiology department of Hassan II university hospital of Fez, Sidi Mohammed Ben Abdallah University of Fez Morroco
- Clinical Neurosciences Labortory, Sidi Mohammed Ben Abdellah University of Fez Morroco
- Department of Biophysics and Clinical MRI Methods, Sidi Mohammed Ben Abdellah University of Fez morroco
| |
Collapse
|
23
|
Mourabiti AY, Alami BE, Bouanani Z, Sqalli Houssaini M, El Bouardi N, Haloua M, Alaoui Lamrani MY, Boubbou M, Maaroufi M. A case of a giant left ventricular pseudoaneurysm. Radiol Case Rep 2021; 16:2920-2923. [PMID: 34401026 PMCID: PMC8349745 DOI: 10.1016/j.radcr.2021.07.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2021] [Revised: 06/29/2021] [Accepted: 07/01/2021] [Indexed: 12/01/2022] Open
Abstract
A Left ventricular pseudoaneurysm is an outpouching resulting from myocardial free wall rupture which is contained by an adherent pericardium or scar tissue. It most often occurs after transmural myocardial infarction, but may also follow cardiac operations, trauma, inflammation, or infection. In contrast to patients with true ventricular aneurysms, those with false aneurysms most commonly die of hemorrhage. Transthoracic echocardiogram, computed tomography scan and cardiac MRI are currently the noninvasive modalities, whereas coronary arteriography and left ventriculography are invasive modalities used for diagnosis. As this condition is lethal, prompt diagnosis and timely management are vital. We present a case report of a patient with no prior risk factors who presented for 1 year with palpitations during exercise and rest, as well as intermittent chest pain. A transthoracic echocardiogram was performed. Echocardiogram revealed an unexpected outpouching of the left ventricle. A computed tomography scan confirmed the diagnosis by revealing a massive left ventricule pseudomanoeuvre. The patient was offered surgery, but he refused the procedure due to the surgical risk.
Collapse
Affiliation(s)
- Abdelaali Yahya Mourabiti
- Corresponding author. A.Y. Mourabiti, Centre Hospitalier Hassan II, Route Hrazem, Av. Atlas, BP:1835, Fes 30050
| | | | | | | | | | | | | | | | | |
Collapse
|
24
|
Charifi Y, Rabhi S, Sekkat G, Haloua M, Alaoui Lamrani MY, Ouadnouni Y, Boubbou M, Maaroufi M, Alami B. Unusual imaging findings of SARS-CoV-2 in HIV-positive patient : A case report. Clin Case Rep 2021; 9:e04004. [PMID: 34026131 PMCID: PMC8123723 DOI: 10.1002/ccr3.4004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2021] [Revised: 02/15/2021] [Accepted: 02/18/2021] [Indexed: 11/12/2022] Open
Abstract
Considering SARS-CoV-2 as a major differential diagnosis of pneumocystis in HIV-positive patients even if the lesions are typical.
Collapse
Affiliation(s)
- Yahya Charifi
- Department of Radiology and Medical imagingCHU Hassan II FEZ Sidi Mohammed Ben Abdellah UniversityFezMorocco
| | - Samira Rabhi
- Department of Internal MedicineCHU Hassan II FEZ Sidi Mohammed Ben Abdellah UniversityFezMorocco
| | - Ghita Sekkat
- Department of Radiology and Medical imagingCHU Hassan II FEZ Sidi Mohammed Ben Abdellah UniversityFezMorocco
| | - Meryem Haloua
- Department of Radiology and Medical imagingCHU Hassan II FEZ Sidi Mohammed Ben Abdellah UniversityFezMorocco
| | | | - Yassine Ouadnouni
- Department of Thoracic SurgeryCHU Hassan II FEZ Sidi Mohammed Ben Abdellah UniversityFezMorocco
| | - Meryeme Boubbou
- Department of Radiology and Medical imagingCHU Hassan II FEZ Sidi Mohammed Ben Abdellah UniversityFezMorocco
| | - Mustapha Maaroufi
- Department of Radiology and Medical imagingCHU Hassan II FEZ Sidi Mohammed Ben Abdellah UniversityFezMorocco
| | - Badreeddine Alami
- Department of Radiology and Medical imagingCHU Hassan II FEZ Sidi Mohammed Ben Abdellah UniversityFezMorocco
| |
Collapse
|
25
|
Bouardi NE, Lamrani MYA, Haloua M, Alami B, Boubou M, Maaroufi M. [Idiopathic sclerosing encapsulating peritonitis: a case report]. Pan Afr Med J 2021; 38:136. [PMID: 33912306 PMCID: PMC8052624 DOI: 10.11604/pamj.2021.38.136.28043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Accepted: 01/28/2021] [Indexed: 12/02/2022] Open
Abstract
La péritonite encapsulante sclérosante est une entité pathologique très rare. C´est une affection fibroinflammatoire chronique du péritoine aboutissant à la formation d´une coque péritonéale fibreuse diffuse engainant totalement ou localement les viscères abdominaux, notamment le tube digestif. Les signes cliniques sont peu spécifiques et trompeurs. L´imagerie médicale, notamment la tomodensitométrie assoie aisément le diagnostic en mettant en évidence une fine membrane péritonéale englobant un agglutinant d´anses digestives. Les formes secondaires (postdialyse péritonéale, tuberculeuse, médicamenteuse, postchimiothérapie intra-péritonéale) sont assez fréquentes, cependant la forme idiopathique reste très rare et peu de cas ont été rapporté par la littérature. Nous rapportons, à travers d´une observation, le cas d´une forme idiopathique chez une femme de 53 ans.
Collapse
Affiliation(s)
- Nizar El Bouardi
- Service de Radiologie, Centre Hospitalier Universitaire Hassan II, Fès, Maroc.,Faculté de Médecine et de Pharmacie, Université Sidi Mohammed Ben Abdellah, Fès, Maroc
| | - Moulay Youssef Alaoui Lamrani
- Service de Radiologie, Centre Hospitalier Universitaire Hassan II, Fès, Maroc.,Faculté de Médecine et de Pharmacie, Université Sidi Mohammed Ben Abdellah, Fès, Maroc
| | - Meriam Haloua
- Service de Radiologie, Centre Hospitalier Universitaire Hassan II, Fès, Maroc.,Faculté de Médecine et de Pharmacie, Université Sidi Mohammed Ben Abdellah, Fès, Maroc
| | - Badrredine Alami
- Service de Radiologie, Centre Hospitalier Universitaire Hassan II, Fès, Maroc.,Faculté de Médecine et de Pharmacie, Université Sidi Mohammed Ben Abdellah, Fès, Maroc
| | - Meryem Boubou
- Service de Radiologie, Centre Hospitalier Universitaire Hassan II, Fès, Maroc.,Faculté de Médecine et de Pharmacie, Université Sidi Mohammed Ben Abdellah, Fès, Maroc
| | - Mustapha Maaroufi
- Service de Radiologie, Centre Hospitalier Universitaire Hassan II, Fès, Maroc.,Faculté de Médecine et de Pharmacie, Université Sidi Mohammed Ben Abdellah, Fès, Maroc
| |
Collapse
|
26
|
El Hassani Y, Haloua M, Alami B, Boubbou M, Maaroufi M, Lamrani MYA. Imaging of retroperitoneal haemorrhage revealing median arcuate ligament syndrome. SA J Radiol 2021; 25:1993. [PMID: 33824741 PMCID: PMC8008131 DOI: 10.4102/sajr.v25i1.1993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Accepted: 10/30/2020] [Indexed: 11/13/2022] Open
Abstract
Coeliac artery compression stenosis caused by the median arcuate ligament can lead to aneurysm formation in the pancreatico-duodenal arteries that can eventually result in a spontaneous rupture leading to retroperitoneal haemorrhage. In this case series, we describe the cases of three patients, all presenting with sudden epigastric pain, diagnosed as spontaneous haematoma, complicating a median arcuate ligament syndrome.
Collapse
Affiliation(s)
- Younes El Hassani
- Department of Radiology, Faculty of Medicine and Pharmacy, Sidi Mohammed Ben Abdellah University, Hassan II University Hospital, Fez, Morocco
| | - Meriem Haloua
- Department of Radiology, Faculty of Medicine and Pharmacy, Sidi Mohammed Ben Abdellah University, Hassan II University Hospital, Fez, Morocco
| | - Badreeddine Alami
- Department of Radiology, Faculty of Medicine and Pharmacy, Sidi Mohammed Ben Abdellah University, Hassan II University Hospital, Fez, Morocco
| | - Meryem Boubbou
- Department of Radiology, Faculty of Medicine and Pharmacy, Sidi Mohammed Ben Abdellah University, Hassan II University Hospital, Fez, Morocco
| | - Mustapha Maaroufi
- Department of Radiology, Faculty of Medicine and Pharmacy, Sidi Mohammed Ben Abdellah University, Hassan II University Hospital, Fez, Morocco
| | - Moulay Youssef Alaoui Lamrani
- Department of Radiology, Faculty of Medicine and Pharmacy, Sidi Mohammed Ben Abdellah University, Hassan II University Hospital, Fez, Morocco
| |
Collapse
|
27
|
Abid H, Alaoui MEHHBE, Lamrani MYA, Figuigui M, Ahmed BC, Lahmidani N, Yousfi ME, Benajah DA, Maaroufi M, Abkari ME, Ibrahimi SA, Aqodad N. [IgG4-related disease: about 3 cases]. Pan Afr Med J 2020; 36:364. [PMID: 33235641 PMCID: PMC7666702 DOI: 10.11604/pamj.2020.36.364.24835] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2020] [Accepted: 07/29/2020] [Indexed: 01/11/2023] Open
Abstract
IgG4-Related disease (IgG4-RD), formerly known as IgG4-related autoimmune polyexocrinopathy, is a new condition including Plasminogen Activator Inhibitor-1 (PAI-1). It can affect different organs (central nervous system, salivary glands, thyroid, lungs, pancreas, bile ducts, liver, digestive tract, kidneys, prostate, etc.) with symptoms depending on the organ that is affected. It is more common in men older than 50 years of age. Its incidence and prevalence are poorly known because it is an uncommon disease. It is most common in Asia, accounting for only 20-30% of PAI in the Western world. Diagnosis is based on histological examination which shows dense lymphoplasmocytic infiltration in the organ affected associated with IgG4-positive plasma cells (immunohistochemistry), organ fibrosis and obliterating venulitis, all this in the context of increased serum IgG4 levels in more than 80% of cases. Patients are sensitive to corticosteroid therapy, with a high risk of relapse after discontinuation of corticosteroid therapy. This leads to the use of immunomodulators, mainly: thiopurines (azathioprine or 6-mercaptopurine), methotrexate and more recently rituximab, which can also be used as induction therapy. Given recent advances, accurate histological and clinical criteria are currently known to limit inappropriate management such as surgery. However, knowledge gaps remain concerning: pathophysiology, identification of specific biomarkers other than IgG4, natural history of the disease and long-term cancer risk assessment, performances of diagnostic tools such as endoscopic ultrasound-guided pancreatic biopsy. As well, consensual international management should be defined in the early stages of the disease and when patients develop recurrences. The purpose of this study was to report 3 cases of IgG4-Related disease on the basis of clinical and radiological criteria as well as therapeutic response.
Collapse
Affiliation(s)
- Hakima Abid
- Service d´Hépato-Gastro-Entérologie, Centre Hospitalier Universitaire Hassan II, Fès, Maroc
| | | | - Moulay Youssef Alaoui Lamrani
- Service de Radiologie, Centre Hospitalier Universitaire Hassan II, Fès, Maroc.,Faculté de Médecine et de Pharmacie, Université Sidi Mohammed Ben Abdellah, Fès, Maroc
| | - Mouna Figuigui
- Service d´Hépato-Gastro-Entérologie, Centre Hospitalier Universitaire Hassan II, Fès, Maroc
| | - Beiba Cheikh Ahmed
- Service de Radiologie, Centre Hospitalier Universitaire Hassan II, Fès, Maroc.,Faculté de Médecine et de Pharmacie, Université Sidi Mohammed Ben Abdellah, Fès, Maroc
| | - Nada Lahmidani
- Service d´Hépato-Gastro-Entérologie, Centre Hospitalier Universitaire Hassan II, Fès, Maroc
| | - Mounia El Yousfi
- Service d´Hépato-Gastro-Entérologie, Centre Hospitalier Universitaire Hassan II, Fès, Maroc
| | - Dafr-Allah Benajah
- Service d´Hépato-Gastro-Entérologie, Centre Hospitalier Universitaire Hassan II, Fès, Maroc
| | - Mustapha Maaroufi
- Service de Radiologie, Centre Hospitalier Universitaire Hassan II, Fès, Maroc.,Faculté de Médecine et de Pharmacie, Université Sidi Mohammed Ben Abdellah, Fès, Maroc
| | - Mohammed El Abkari
- Service d´Hépato-Gastro-Entérologie, Centre Hospitalier Universitaire Hassan II, Fès, Maroc
| | - Sidi Adil Ibrahimi
- Service d´Hépato-Gastro-Entérologie, Centre Hospitalier Universitaire Hassan II, Fès, Maroc
| | - Nourdin Aqodad
- Service d´Hépato-Gastro-Entérologie, Centre Hospitalier Universitaire Ibn Zohr, Agadir, Maroc
| |
Collapse
|
28
|
Dkhissi Y, Alami B, Haloua M, Lamrani MYA, Boubbou M, Mâaroufi M. Unusual sites of hydatid disease: report of two cases of dumbbell formations. Pan Afr Med J 2020; 36:109. [PMID: 32821320 PMCID: PMC7406462 DOI: 10.11604/pamj.2020.36.109.24034] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Accepted: 06/09/2020] [Indexed: 12/03/2022] Open
Abstract
Hydatidosis is a zoonosis caused by Echinococcus granulosus. Humans are accidentally contaminated by ingesting the parasite´s eggs mainly released through the faeces from infected dogs. Hydatidosis affects the bone in 0.5 to 2% of cases, with 44% of these cases involving in the spine. Vertebral hydatidosis is rare and it represents the most frequent and most dangerous form of bone involvement. This manifestation is extremely delicate, difficult to correctly identify and manage. The authors report two cases of vertebral hydatidosis revealed by medullar compression and increasing lumbar-radicular pain and functional impotence of lower limbs. Imaging showed multicystic bony lesions in lumbar spine. The extension into the spinal canal and to the perivertebral soft tissue were involved in both cases. We present those two cases to highlight the role of radiological exploration for diagnosis especially with magnetic resonance imaging (MRI) and the importance of monitoring this dangerous pathology.
Collapse
Affiliation(s)
- Younes Dkhissi
- Radiology Department of Hassan II University Hospital, Fez, Morocco.,Faculty of Medicine and Pharmacy of Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Badreeddine Alami
- Radiology Department of Hassan II University Hospital, Fez, Morocco.,Faculty of Medicine and Pharmacy of Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Meryem Haloua
- Radiology Department of Hassan II University Hospital, Fez, Morocco.,Faculty of Medicine and Pharmacy of Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Moulay Youssef Alaoui Lamrani
- Radiology Department of Hassan II University Hospital, Fez, Morocco.,Faculty of Medicine and Pharmacy of Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Meryem Boubbou
- Radiology Department of Hassan II University Hospital, Fez, Morocco.,Faculty of Medicine and Pharmacy of Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| | - Mustapha Mâaroufi
- Radiology Department of Hassan II University Hospital, Fez, Morocco.,Faculty of Medicine and Pharmacy of Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco
| |
Collapse
|