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1. 2022 TUNISIAN NATIONAL CONGRESS OF MEDICINE ABSTRACTS.

Author

Yacoub A, Ayadi A, Ayed W, Ayari S, Chebbi S, Magroun I, Ben Afia L, Mersni M, Mechergui N, Brahim D, Ben Said H, Bahri G, Youssef I, Ladhari N, Mziou N, Grassa A, M'rad M, Khessairi N, Krir A, Chihaoui M, Mahjoub S, Bahlous A, Jridi M, Cherif Y, Derbal S, Chebbi D, Hentati O, Ben Dahmen F, Abdallah M, Hamdi I, Sahli F, Ouerdani Y, Mnekbi Y, Abaza H, Ajmi M, Guedria A, Randaline A, Ben Abid H, Gaddour N, Maatouk A, Zemni I, Gara A, Kacem M, Maatouk I, Ben Fredj M, Abroug H, Ben Nasrallah C, Dhouib W, Bouanene I, Sriha A, Mahmoudi M, Gharbi G, Khsiba A, Azouz M, Ben Mohamed A, Yakoubi M, Medhioub M, Hamzaoui L, Azouz M, Ben Attig Y, Hamdi S, Essid R, Ben Jemia E, Rezgui B, Boudaya MS, Hassine H, Dabbabi H, Fradi Y, Cherif D, Lassoued I, Yacoub H, Kchir H, Maamouri N, Khairi W, Ben Ammar H, Abaza H, Chelbi E, Merhaben S, Neffati W, Ajmi M, Tarchalla S, Boughzala S, Gazzeh M, Gara S, Labidi A, Touati H, Nefzi AM, Ben Mustpha N, Fekih M, Serghini M, Boubaker J, Zouiten L, Driss A, Meddeb N, Driss I, Walha S, Ben Said H, Bel Hadj Mabrouk E, Zaimi Y, Mensi A, Trad N, Ayadi S, Said Y, Mouelhi L, Dabbèche R, Belfkih H, Bani M, Moussa A, Souissi S, Trabelsi Werchfeni B, Chelly S, Ezzi O, Ammar A, Besbes M, Njah M, Mahjoub M, Ghali H, Neffati A, Bhiri S, Bannour R, Ayadi S, Khouya FE, Kamel A, Hariz E, Aidani S, Kefacha S, Ben Cheikh A, Said H, Dogui S, Atig A, Gara A, Ezzar S, Ben Fradj M, Bouanène I, M'kadmi H, Farhati M, Dakhli N, Nalouti K, Chanoufi MB, Abouda SH, Louati C, Zaaimi Y, Dabbeche R, Hermi A, Saadi A, Mokaddem S, Boussaffa H, Bellali M, Zaghbib S, Ayed H, Bouzouita A, Derouiche A, Allouche M, Chakroun M, Ben Slama R, Gannoun N, Kacem I, Tlili G, Kahloul M, Belhadj Chabbah N, Douma F, Bouhoula M, Chouchene A, Aloui A, Maoua M, Brahem A, Kalboussi H, El Maalel O, Chatti S, Jaidane M, Naija W, Mrizek N, Sellami I, Feki A, Hrairi A, Kotti N, Baklouti S, Jmal Hammami K, Masmoudi ML, Hajjaji M, Naaroura A, Ben Amar J, Ouertani H, Ben Moussa O, Zaibi H, Aouina H, Ben Jemaa S, Gassara Z, Ezzeddine M, Kallel MH, Fourati H, Akrout R, Kallel H, Ayari M, Chehaider A, Souli F, Abdelaali I, Ziedi H, Boughzala C, Haouari W, Chelli M, Soltani M, Trabelsi H, Sahli H, Hamdaoui R, Masmoudi Y, Halouani A, Triki A, Ben Amor A, Makni C, Eloillaf M, Riahi S, Tlili R, Jmal L, Belhaj Ammar L, Nsibi S, Jmal A, Boukhzar R, Somai M, Daoud F, Rachdi I, Ben Dhaou B, Aydi Z, Boussema F, Frikha H, Hammami R, Ben Cheikh S, Chourabi S, Bokri E, Elloumi D, Hasni N, Hamza S, Berriche O, Dalhoum M, Jamoussi H, Kallel L, Mtira A, Sghaier Z, Ghezal MA, Fitouri S, Rhimi S, Omri N, Rouiss S, Soua A, Ben Slimene D, Mjendel I, Ferchichi I, Zmerli R, Belhadj Mabrouk E, Debbeche R, Makhloufi M, Chouchane A, Sridi C, Chelly F, Gaddour A, Kacem I, Chatti S, Mrizak N, Elloumi H, Debbabi H, Ben Azouz S, Marouani R, Cheikh I, Ben Said M, Kallel M, Amdouni A, Rejaibi N, Aouadi L, Zaouche K, Khouya FE, Aidani S, Khefacha S, Jelleli N, Sakly A, Zakhama W, Binous MY, Ben Said H, Bouallegue E, Jemmali S, Abcha S, Wahab H, Hmida A, Mabrouk I, Mabrouk M, Elleuch M, Mrad M, Ben Safta N, Medhioub A, Ghanem M, Boughoula K, Ben Slimane B, Ben Abdallah H, Bouali R, Bizid S, Abdelli MN, Ben Nejma Y, Bellakhal S, Antit S, Bourguiba R, Zakhama L, Douggui MH, Bahloul E, Dhouib F, Turki H, Sabbah M, Baghdadi S, Trad D, Bellil N, Bibani N, Elloumi H, Gargouri D, Ben Said M, Hamdaoui R, Chokri R, Kacem M, Ben Rejeb M, Miladi A, Kooli J, Touati S, Trabelsi S, Klila M, Rejeb H, Kammoun H, Akrout I, Greb D, Ben Abdelghaffar H, Hassene H, Fekih L, Smadhi H, Megdiche MA, Ksouri J, Kasdalli H, Hayder A, Gattoussi M, Chérif L, Ben Saida F, Gueldich M, Ben Jemaa H, Dammak A, Frikha I, Saidani A, Ben Amar J, Aissi W, Chatti AB, Naceur I, Ben Achour T, Said F, Khanfir M, Lamloum M, Ben Ghorbel I, Houman M, Cherif T, Ben Mansour A, Daghfous H, Slim A, Ben Saad S, Tritar F, Naffeti W, Abdellatif J, Ben Fredj M, Selmi M, Kbir GH, Maatouk M, Jedidi L, Taamallah F, Ben Moussa M, Halouani L, Rejeb S, Khalffalah N, Ben Ammar J, Hedhli S, Azouz MM, Chatti S, Athimni Z, Bouhoula M, Elmaalel O, Mrizak N, Maalej M, Kammoun R, Gargouri F, Sallemi S, Haddar A, Masmoudi K, Oussaifi A, Sahli A, Bhouri M, Hmaissi R, Friha M, Cherif H, Baya C, Triki M, Yangui F, Charfi MR, Ben Hamida HY, Karoui S, Aouini F, Hajlaoui A, Jlassi H, Sabbah M, Fendri MN, Kammoun N, Fehri S, Nouagui H, Harzalli A, Snène H, Belakhal S, Ben Hassine L, Labbene I, Jouini M, Kalboussi S, Ayedi Y, Harizi C, Skhiri A, Fakhfakh R, Jelleli B, Belkahla A, Fejjeri M, Zeddini M, Mahjoub S, Nouira M, Frih N, Debiche S, Blibech H, Belhaj S, Mehiri N, Ben Salah N, Louzir B, Kooli J, Bahri R, Chaka A, Abdenneji S, Majdoub Fehri S, Hammadi J, Dorgham D, Hriz N, Kwas H, Issaoui N, Jaafoura S, Bellali H, Shimi M, Belhaj Mabrouk E, Sellami R, Ketata I, Medi W, Mahjoub M, Ben Yacoub S, Ben Chaabene A, Touil E, Ben Ayed H, Ben Miled S, El Zine E, Khouni H, Ben Kadhi S, Maatoug J, Boulma R, Rezgui R, Boudokhane M, Jomni T, Chamekh S, Aissa S, Touhiri E, Jlaiel N, Oueslati B, Maaroufi N, Aouadi S, Belkhir S, Daghfous H, Merhaben S, Dhaouadi N, Ounaes Y, Chaker K, Yaich S, Marrak M, Bibi M, Mrad Dali K, Sellami A, Nouira Y, Sellami S, Anane I, Trabelsi H, Ennaifer R, Benzarti Z, Bouchabou B, Hemdani N, Nakhli A, Cherif Y, Abdelkef M, Derbel K, Barkous B, Yahiaoui A, Sayhi A, Guezguez F, Rouatbi S, Racil H, Ksouri C, Znegui T, Maazaoui S, Touil A, Habibech S, Chaouech N, Ben Hmid O, Ismail S, Chouaieb H, Chatti M, Guediri N, Belhadj Mohamed M, Bennasrallah C, Bouzid Y, Zaouali F, Toumia M, El Khemiri N, El Khemiri A, Sfar H, Farhati S, Ben Chehida F, Yamoun R, Braham N, Hamdi Y, Ben Mansour A, Mtir M, Ayari M, Toumia M, Rouis S, Sakly H, Nakhli R, Ben Garouia H, Chebil D, Hannachi H, Merzougui L, Samet S, Hrairi A, Mnif I, Hentati O, Bouzgarrou L, Souissi D, Boujdaria R, Kadoussi R, Rejeb H, Ben Limem I, Ben Salah I, Greb D, Ben Abdelghaffar H, Smadhi H, Laatiri H, Manoubi SA, Gharbaoui M, Hmandi O, Zhioua M, Taboubi F, Hamza Y, Hannach W, Jaziri H, Gharbi R, Hammami A, Dahmani W, Ben Ameur W, Ksiaa M, Ben Slama A, Brahem A, Elleuch N, Jmaa A, Kort I, Jlass S, Benabderrahim S, Turki E, Belhaj A, Kebsi D, Ben Khelil M, Rmadi N, Gamaoun H, Alaya Youzbechi F, Brahim T, Boujnah S, Abid N, Gader N, Kalboussi S, Ben Sassi S, Loukil M, Ghrairi H, Ben Said N, Mrad O, Ferjaoui M, Hedhli L, Ben Kaab B, Berriche A, Charfi R, Mourali O, Smichi I, Bel Haj Kacem L, Ksentini M, Aloui R, Ferchichi L, Nasraoui H, Maoua M, Chérif F, Belil Y, Ayed MA, Alloulou Y, Belhadj S, Daghfous J, Mehiri N, Louzir B, Abbes A, Ghrab A, Chermiti A, Akacha A, Mejri O, Debbiche A, Yahiaoui C, Binous M, Tissaoui A, Mekni K, El Fekih C, Said MA, Chtioui S, Mestiri S, Smaoui H, Ben Hamida S, Haddar A, Mrizek N, Gares N, Zaibi A, Bouazizi N, Gallas S, Lachhab A, Belhadj M, Hadj Salem N, Garrouch A, Mezgar Z, Khrouf M, Abbassi H, Souissi D, Hamra I, Ben Mustapha N, Abessi I, Boubaker F, Bouchareb S, ElOmma Mrabet H, Touil I, Boussoffara L, Knani J, Boudawara N, Alaya W, Sfar MH, Fekih S, Snène H, Boudawara N, Gargouri I, Benzarti W, Knaz A, Abdelghani A, Aissa S, Hayouni A, Mejri I, Kacem M, Mhamdi S, Daboussi S, Aichaouia C, Moatemri Z, Chaachou A, Fsili R, Ben Ghezala H, Ben Jazia A, and Brahmi N

Published
2023

2. Teaching of evidence-based medicine principles in Family medicine curriculum: a descriptive study.

Author

Mlika M, Ben Hassine L, Charfi R, Mezni F, and Jouini M

Subjects
Adult, Attitude of Health Personnel, Clinical Competence, Cross-Sectional Studies, Female, Humans, Internship and Residency methods, Male, Personal Satisfaction, Prospective Studies, Tunisia, Curriculum standards, Evidence-Based Medicine education, Family Practice education, General Practitioners education
Abstract

Background: Family medicine was considered officially and legally in early 2019 in Tunisia. In order to help general practitioners to fit with the new profile of family doctors, the faculty of medicine of Tunis launched an MBA curriculum in 2018. Teaching evidence-based-medicine (EBM) principals was planned in a one-day training and was divided into a morning lecture-based session and an afternoon work team session., Aim: To assess the acceptability of this training by the participants and to highlight the consequences of this tutoring on the research skills of the trainees., Methods: This is a cross sectional, prospective and descriptive study including the trainees registered in the MBA curriculum. A web site was created and contained a pre-test. After the work team session, the participants were asked to fulfill a post test and a feed back form., Results: 20 trainees participated to the training day. 17 participants agreed to fulfil the pre-test, the post test and the feed back form. The mean and the median scores of the pre-test were estimated respectively to 11.19 and 14/20. The mean score and the median of the post-tests scores were estimated respectively to 12.69, and 14/20. No significant statistical difference was observed between the pre and post test scores (p=0.2). The majority of the trainees were totally satisfied with the training program. 13/17 participants estimated their needs' scale in EBM practice to 4/5., Conclusion: Our results highlighted the acceptability of EBM teaching in family medicine curriculum. The absence of significant difference pre test and post test scores can be explained by the fact that all participants obtained their doctorate and were able to perform a critical appraisal of medical articles.

Published
2019

3. Family medicine: attractiveness, constraints and prospects as perceived by residents of the specialty.

Author

Boughzala W, Hariz A, Badri T, Ben Hassine L, Azzabi S, and Khalfallah N

Subjects
Adult, Career Choice, Cross-Sectional Studies, Female, Humans, Male, Quality of Life, Students, Medical statistics & numerical data, Surveys and Questionnaires, Tunisia, Family Practice education, Internship and Residency, Students, Medical psychology
Abstract

Introduction: Medical studies reform in Tunisia was conducted to upgrade general medicine, depreciated by the population and experienced by practitioners as a path of failure, thus elevated to the rank of family medicine (FM)., Aim: To determine the factors of attractiveness of the FM, the prospects and career aspirations of future family physicians., Methods: We conducted a cross-sectional survey by an anonymous questionnaire distributed via an online questionnaire platform from February 11th to April 13th, 2018 that targeted students in the 2nd year of FM at the Faculty of Medicine of Tunis., Results: We included 68 students. The median age was 26 years. The sex ratio was 0.4. The initial reason for choosing FM was the short course leading up to doctoral degree in medicine in 81% of students. The main factors of attractiveness of the FM were the overall approach of the patient (59%), the richness and the variety of the discipline (57%) and the rich human contact (37%). The main training constraints were the imprecise status (85%), the absence of a college of FM (59%) and the insufficient training (50%). Forty-three students (63%) wanted to continue their career abroad. The main reasons for this exodus were the search for a better quality of life (98%), better working conditions (81%), better training and supervision (67%) and acceptable remuneration (41%). The main expectations of the students were personal and family development (69%), the possibility of exercising at best their job (66%) and acceptable remuneration (59%)., Conclusion: Family medicine must have a defined status, an adapted curriculum, an should be attractive financially and scientifically.

Published
2019

4. Rare retro peritoneal tumor in infants.

Author

Ben Hassine L, Douira W, Lahmar L, Louati H, and Bellagha I

Subjects
Humans, Infant, Newborn, Lipoblastoma pathology, Male, Retroperitoneal Neoplasms pathology, Lipoblastoma diagnostic imaging, Retroperitoneal Neoplasms diagnostic imaging, Tomography, X-Ray Computed methods, Ultrasonography methods
Abstract

Lipoblastoma is a rare mesenchymal tumor, occuring in less than three-year-old infants in 90% of the cases and in 40% of the cases in chidren aged less than one year. It can be present at birth. It is a benign tumor, with defined margins, that can be locally aggressive, without metastases. We report the case of retroperitoneal lipoblastomatosis, with a neonatal diagnosis made by ultrasonographic and CT features.

Published
2018

5. Self extrusion on an ingested foreign body: a case report.

Author

Yacoub W, Douira-Khomsi W, Louati H, Lahmar L, Ben Hassine L, Nouira F, Jlidi S, and Bellagha I

Subjects
Abdomen, Child, Preschool, Foreign Bodies diagnostic imaging, Foreign Bodies surgery, Foreign-Body Migration surgery, Humans, Male, Tomography, X-Ray Computed, Ultrasonography, Foreign Bodies complications, Foreign-Body Migration diagnostic imaging, Skin diagnostic imaging
Abstract

Foreign body ingestion is a frequent issue in paediatrician's practice. Foreign bodies often pass the gastro-intestinal tract spontaneously but can sometimes generate complications (1% of the cases). The migration of ingested foreign bodies is rare, but their spontaneous extrusion through the skin is even rarer and was previously described only in the neck. We report an unusual case of a spontaneous extrusion of an ingested foreign body through the skin of the lower abdomen. Observation: A 2 year-old boy, presented with a 2cm inflammatory swelling of the hypogastric region. Laboratory analysis showed hyperleukocytosis (16 7770 /mm3) and high C reactive protein level at 12mg/L. Ultrasonography and computed tomography allowed us to diagnose a parietal foreign body extruding through the skin and to eliminate associated complication (perforation, vascular fistula…). The foreign body was extracted by a surgical incision. This observation is very rare but it is also uncommon because of the nature of the ingested foreign body which was a wooden piece. Its ingestion was explained by a paediatric mental disorder.

Published
2018

6. Three scenarios of nasal obstruction revealing sarcoidosis.

Author

Kechaou I, Cherif E, Boukhris I, Sabbegh N, Hariz A, Ben Hassine L, and Khalfallah N

Subjects
Diagnosis, Differential, Female, Humans, Middle Aged, Nasal Obstruction etiology, Nose Diseases complications, Sarcoidosis complications, Nasal Obstruction diagnosis, Nose Diseases diagnosis, Sarcoidosis diagnosis
Abstract

The nasal location of sarcoidosis is rare. In this regard, we report three observations of sarcoidosis observed in three women with an average age of 53.6 years, revealed by annoying nasal manifestations. The presence of extra-nasal sites allowed us to suspect the diagnosis of sarcoidosis in all the patients.

Published
2018

7. Interstitial Cystitis: An uncommon revelation in primitive Sjögren syndrome.

Author

Kechaou I, Cherif E, Boukhris I, Hariz A, Sabbegh N, and Ben Hassine L

Subjects
Adrenal Cortex Hormones therapeutic use, Aged, Cystitis, Interstitial drug therapy, Cystitis, Interstitial etiology, Cystitis, Interstitial pathology, Diagnosis, Differential, Female, Humans, Sjogren's Syndrome complications, Sjogren's Syndrome drug therapy, Sjogren's Syndrome pathology, Cystitis, Interstitial diagnosis, Sjogren's Syndrome diagnosis
Abstract

Interstitial cystitis is an exceptional entity during primary Sjögren's syndrome. In this regard, we report the case of a 67-year-old patient in whom initially idiopathic interstitial cystitis revealed primary Sjögren's syndrome after 5 years of evolution in front of xerostomiaa, xerophtalmia and bilateral parotid hypertrophy with histological confirmation at the biopsy of accessory salivary glands.

Published
2018

9. Abstracts of the 40th National Congress of Medicine Tunis, 19-20 October 2017.

Author

Abdallah M, Abdelaziz A, Abdelaziz O, Abdelhedi N, Abdelkbir A, Abdelkefi M, Abdelmoula L, Abdennacir S, Abdennadher M, Abidi H, Abir Hakiri A, Abou El Makarim S, Abouda M, Achour W, Aichaouia C, Aissa A, Aissa Y, Aissi W, Ajroudi M, Allouche E, Aloui H, Aloui D, Amdouni F, Ammar Y, Ammara Y, Ammari S, Ammous A, Amous A, Amri A, Amri M, Amri R, Annabi H, Antit S, Aouadi S, Arfaoui A, Assadi A, Attia L, Attia M, Attia L, Ayadi I, Ayadi Dahmane I, Ayari A, Azzabi S, Azzouz H, B Mefteh N, B Salah C, Baccar H, Bachali A, Bahlouli M, Bahri G, Baïli H, Bani M, Bani W, Bani MA, Bassalah E, Bawandi R, Bayar M, Bchir N, Bechraoui R, Béji M, Beji R, Bel Haj Yahia D, Belakhel S, Belfkih H, Belgacem O, Belgacem N, Belhadj A, Beltaief N, Beltaief N, Ben Abbes M, Ben Abdelaziz A, Ben Ahmed I, Ben Aissia N, Ben Ali M, Ben Ammar H, Ben Ammou B, Ben Amor A, Ben Amor M, Benatta M, Ben Ayed N, Ben Ayoub W, Ben Charrada N, Ben Cheikh M, Ben Dahmen F, Ben Dhia M, Ben Fadhel S, Ben Farhat L, Ben Fredj Ismail F, Ben Hamida E, Ben Hamida Nouaili E, Ben Hammamia M, Ben Hamouda A, Ben Hassine L, Ben Hassouna A, Ben Hasssen A, Ben Hlima M, Ben Kaab B, Ben Mami N, Ben Mbarka F, Ben Mefteh N, Ben Kahla N, Ben Mrad M, Ben Mustapha N, Ben Nacer M, Ben Neticha K, Ben Othmen E, Ben Rhouma S, Ben Rhouma M, Ben Saadi S, Ben Safta A, Ben Safta Z, Ben Salah C, Ben Salah N, Ben Sassi S, Ben Sassi J, Ben Tekaya S, Ben Temime R, Ben Tkhayat A, Ben Tmim R, Ben Yahmed Y, Ben Youssef S, Ben Ali M, Ben Atta M, Ben Safta Z, Ben Salah M, Berrahal I, Besbes G, Bezdah L, Bezzine A, Bezzine A, Bokal Z, Borsali R, Bouasker I, Boubaker J, Bouchekoua M, Bouden F, Boudiche S, Boukhris I, Bouomrani S, Bouraoui S, Bouraoui S, Bourgou S, Boussabeh E, Bouzaidi K, Chaker K, Chaker L, Chaker A, Chaker F, Chaouech N, Charfi M, Charfi MR, Charfi F, Chatti L, Chebbi F, Chebbi W, Cheikh R, Cheikhrouhou S, Chekir J, Chelbi E, Chelly I, Chelly B, Chemakh M, Chenik S, Cheour M, Cheour M, Cherif E, Cherif Y, Cherif W, Cherni R, Chetoui A, Chihaoui M, Chiraz Aichaouia C, Dabousii S, Daghfous A, Daib A, Daib N, Damak R, Daoud N, Daoud Z, Daoued N, Debbabi H, Demni W, Denguir R, Derbel S, Derbel B, Dghaies S, Dhaouadi S, Dhilel I, Dimassi K, Dougaz A, Dougaz W, Douik H, Douik El Gharbi L, Dziri C, El Aoud S, El Hechmi Z, El Heni A, ELaoud S, Elfeleh E, Ellini S, Ellouz F, Elmoez Ben O, Ennaifer R, Ennaifer S, Essid M, Fadhloun N, Farhat M, Fekih M, Fourati M, Fteriche F, G Hali O, Galai S, Gara S, Garali G, Garbouge W, Garbouj W, Ghali O, Ghali F, Gharbi E, Gharbi R, Ghariani W, Gharsalli H, Ghaya Jmii G, Ghédira F, Ghédira A, Ghédira H, Ghériani A, Gouta EL, Guemira F, Guermazi E, Guesmi A, Hachem J, Haddad A, Hakim K, Hakiri A, Hamdi S, Hamed W, Hamrouni S, Hamza M, Haouet S, Hariz A, Hendaoui L, Hfaidh M, Hriz H, Hsairi M, Ichaoui H, Issaoui D, Jaafoura H, Jazi R, Jazia R, Jelassi H, Jerraya H, Jlassi H, Jmii G, Jouini M, Kâaniche M, Kacem M, Kadhraoui M, Kalai M, Kallel K, Kammoun O, Karoui M, Karouia S, Karrou M, Kchaou A, Kchaw R, Kchir N, Kchir H, Kechaou I, Kerrou M, Khaled S, Khalfallah N, Khalfallah M, Khalfallah R, Khamassi K, Kharrat M, Khelifa E, Khelil M, Khelil A, Khessairi N, Khezami MA, Khouni H, Kooli C, Korbsi B, Koubaa MA, Ksantini R, Ksentini A, Ksibi I, Ksibi J, Kwas H, Laabidi A, Labidi A, Ladhari N, Lafrem R, Lahiani R, Lajmi M, Lakhal J, Laribi M, Lassoued N, Lassoued K, Letaif F, Limaïem F, Maalej S, Maamouri N, Maaoui R, Maâtallah H, Maazaoui S, Maghrebi H, Mahfoudhi S, Mahjoubi Y, Mahjoubi S, Mahmoud I, Makhlouf T, Makni A, Mamou S, Mannoubi S, Maoui A, Marghli A, Marrakchi Z, Marrakchi J, Marzougui S, Marzouk I, Mathlouthi N, Mbarek K, Mbarek M, Meddeb S, Mediouni A, Mechergui N, Mejri I, Menjour MB, Messaoudi Y, Mestiri T, Methnani A, Mezghani I, Meziou O, Mezlini A, Mhamdi S, Mighri M, Miled S, Miri I, Mlayeh D, Moatemri Z, Mokaddem W, Mokni M, Mouhli N, Mourali MS, Mrabet A, Mrad F, Mrouki M, Msaad H, Msakni A, Msolli S, Mtimet S, Mzabi S, Mzoughi Z, Naffeti E, Najjar S, Nakhli A, Nechi S, Neffati E, Neji H, Nouira Y, Nouira R, Omar S, Ouali S, Ouannes Y, Ouarda F, Ouechtati W, Ouertani J, Ouertani J, Ouertani H, Oueslati A, Oueslati J, Oueslati I, Oueslati A, Rabai B, Rahali H, Rbia E, Rebai W, Regaïeg N, Rejeb O, Rhaiem W, Rhimi H, Riahi I, Ridha R, Robbena L, Rouached L, Rouis S, Safer M, Saffar K, Sahli H, Sahraoui G, Saidane O, Sakka D, Salah H, Sallami S, Salouage I, Samet A, Sammoud K, Sassi Mahfoudh A, Sayadi C, Sayhi A, Sebri T, Sedki Y, Sellami A, Serghini M, Sghaier I, Skouri W, Skouri W, Slama I, Slimane H, Slimani O, Souhail O, Souhir S, Souissi A, Souissi R, Taboubi A, Talbi G, Tbini M, Tborbi A, Tekaya R, Temessek H, Thameur M, Touati A, Touinsi H, Tounsi A, Tounsia H, Trabelsi S, Trabelsi S, Triki A, Triki M, Turki J, Turki K, Twinsi H, Walha Y, Wali J, Yacoub H, Yangui F, Yazidi M, Youssef I, Zaier A, Zainine R, Zakhama L, Zalila H, Zargouni H, Zehani A, Zeineb Z, Zemni I, Zghal M, Ziadi J, Zid Z, Znagui I, Zoghlami C, Zouaoui C, Zouari B, Zouiten L, and Zribi H

Published
2017

13. [Paraneoplastic dermatomyositis: About an exceptional location].

Author

Cherif E, Boukhris I, Kechaou I, Azzabi S, Kaouech Z, Hriz A, Ben Hassine L, and Khalfallah N

Subjects
Dermatomyositis etiology, Dermatomyositis pathology, Female, Humans, Liver Neoplasms complications, Liver Neoplasms pathology, Lymphoma complications, Lymphoma pathology, Middle Aged, Paraneoplastic Syndromes etiology, Paraneoplastic Syndromes pathology, Dermatomyositis diagnosis, Liver Neoplasms diagnosis, Lymphoma diagnosis, Paraneoplastic Syndromes diagnosis
Published
2015

14. [Characteristics of deep vein thrombosis in the elderly].

Author

Kechaou I, Ben Hassine L, Cherif E, Hassayoun M, Azzabi S, Boukhris I, Kaouech Z, Koôli C, and Khalfallah N

Abstract

Purpose of the Study: Deep vein thrombosis is a common condition in geriatric. The identification of risk factors for venous thrombosis in the elderly is important because it allows an appropriate prescription of preventive treatments. The purpose of this study is to identify the etiologic and therapeutic characteristics of deep vein thrombosis of the lower limbs in the elderly., Patients and Methods: A retrospective study of 155 patients with lower limb deep vein thrombosis confirmed by venous Doppler. These patients were divided into two groups: group 1 (patients aged 65 years or more) and group 2 (patients whose age was below 65 years). A comparison between these two groups was performed., Results: The average age of patients in group 1 was 74.89 years (± 6.43). The sex ratio in this group was 0.68. The thrombosis was more frequently proximal in patients of group 1. Patients of group 1 had significantly more risk factors than those of group 2 (p <0.05). Among risk factors studied, only the cancers were significantly more frequent in group 1 (p = 0.002). The frequency of hemorrhagic events in both groups was comparable but bleeding was more common in patients of group 1 with cancer., Conclusion: Our study confirms the multifactorial origin of deep vein thrombosis in the elderly and the incidence of malignant etiology. The results of this study also call for vigilance in the use of anticoagulants in the elderly especially in the presence of cancer because it is an additional risk factor for bleeding.

Published
2015

15. [Syndrome d'activation macrophagique: une série de 11 cas tunisiens].

Author

Boukhris I, Rachdi I, Chérif E, Azzabi S, Ben Hassine L, Kéchaou I, Kaouech Z, Kooli C, and Khalfallah N

Subjects
Adolescent, Adult, Aged, Female, Hepatomegaly diagnosis, Hepatomegaly epidemiology, Hepatomegaly etiology, Humans, Male, Middle Aged, Prognosis, Retrospective Studies, Splenomegaly diagnosis, Splenomegaly epidemiology, Splenomegaly etiology, Tunisia epidemiology, Young Adult, Macrophage Activation Syndrome diagnosis, Macrophage Activation Syndrome epidemiology, Macrophage Activation Syndrome etiology
Abstract

Background: Hemophagocytic syndromes are mostly associated with underlying pathology, they can reveal: immunodeficiency, infections, hemopathies, cancers and auto-immune diseases., Aim: to investigate clinical, biological features, outcome characteristics and underlying pathology of Tunisian patients with hemophagocytic syndromes., Methods: A retrospective study of patients with hemophagocytic syndromes admitted in an internal medicine department in Tunis over the period 2009-2012., Results: There were 11 patients included, 4 men and and 7 women. Mean age was 47,3years. Purpura was observed in 3 cases, hepatosplenomegaly in 6 cases and peripheral lymph nodes in 3 cases. Hemorrhagic complication was noted in 2 cases. There were an increase of inflammatory indices in all the cases. Eight patients had pancytopenia and 3 had bicytopenia. Six patients developed intravascular dissiminated coagulation. High levels of triglyceridemia was noted in 5 cases and an hyperferritinaemia in all cases. Cytological examination of bone marrow confirmed hemophagocytosis in ten cases. Hemophagocytosis was associated to infectious diseases in 6 cases, there were 2 cases of leishmaniasis, septicemia to E.Coli and staphylococcus aureus and lymph nodes tuberculosis with HIV. We also noted a case of lymphoma, myelodysplasic syndrome, rheumatoid polyarthritis, adult onset still's disease. In one patient, the origin of hemophagocytosis remained indefinite. Visceral leishmaniose were treated by Glucantime®, adult Still's disease by corticosteroids and méthrotrexate®, lymphoma by chemotherapy. In lymph nodes tuberculosis, there were good evolution. Six patients died., Conclusion: Hemophagocytic syndrome is a rare and life-threatening disease. Pejorative prognosis requires an early therapy with etiological treatment.

Published
2014

16. [Skin sensitization to aeroallergens in the child: cross-sectional study of 200 cases].

Author

Malouche S, Boussetta K, Ben Hassine L, Malouche K, Siala M, Nessib F, Mongalgi MA, Ben Hassen A, Rejeb S, and Boussnina S

Subjects
Adolescent, Child, Child, Preschool, Cross-Sectional Studies, Humans, Risk Factors, Allergens adverse effects, Dermatitis, Allergic Contact diagnosis, Skin Tests
Abstract

Background: The prevalence of the allergic diseases increased considerably during the last decades. The clinical expression of allergy depends on the interaction of genetic and environmental factors., Aim: The aim of our study was to evaluate the prevalence of sensitizing to aeroallergens in the child and to determine the risk factors of sensitizing., Methods: We carried out a cross-sectional study relating to 200 pediatric patients of the Mahmoud El Matri hospital, aged from 3 to14 years. We performed skin prick test to 12 current aeroallergens., Results: The prevalence of sensitizing to aeroallergens was 14%. Acarina (DP and/or DF) represented the allergens accused in the majority of the cases (96,4% of the cases). The statistical analysis of the various risk factors of sensitizing showed that these factors were: the presence of a family atopy (p= 0,0034) particularly a maternal asthma (p< 0,001), the personal atopy specially an asthma, an allergic rhinitis or eczema atopic (p< 10-5), the short breast-feeding (p= 0,033) and the home humidity (p=0,0072). Several risk factors reported in the literature did not seem to intervene in our study (the passive smoking, the urban dweling, the age of food diversification, infections at the low age)., Conclusion: The prevalence of sensitizing to aeroallergens is relatively high in our series. Many factors could explain the increase of the allergic diseases. Our study stresses the importance of the genetic, nutritional and environmental factors in the appearance of aeroallergens sensitization.

Published
2013

17. [Non hodgkin's lymphoma presenting in the testicle].

Author

Azzabi S, Boukhris I, Albuweiri A, Cherif E, Ben Hassine L, Kooli C, Kaouech Z, and Khalfallah N

Subjects
Aged, Central Nervous System Neoplasms secondary, Humans, Male, Lymphoma, Large B-Cell, Diffuse pathology, Testicular Neoplasms pathology
Published
2013

18. [A rare cause of urinary tract infection in infants].

Author

Louati H, Attia M, Ghorbel S, Masmoudi A, Douira W, Ben Hassine L, Lahmar L, Chaouachi B, Gaigi S, and Bellagha I

Subjects
Dilatation, Pathologic, Humans, Infant, Male, Radiography, Ultrasonography, Ureter pathology, Cysts congenital, Cysts diagnosis, Kidney abnormalities, Seminal Vesicles diagnostic imaging, Urinary Tract Infections etiology
Published
2012

19. [Brucellosis endocarditis].

Author

Azzabi S, Boukhris I, Cherif E, Derbali F, Ben Hassine L, Kooli C, Kaouech Z, and Khalfallah N

Subjects
Brucella melitensis isolation & purification, Humans, Male, Middle Aged, Brucellosis diagnosis, Endocarditis, Bacterial diagnosis
Published
2012

20. [Granulocytic sarcoma of the maxillary sinus: a pediatric case report].

Author

Ben Hassine L, Chaouch S, Douira W, Louati H, Lahmar L, Fdhila F, Mrad K, Barsaoui S, and Bellagha I

Subjects
Humans, Infant, Magnetic Resonance Imaging, Male, Tomography, X-Ray Computed, Maxillary Sinus, Sarcoma, Myeloid diagnosis
Abstract

Background: Granulocytic sarcoma is a rare malignant extramedullary neoplasm of myeloid precursor cells, occuring before or after onset of leukaemia. Involvement of the head and neck region is rare, generally concerning the orbit., Aim: To illustrate imaging findings of granulocytic sarcoma in an unusual location; maxillary sinus., Case: We report a case of maxillary sinus granulocytic sarcoma in a 13-month old boy revealed by facial nerve palsy, ptosis and jugal swelling, without any evidence of haematological disorders. The patient underwent computed tomography and magnetic resonance imaging exam which demonstrated a non specific maxillary sinus mass with destruction of the orbit floor and the alveolar bone. Diagnosis was obtained after bone biopsy allowing histological and immunohistochemical studies., Conclusion: Granulocytic sarcoma is a serious condition because of the associated hematologic disorders. In a sinus or orbit location, imaging features are non specific. Unless hematologic history is present, diagnosis is difficult and an immuno histo chemical study is required.

Published
2011

21. Prevalence and risk factors of overweight and obesity in elementary schoolchildren in the metropolitan region of Tunis, Tunisia.

Author

Boukthir S, Essaddam L, Mazigh Mrad S, Ben Hassine L, Gannouni S, Nessib F, Bouaziz A, Brini I, Sammoud A, Bouyahia O, and Zouari B

Subjects
Child, Cross-Sectional Studies, Female, Humans, Male, Prevalence, Risk Factors, Tunisia epidemiology, Urban Population, Obesity epidemiology, Overweight epidemiology
Abstract

Background: Local data about prevalence of obesity in emerging countries are rather scarce. Risk factors for obesity, well known in most industrialized countries, are poorly understood in Tunisia., Aims: To assess prevalence of overweight and obesity and to investigate associations with possible risk factors in a group of 6-12 year- old schoolchildren in Tunis, Tunisia., Methods: A descriptive transversal study including a sample of 1335 schoolchildren (6-12 years; mean: 9.7 ± 1.5 years) was conducted in Tunis. Personal and parental data were collected by questionnaires completed by parents. Height and weight were measured and body mass index was calculated. Prevalence of overweight and obesity was defined based on international agreed cut-off points., Results: Prevalence of overweight and obesity was 19.7% and 5.7%, respectively. Risk factors associated with overweight were: high degree- educated mother and father: 17.3% vs 11.7% (p=.01) (OR (95%CI): 1.58; 1.09-2.29) and 26% vs 17.4% (p=.002) (OR: 1.66; 1.21-2.29), respectively; mother, father high in occupational hierarchy: 7.2% vs 3.6% (p=0.009) (OR: 2.1; 1.2-3.7) and 14% vs 9% (p=.014) (OR: 1.6; 1.1-2.48), respectively. Overweight children had a significantly higher consumption of bread (p=.044), of snack intake (p=0.046) and of soft drink consumption (p=.035)., Conclusions: Prevalence of overweight and obesity in this cohort are 19.7% and 5.7%, respectively. Substantial differences in food choices in families with the highest socio-economic status are among risk factors contributing to obesity development.

Published
2011

22. [Rare location of a rhabdomyosarcoma].

Author

Louati H, Dhouib A, Douira W, Ben Hassine L, Lahmar L, Nouira F, Fdhila F, Ghorbel S, Chaouachi B, and Bellagha I

Subjects
Abdominal Neoplasms therapy, Abdominal Wall surgery, Chemotherapy, Adjuvant, Humans, Infant, Male, Rhabdomyosarcoma, Embryonal therapy, Abdominal Neoplasms pathology, Abdominal Wall pathology, Rhabdomyosarcoma, Embryonal pathology
Published
2010

23. [Management of blunt duodenal and pancreatic injuries in children (about a series of 8 cases)].

Author

Ben Hassine L, Boughanmi N, Douira W, Mormeche J, Louati H, Hamzaoui M, Chaouachi B, and Bellagha I

Subjects
Age Factors, Child, Child, Preschool, Drainage, Endoscopy, Female, Humans, Male, Pancreatectomy, Radiography, Abdominal, Retrospective Studies, Tomography, X-Ray Computed, Ultrasonography, Accidental Falls, Accidents, Home, Accidents, Traffic, Bicycling injuries, Duodenum injuries, Pancreas injuries, Wounds, Nonpenetrating complications, Wounds, Nonpenetrating diagnosis, Wounds, Nonpenetrating diagnostic imaging, Wounds, Nonpenetrating surgery, Wounds, Nonpenetrating therapy
Abstract

Aim: The aim of this retrospective study is to report eight cases of blunt duodeno-pancreatic trauma in infants, emphasizing on the role of imaging in acute assessment of the lesions and in further management., Methods: We reported eight cases of duodeno-pancreatic injuries between 2006 and 2008, 5 boys and 3 girls with an age ranging from 3 to 12 years (median age: 7 years). Trauma circumstances were: car accident (n=2), domestic injury (n=5) and bicycle's fall injury (n=1). All patients underwent abdominal ultrasonography and CT scan in the initial evaluation and during the follow-up., Results: Imaging showed the following pancreatic lesions: 3 corporeal fractures, 2 caudal fractures and one between the corporeal and the caudal portions. Four pancreatic haematomas were found. The associated lesions were duodenal, splenic, hepatic and renal. Two isolated duodenal haematomas were found. Two patients improved spontaneously, the six others developed complications: 4 acute pancreatitis, two infections, 3 pseudocysts and one retroperitoneal collection. Management was chirurgical in one case, medical in two cases, endoscopic in 2 cases and three percutaneaous drainages were performed., Conclusion: Blunt duodeno-pancreatic injuries in children have to be evaluated by an early imaging modality, in order to perform acute assessment of the lesions. Primary conservative treatment is advocated while clinic, biologic and imaging follow-up is required to detect complications, which management can be endoscopic, percutaneous or surgical.

Published
2010

24. [Mature presacral teratoma of adults].

Author

Ben Hassine L, Sahli H, Douira W, Louati H, and Bellagha I

Subjects
Adult, Female, Humans, Treatment Outcome, Dermoid Cyst diagnosis, Dermoid Cyst surgery, Sacrococcygeal Region, Soft Tissue Neoplasms diagnosis, Soft Tissue Neoplasms surgery
Published
2010

25. [Section of the bile duct secondary to blunt trauma to the abdomen in a child].

Author

Douira-Khomsi W, Louati H, Ben Aicha A, Ben Hassine L, Hamzaoui M, and Bellagha I

Subjects
Child, Preschool, Cholangiography, Cholangiopancreatography, Endoscopic Retrograde, Cholecystectomy, Follow-Up Studies, Humans, Male, Radiography, Abdominal, Time Factors, Tomography, X-Ray Computed, Treatment Outcome, Abdominal Injuries diagnosis, Abdominal Injuries diagnostic imaging, Abdominal Injuries surgery, Bile Ducts injuries, Wounds, Nonpenetrating diagnosis, Wounds, Nonpenetrating diagnostic imaging, Wounds, Nonpenetrating surgery
Published
2009

26. Pyelonephritis xanthogranulomatous in childhood: case report and literature review.

Author

Douira W, Louati H, Jarraya H, Ben Hassine L, Tinsa F, Sahli S, Hamzaoui M, and Bellagha I

Subjects
Child, Preschool, Diagnosis, Differential, Humans, Male, Pyelonephritis, Xanthogranulomatous diagnosis
Abstract

Background: Xanthogranulomatous pyelonephritis (XGP) is a specific form of chronic inflammatory kidney disease rarely seen in children. The Symptoms are often vague and non-specific, Aim: the aim of this paper is to return the particularities of imaging features in xanthogranulomatous pyelonephritis, insisting on differential diagnosis with renal tumors, especially in case of no renal stone or tract obstruction evidence., Case: We report a case of xanthogranulomatous pyelonephritis in a 2-year-old boy involving the lower renal pole which demonstrates the diagnostic difficulties encountered in this disease, Conclusion: Xanthogranulomatous pyelonephritis is a rare condition in children and should be included in the differential diagnosis of a child presenting a renal mass.

Published
2009

27. [Orbital rhabdomyosarcoma].

Author

Douira-Khomsi W, Korchane N, Louati H, Ben Hassine L, Kchaou I, Oubich F, Hammou A, Matri L, and Bellagha I

Subjects
Child, Child, Preschool, Female, Humans, Infant, Male, Orbital Neoplasms therapy, Rhabdomyosarcoma therapy, Orbital Neoplasms pathology, Rhabdomyosarcoma pathology
Published
2009

28. [Renal amyloidosis during Behçet's disease. Study of one case].

Author

Azzabi S, Ben Hassine L, Cherif E, Kooli C, Kaouache Z, Goucha R, Khedher A, Ben Moussa F, and Khalfallah N

Subjects
Adult, Amyloidosis drug therapy, Colchicine therapeutic use, Female, Gout Suppressants therapeutic use, Humans, Kidney Diseases drug therapy, Amyloidosis complications, Behcet Syndrome complications, Kidney Diseases complications
Abstract

Background: Amyloidosis in Behçet's disease is rare and has a poor outcome., Aim: Report a new case., Case: We report a case of a 38-year-old Tunisian woman who presented with Behçet's disease and nephrotic syndrome. Renal biopsy showed amyloid deposition consistent with AA type. She had not any associated disease that might be an additional cause of secondary amyloidosis. She was treated by colchicine. After 3 years, proteinuria had disappeared and persisted negative 11 years after the diagnosis. A second renal biopsy showed the persistence of amyloidosis., Conclusion: As amyloidosis is one of the prognostic factors affecting survival in Behçet's disease, patients with this disease should be screened for amyloidosis. Administration of colchicine to these patients may be beneficial.

Published
2009

29. [Chronic disseminated intravascular coagulation caused by aortic dissection].

Author

Azzabi S, Barhoumi A, Cherif E, Ben Hassine L, Kooli C, Rajhi H, Kaouech Z, Guermazi S, Mnif N, Karoui M, and Khalfallah N

Subjects
Aged, Humans, Male, Aortic Dissection complications, Aortic Aneurysm complications, Disseminated Intravascular Coagulation etiology
Abstract

Background: Disseminated intravascular coagulation (DIC) is a severe disease. It can be caused by loss of pathology., Case Report: We report the case of chronic aortic dissection discovered during the evaluation of disseminated intravascular coagulation (DIC). This case is characterised by the severity of clinical presentation, challenging diagnosis and difficulty of therapeutic approach. Low dose of heparine may reduce the severity of this situation; but vital prognosis remains obscure., Conclusion: aortic dissection is a rare but a severe cause of disseminated intravascular coagulation

Published
2009

30. [Abdominal fetus in fetu].

Author

Louati H, Douira W, Mormeche Y, Ben Hassine L, Sahli S, Jlidi S, Hamzaoui M, Chaouachi B, and Bellagha I

Subjects
Abdomen abnormalities, Abdomen surgery, Female, Humans, Infant, Newborn, Pregnancy, Twins, Monozygotic, Fetus abnormalities
Published
2009

32. [Temporal arteritis revealed by dysphagia].

Author

Mahfoudhi M, Azzabi S, Ben Hassine L, Kooli C, Cherif E, Kaouach Z, Abid H, and Khalfallah N

Subjects
Aged, Humans, Male, Deglutition Disorders etiology, Giant Cell Arteritis complications, Giant Cell Arteritis diagnosis
Published
2008

33. [Benign cystic mesothelioma of the peritoneum].

Author

Chammakhi-Jemli C, Ben Hassine L, Dahmani Z, Khlifi S, Labbène N, Mzabi H, Shili-Briki S, and Daghfous MH

Subjects
Female, Humans, Mesothelioma, Cystic pathology, Mesothelioma, Cystic surgery, Middle Aged, Peritoneal Neoplasms pathology, Peritoneal Neoplasms surgery, Treatment Outcome, Mesothelioma, Cystic diagnosis, Peritoneal Neoplasms diagnosis
Published
2008

34. [US guided biopsy in the early diagnosis of prostatic cancer. A series of 66 cases].

Author

Chammakhi-Jemli C, Daghfous A, Sfaxi M, Ben Hassine L, Ayed M, and Daghfous MH

Subjects
Aged, Humans, Male, Middle Aged, Prospective Studies, Ultrasonography, Biopsy, Needle methods, Early Detection of Cancer, Prostatic Neoplasms diagnostic imaging, Prostatic Neoplasms pathology
Abstract

Aim: Our study's aim is to evaluate the reliability of digital rectal examination and serum PSA in the indication of prostatic biopsy., Methods: 66 patients with abnormal digital rectal examination and arised PSA levels had prostatic biopsies. The sextant technique was practiced., Results: The digital rectal examination had a sensitivity of 65%, a specificity of 45% and a positive predictive value (PPV) of 34.3%. The serum PSA had a PPV of 25%. The association if these two parameters arised the PPV to 39.5%. Cancer detection rate was estimated to 30.3%., Conclusions: Prostatic biopsies should be indicated according to the result of digital rectal examination and serum PSA.

Published
2008

36. Spontaneous ovarian hyper stimulation syndrome and deep vein thrombosis in a non pregnant woman: case report.

Author

Attia L, Azzabi S, Ben Hassine L, Chachia A, Koubâa A, and Khalfallah N

Subjects
Female, Heparin administration & dosage, Heparin therapeutic use, Humans, Ovarian Cysts surgery, Postoperative Complications, Pulmonary Embolism etiology, Time Factors, Treatment Outcome, Jugular Veins, Ovarian Hyperstimulation Syndrome diagnosis, Ovarian Hyperstimulation Syndrome prevention & control, Subclavian Vein, Venous Thrombosis drug therapy
Abstract

Aim: To assess aetiological factors and complications in a patient with severe ovarian hyperstimulation syndrome (OHSS) and internal jugular vein thrombosis., Case: A 27-year-old non pregnant woman with bilateral ovarian masses who had underwent laparotomy for suspicion of malignant tumor. The pathological examination disclosed malignancy and the diagnosis of OHSS were confirmed. The postoperative evolution was complicated by internal jugular, subclavian vein thrombosis and pulmonary embolism. All biological parameters were negative. The evolution was good., Conclusion: The incidence of thromboembolism in women with OHSS is low and the typical finding is deep venous thrombosis in the neck area. Preventive measure of OHSS is very important, and the patients must be treated timely and correctly once OHSS occurs.

Published
2007

37. [Retroperitoneal leiomyosarcoma: report of 3 cases].

Author

El Atat R, Sfaxi M, Gargouri M, Ben Moualli S, Ben Hassine L, Chebil M, and Ayed M

Subjects
Bone Neoplasms secondary, Brain Neoplasms secondary, Fatal Outcome, Female, Follow-Up Studies, Humans, Kidney Neoplasms pathology, Leiomyosarcoma pathology, Leiomyosarcoma secondary, Liver Neoplasms secondary, Lymphatic Metastasis pathology, Male, Middle Aged, Neoplasm Invasiveness, Neoplasm Recurrence, Local pathology, Leiomyosarcoma diagnosis, Retroperitoneal Neoplasms diagnosis
Abstract

Background: Retroperitoneal leiomyosarcomas are neoplasma which are best treated with complete exeresis., Aim: We reported three new cases of retroperitoneal Leiomyosarcoma operated during last ten years., Cases: The authors reported 3 cases of Retroperitoneal leiomyosarcomas in 3 patients (2 men and a woman) aged respectively 53, 55 and 57 year-old. Incomplete resection was performed in the 3 cases because of the important local extension. All patients died 18, 19 et 51 months after diagnosis.

Published
2007

38. [Imaging in the screening and diagnosis of hepatocellular carcinoma in cirrhosis liver in Tunisia. A series of 30 cases].

Author

Ben Hassine L, Daghfous MH, Mami A, Chammakhi-Jemli C, Zouaoui W, Saddoud W, Miaoui A, Kharrat J, Ghorbal A, and Sehili-Briki S

Subjects
Aged, Aged, 80 and over, Algorithms, Contrast Media, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Neoplasm Invasiveness, Retrospective Studies, Sensitivity and Specificity, Tomography, X-Ray Computed, Tunisia, Ultrasonography, Doppler, alpha-Fetoproteins analysis, Carcinoma, Hepatocellular diagnosis, Liver Cirrhosis complications, Liver Neoplasms diagnosis, Mass Screening
Abstract

Unlabelled: The aim of our study is to expose a practical screening and diagnosis strategy of HCC occuring in cirrhosis liver, which is nowadays a health public matter in Tunisia., Methods: HCC routine screening in cirrhosis liver has been conducted every 6 months using a combination of abdominal sonography and serum alpha-foetoprotein levels. PCUS, CT scan or MRI have been performed each time a focal liver lesion was discovered in US, or in case of elevated serum alpha-foetoprotein levels. 30 cases of HCC were identified., Results: US has shown a unique nodule in 46% of the cases, multiple nodules in 50% of them. No lesion has been discovered in 4% of the cases. Nodule size ranged from 8 to 140 mm. Heterogenous hyperechoic pattern was the most frequent one (41%). Hypervascular doppler feature was authentified in 20% of the cases. Serum alpha-foetoprotein levels had respectively a sensitivity and a specificity of 14% and 44% in lesions inferior to 3 cm, 62% and 80% in lesions superior to 3 cm. Typical arterial enhancement of HCC was depicted in 1 case for PCUS, in 76% for CT scan and 60% for MRI., Conclusion: Combination of abdominal sonography and serum alpha-foetoprotein levels practiced every 6 months represent a good compromise between cost and effectiveness. Second intention imaging is based on CT scan in Tunisia because of its availability compared to MRI. PCUS is becoming in the near future the best modality for lesion caracterization thanks to its safety and relative inexpensiveness.

Published
2007

39. [Retroperitoneal ganglioneuroma. A case report].

Author

Gargouri MM, Sfaxi M, El Atat R, Ben Mouelli S, Ben Hassine L, Chebil M, and Ayed M

Subjects
Adult, Female, Follow-Up Studies, Humans, Nephrectomy, Time Factors, Tomography, X-Ray Computed, Treatment Outcome, Ganglioneuroma diagnosis, Ganglioneuroma diagnostic imaging, Ganglioneuroma surgery, Retroperitoneal Neoplasms diagnostic imaging, Retroperitoneal Neoplasms surgery
Abstract

Background: Ganlioneuroma is a rare, benign, neurogenic tumor originating from the neural sheath and frequently localized in the retroperitoneum., Aim: Report of a new case., Case: We report a case of a 36-year-old woman presenting isolated right lumbar pain. Computed tomography revealed a heterogeneous, right, retroperitoneal mass, 13 cm in diameter. Complete resection of the tumor and right nephrectomy were performed. Histology confirmed the diagnosis of ganglioneuroma. Follow-up was 10 months with no recurrence. Through this case, we discuss diagnostic, therapeutic and prognostic aspects of this disease.

Published
2007

40. [Renal adenocarcinoma in horseshoe kidney, report of a case].

Author

Ben Slama R, Ben Mouelli S, Bouassida A, Derouich A, Ben Hassine L, Chebil M, and Ayed M

Subjects
Humans, Male, Middle Aged, Adenocarcinoma complications, Kidney abnormalities, Kidney Neoplasms complications
Abstract

Tumors arising within horseshoe kidney are uncommon and may be difficult to identify. The incidence of tumor within horseshoe kidney is higher than in the normal one. Adenocarcinoma is the most common tumor. The nephrectomy is considered as partial and the patients need a strict follow up. Horseshoe kidneys show a lot of variety with regard to supporting arteries and veins. Therefore, a selective study of the renal vessels should be performed preoperatively. Abdominal angiography should be done to study this vasculature.

Published
2006

41. [CT findings in otosclerosis. A series of 11 cases].

Author

Chammakhi-Jemli C, Ben Hassine L, Daghfous A, Shili-Briki S, Mzabi H, Mbarek C, Lekhdim A, and Daghfous MH

Subjects
Adult, Female, Hearing Loss etiology, Humans, Male, Middle Aged, Otosclerosis classification, Otosclerosis diagnostic imaging, Tomography, X-Ray Computed
Abstract

Introduction: Our study's aim is to evaluate the reliability of computed tomography in diagnosis, extension and post-surgical follow-up of otosclerosis., Patients and Methods: A group of 11 patients was examined during a period of 25 months from 2002 to 2004. All of them had clinically and audiometrically suspected otosclerosis with bilateral conductive hear loss in 7 cases (3 had surgical management), unilateral in 2, and mixed earing loss in 2. High resolution CT was performed once in 8 patients and twice in the 3 operated., Results: CT showed otosclerosis foci in all our study's patients, which was bilateral in 9 and unilateral in 2. The extension of the lesions varied from type IA to type 4B according to the otosclerosis staging., Conclusion: Computed tomography is, so far, the most efficient imaging modality in otosclerosis, showing otosclerosis foci when the clinical features are doubtful, allowing an accurate extension of the lesions and detecting complications during post-surgical follow-up.

Published
2006

42. [Cutaneous lupus profundus].

Author

Khalfallah N, Azzabi S, Ben Hassine L, Fathallah L, Kooli C, Fazâa B, Hamza M, and Haddad A

Subjects
Adolescent, Adult, Anti-Inflammatory Agents administration & dosage, Anti-Inflammatory Agents therapeutic use, Antimalarials administration & dosage, Antimalarials therapeutic use, Biopsy, Chloroquine administration & dosage, Chloroquine therapeutic use, Female, Fluorescent Antibody Technique, Humans, Panniculitis, Lupus Erythematosus diagnosis, Panniculitis, Lupus Erythematosus drug therapy, Panniculitis, Lupus Erythematosus pathology, Prednisone administration & dosage, Prednisone therapeutic use, Skin pathology, Time Factors, Lupus Erythematosus, Cutaneous diagnosis, Lupus Erythematosus, Cutaneous drug therapy, Lupus Erythematosus, Cutaneous pathology
Abstract

The objective of this studies is to review clinical and laboratory features of lupus panniculitis. The authors report 3 cases of lupus profundus from a group of 70 lupus erythematosus. In both cases the lupus panniculitis presented as subcutaneous infiltrated and indurated nodules. The diagnosis was confirmed on clinical, histological and therapeutic data. The evolution is slow and is characterised by regression of the inflammatory lesions with treatment by antimalarial drugs. The lupus panniculitis has generally a favorable prognosis.

Published
2003

43. [Xanthogranulomatous pyelonephritis in pelvic kidney. A case report].

Author

Ben Moualli S, Hajri M, Derouich A, Bacha K, Ben Hassine L, Chebil M, and Ayed M

Subjects
Humans, Male, Middle Aged, Pelvis, Skin Ulcer etiology, Kidney abnormalities, Pyelonephritis, Xanthogranulomatous etiology
Abstract

We report the case of a xanthogranulomatous pyelonephretis in a pelvic ectopic kidney that is revealed by a buttockal abscess.

Published
2001

44. [The etiology of hypercalcemia: a study of 47 cases in a hospital internal medicine service].

Author

Azzabi S, Khalfallah N, Ben Hassine L, Omar S, Kooli C, Hamza M, and Haddad A

Subjects
Aged, Female, Humans, Male, Middle Aged, Neoplasms complications, Retrospective Studies, Hypercalcemia etiology, Hyperparathyroidism complications, Multiple Myeloma complications
Abstract

In this study, we are presented the clinical and the aetiologic features of 47 patients having hypercalcemia (total serum calcium > or = 2.7 mmol/l). Our results show a positive significantly correlation between the degree of the hypercalcemia and the severity of the clinical symptomatology. As for to the aetiology, the multiple myeloma, the hyperparathyroid and the neoplastic process constituted 78% of the total aetiology.

Published
2001

45. [Tracheal atresia. A case report].

Author

Siala SG, Masmoudi A, Ben Hassine L, Marrakchi Z, Chabchoub A, Rziga H, and Khrouf N

Subjects
Autopsy, Diagnosis, Differential, Fatal Outcome, Humans, Infant, Newborn, Intubation, Intratracheal, Male, Respiratory Distress Syndrome, Newborn etiology, Trachea abnormalities
Abstract

The tracheal agenesis is a rare malformation of the respiratory tract. It must be suspected in any new born with respiratory distress, absence of crying, and difficulty or impossibility of intubation. Since the initial case report by Payne in 1900, 87 cases have been reported in the literature. The authors report one case of tracheal agenesis out of 2500 autopsy realised in the laboratory.

Published
2001

47. [Major thrombocytopenia induced by heparin. Report of 3 cases].

Author

Bouslama K, Guermazi S, Ben Hassine L, Aissaoui M, Harmel A, Ennafaa M, M'Rad S, Ben Ammar MS, Larabi B, and Ben Dridi M

Subjects
Adult, Female, Humans, Male, Middle Aged, Fibrinolytic Agents adverse effects, Heparin adverse effects, Thrombocytopenia chemically induced
Published
1996

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