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5. Safety of laparoscopic cholecystectomy for cholecystitis during pregnancy

Author

Ahmed Itaimi, Imed Abbassi, Oussama Baraket, Ahmed Kotti, Wissem Triki, and Sami Bouchoucha

Subjects
cholecystitis, morbidity, mortality, pregnancy, Gynecology and obstetrics, RG1-991
Abstract

Objectives: The aim of this study is to evaluate the safety of laparoscopic cholecystectomy to treat acute cholecystitis during pregnancy. Materials and Methods: We conducted a retrospective multicenter study including pregnant women with acute cholecystitis managed in surgery departments in Tunisia from January 1, 2015, to December 31, 2019. Results: Seventeen centers of surgery department participated in this study including 107 cases of acute cholecystitis. The average maternal age was 30.5 years. Nonoperative management was performed in eight patients, whereas 99 other patients had surgery. Postoperative follow-up was uneventful in 93.8% of cases and eventful in 6.2% of cases. There was no mortality as far. A medical complication occurred in two patients with a medical morbidity rate of 1.7%. It was about thromboembolic disease. A surgical complication occurred in two other patients with a surgical morbidity rate of 1.7%. It was about intraperitoneal infection in one case and biliary collection in the other case. In univariate analysis, variables related significantly to maternal complication were: age equal or over 35 years old (P = 0.001), jaundice (P = 0.024), C-reactive protein value equal or over 20 mg/L (P = 0.05), and biliary peritonitis (P = 0.05). In multivariate analysis, independent variable predictive of maternal complications was age equal or over 35 years old (P = 0.003), jaundice (P = 0.003), and biliary peritonitis (P = 0.011). Conclusion: Laparoscopic cholecystectomy for cholecystitis can be safely achieved in pregnant women with low rates of morbidity and mortality. This study showed that independent variable predictive of maternal complications was age equal or over 35 years old, jaundice, and biliary peritonitis.

Published
2023
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6. Case Report: Caecal volvulus management from diagnosis to treatment in a young patient [version 2; peer review: 2 approved, 1 approved with reservations]

Author

Imed Abbassi, Wissem Triki, Racem Trigui, Ramy Ben Salah, Ahmed Itaimi, Karim Ayed, Hajer Sebri, Oussema Baraket, and Sami Bouchoucha

Subjects
Case Report, Articles, caecal volvulus, whirl sign, caecopexy, caecectomy
Abstract

Caecal volvulus (CV) is a rare cause of intestinal obstruction, defined by an axial torsion of the caecum, ascending colon, and terminal ileum around the mesenteric vascular pedicles, leading to ischemia and bowel necrosis. A 20-year-old woman, with no significant medical history, was admitted for generalized abdominal pain evolving for three days, along with constipation and abdominal distension, but with no vomiting. Physical examination showed a generalized abdominal tenderness with no rigidity or rebound tenderness, associated with abdominal distension and tympanic upon percussion. Laboratory findings were within normal limits. An abdominal computed tomography scan revealed distension of a loop of the large bowel with its long axis extending from the right lower quadrant to the epigastrium or left upper quadrant. Colonic haustral pattern was absent. An abdominal computed tomography scan showed a rounded focal collection of air-distended bowel with haustral creases in the upper left quadrant. In addition, spiraled loops of the collapsed cecum (giving a whirl sign) were noted, along with low-attenuating fatty mesentery from the twisted bowel. The patient underwent an emergency laparotomy and caecectomy using GEA 80 charges. The patient had no complaints post-operation. CV is a rare cause of bowel obstruction, mainly caused by an exceedingly mobile caecum. Despite its rareness, CV represents the second most common cause of large bowel volvulus, behind sigmoid volvulus. For acute obstruction by CV, it is hard to differentiate it clinically from obstruction of the small bowel; therefore, radiological exams are needed. Surgery is the gold standard treatment for CV. We report a rare case of CV to highlight the rarity of this pathology, specify its diagnostic and therapeutic means, and its clinical and biological evolution.

Published
2022
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7. Case Report: Caecal volvulus management from diagnosis to treatment in a young patient [version 2; peer review: 2 approved, 1 approved with reservations]

Author

Sami Bouchoucha, Hajer Sebri, Oussema Baraket, Ahmed Itaimi, Wissem Triki, Karim Ayed, Imed Abbassi, Racem Trigui, and Ramy Ben Salah

Subjects
caecal volvulus, whirl sign, caecopexy, caecectomy, eng, Medicine, Science
Abstract

Caecal volvulus (CV) is a rare cause of intestinal obstruction, defined by an axial torsion of the caecum, ascending colon, and terminal ileum around the mesenteric vascular pedicles, leading to ischemia and bowel necrosis. A 20-year-old woman, with no significant medical history, was admitted for generalized abdominal pain evolving for three days, along with constipation and abdominal distension, but with no vomiting. Physical examination showed a generalized abdominal tenderness with no rigidity or rebound tenderness, associated with abdominal distension and tympanic upon percussion. Laboratory findings were within normal limits. An abdominal computed tomography scan revealed distension of a loop of the large bowel with its long axis extending from the right lower quadrant to the epigastrium or left upper quadrant. Colonic haustral pattern was absent. An abdominal computed tomography scan showed a rounded focal collection of air-distended bowel with haustral creases in the upper left quadrant. In addition, spiraled loops of the collapsed cecum (giving a whirl sign) were noted, along with low-attenuating fatty mesentery from the twisted bowel. The patient underwent an emergency laparotomy and caecectomy using GEA 80 charges. The patient had no complaints post-operation. CV is a rare cause of bowel obstruction, mainly caused by an exceedingly mobile caecum. Despite its rareness, CV represents the second most common cause of large bowel volvulus, behind sigmoid volvulus. For acute obstruction by CV, it is hard to differentiate it clinically from obstruction of the small bowel; therefore, radiological exams are needed. Surgery is the gold standard treatment for CV. We report a rare case of CV to highlight the rarity of this pathology, specify its diagnostic and therapeutic means, and its clinical and biological evolution.

Published
2022
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8. Case Report: Caecal volvulus management from diagnosis to treatment in a young patient [version 1; peer review: 2 approved, 1 approved with reservations]

Author

Imed Abbassi, Wissem Triki, Racem Trigui, Ahmed Itaimi, Karim Ayed, Hajer Sebri, Oussema Baraket, and Sami Bouchoucha

Subjects
Case Report, Articles, caecal volvulus, whirl sign, caecopexy, caecectomy
Abstract

Caecal volvulus (CV) is a rare cause of intestinal obstruction, defined by an axial torsion of the caecum, ascending colon, and terminal ileum around the mesenteric vascular pedicles, leading to ischemia and bowel necrosis. A 20-year-old woman, with no significant medical history, was admitted for generalized abdominal pain evolving for three days, along with constipation and abdominal distension, but with no vomiting. Physical examination showed a generalized abdominal tenderness with no rigidity or rebound tenderness, associated with abdominal distension and tympanic upon percussion. Laboratory findings were within normal limits. An abdominal computed tomography scan revealed distension of a loop of the large bowel with its long axis extending from the right lower quadrant to the epigastrium or left upper quadrant. Colonic haustral pattern was absent. An abdominal computed tomography scan showed a rounded focal collection of air-distended bowel with haustral creases in the upper left quadrant. In addition, spiraled loops of the collapsed cecum (giving a whirl sign) were noted, along with low-attenuating fatty mesentery from the twisted bowel. The patient underwent an emergency laparotomy and caecectomy using GEA 80 charges. The patient had no complaints post-operation. CV is a rare cause of bowel obstruction, mainly caused by an exceedingly mobile caecum. Despite its rareness, CV represents the second most common cause of large bowel volvulus, behind sigmoid volvulus. For acute obstruction by CV, it is hard to differentiate it clinically from obstruction of the small bowel; therefore, radiological exams are needed. Surgery is the gold standard treatment for CV. We report a rare case of CV to highlight the rarity of this pathology, specify its diagnostic and therapeutic means, and its clinical and biological evolution.

Published
2022
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9. Case Report: Caecal volvulus management from diagnosis to treatment in a young patient [version 1; peer review: 2 approved]

Author

Sami Bouchoucha, Hajer Sebri, Oussema Baraket, Ahmed Itaimi, Wissem Triki, Karim Ayed, Imed Abbassi, and Racem Trigui

Subjects
caecal volvulus, whirl sign, caecopexy, caecectomy, eng, Medicine, Science
Abstract

Caecal volvulus (CV) is a rare cause of intestinal obstruction, defined by an axial torsion of the caecum, ascending colon, and terminal ileum around the mesenteric vascular pedicles, leading to ischemia and bowel necrosis. A 20-year-old woman, with no significant medical history, was admitted for generalized abdominal pain evolving for three days, along with constipation and abdominal distension, but with no vomiting. Physical examination showed a generalized abdominal tenderness with no rigidity or rebound tenderness, associated with abdominal distension and tympanic upon percussion. Laboratory findings were within normal limits. An abdominal computed tomography scan revealed distension of a loop of the large bowel with its long axis extending from the right lower quadrant to the epigastrium or left upper quadrant. Colonic haustral pattern was absent. An abdominal computed tomography scan showed a rounded focal collection of air-distended bowel with haustral creases in the upper left quadrant. In addition, spiraled loops of the collapsed cecum (giving a whirl sign) were noted, along with low-attenuating fatty mesentery from the twisted bowel. The patient underwent an emergency laparotomy and caecectomy using GEA 80 charges. The patient had no complaints post-operation. CV is a rare cause of bowel obstruction, mainly caused by an exceedingly mobile caecum. Despite its rareness, CV represents the second most common cause of large bowel volvulus, behind sigmoid volvulus. For acute obstruction by CV, it is hard to differentiate it clinically from obstruction of the small bowel; therefore, radiological exams are needed. Surgery is the gold standard treatment for CV. We report a rare case of CV to highlight the rarity of this pathology, specify its diagnostic and therapeutic means, and its clinical and biological evolution.

Published
2022
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10. Effect of Desulfation of Polysaccharides from Sea Urchin Eggs Paracentrotus Lividuson Antiproliferative Activity

Author

Msehli, Asma, Salem, Yosra Ben, Dammak, Mariem Itaimi, Mansour, Hedi Ben, Rihouey, Christophe, Le Cerf, Didier, Bouraoui, Abderrahman, and Majdoub, Hatem

Abstract

This study aims to study the impact of reducing the sulfate content and molecular weight of polysaccharides extracted from sea urchin eggs (Paracentrotus lividus) on antiproliferative activity against Caco-2 and B16 cell lines. Sulfated polysaccharides were initially extracted from sea urchin eggs, followed by a desulfation process. The characterization involved various techniques: Fourier-transform infrared spectroscopy for demonstrating desulfation, Gas Chromatography/Mass Spectrometry for determining monosaccharide composition, Size Exclusion Chromatography for confirming molecular weight reduction, and centesimal analysis for quantifying sulfate content. The initial molecular weight was 24,000 kg/mol decreased to 960 kg/mol, and sulfate content reduced from 9.41 to 1.31% after 4 h of desulfation. The investigation reveals that a decrease in sulfate content corresponded to a reduction in molecular weight, leading to an increase in antiproliferative activity. At a concentration of 400 µg/mL, inhibition percentages against Caco-2 cells increased from 43.14% for native sulfated polysaccharide to 79.68% after 4 h of desulfation. Similarly, for antiproliferative activity against B16 cells, native polysaccharide exhibited 60.71% inhibition, whereas desulfated polysaccharide after 4 h showed an increased inhibition percentage of 82.23%. This investigation demonstrates the specific contributions of these two factors to the observed antiproliferative effects. While sulfate content plays a role in antiproliferative activity, molecular weight emerged as the most crucial factor for enhancing this effect. These findings contribute valuable insights into the optimization of sea urchin eggs-derived polysaccharides for potential anticancer treatment, highlighting the importance of balancing sulfate content and molecular weight for therapeutic efficacy.

Published
2024
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13. Fournier's Gangrene: validation of the severity index

Author

Ahmed, Itaimi, Wissem, Triki, Imed, Abbassi, Karim, Ayed, Oussama, Baraket, and Sami, Bouchoucha

Subjects
Gangrene, Male, Humans, Middle Aged, Severity of Illness Index, Fournier Gangrene, Retrospective Studies
Abstract

Fournier's gangrene is a serious infection and is considered a major emergency. A complete assessment of the severity factors using a severity score is essential and makes it possible to adapt the therapeutic management.Validate Fournier's Gangrene Severity Index and evaluate its benefits in the initial assessment of disease severity.This is a retrospective, monocentric study which gathered all the cases of perineal gangrene that were managed in General Surgery Department of Habib Bougatfa Hospital in Bizerte over a period of 8 years. The primary endpoint in our study was mortality.Thirty-five cases of Fournier's gangrene were collected. The average age of our patients was 46 years. Mortality rate was 23%. We calculated the Fournier's Gangrene Severity Index for 22 patients. There was a significant difference in the average Fournier's Gangrene Severity Index score between the group of surviving patients (3.75) and the group of deceased patients (12.63) (p 9.5 (sensitivity 87.5%, specificity 100%), we noted that the mortality rate was significantly higher in the group with a score10 (100%) than in the group with a score ≤ 9 (6%) (p.

Published
2022

16. Partial characterization and antitumor activity of a polysaccharide isolated from watermelon rinds

Author

Mariem Itaimi Dammak, Didier Le Cerf, Afifa Belaid, Hedi Ben Mansour, Saoussen Hammami, Hatem Majdoub, Yosra Ben Salem, Laboratoire des Interfaces et Matériaux Avancés [Monastir] (LIMA), Faculté des Sciences de Monastir (FSM), Université de Monastir - University of Monastir (UM)-Université de Monastir - University of Monastir (UM), Institut Supérieur des Sciences Appliquées et Technologie [Mahdia] (ISSAT), Université de Monastir - University of Monastir (UM), Polymères Biopolymères Surfaces (PBS), Institut national des sciences appliquées Rouen Normandie (INSA Rouen Normandie), Institut National des Sciences Appliquées (INSA)-Normandie Université (NU)-Institut National des Sciences Appliquées (INSA)-Normandie Université (NU)-Institut de Chimie du CNRS (INC)-Institut Normand de Chimie Moléculaire Médicinale et Macromoléculaire (INC3M), Institut de Chimie du CNRS (INC)-École Nationale Supérieure d'Ingénieurs de Caen (ENSICAEN), Normandie Université (NU)-Normandie Université (NU)-Institut national des sciences appliquées Rouen Normandie (INSA Rouen Normandie), Institut National des Sciences Appliquées (INSA)-Normandie Université (NU)-Institut National des Sciences Appliquées (INSA)-Université Le Havre Normandie (ULH), Normandie Université (NU)-Université de Rouen Normandie (UNIROUEN), Normandie Université (NU)-Centre National de la Recherche Scientifique (CNRS)-Université de Caen Normandie (UNICAEN), Normandie Université (NU)-École Nationale Supérieure d'Ingénieurs de Caen (ENSICAEN), Normandie Université (NU)-Université Le Havre Normandie (ULH), and Normandie Université (NU)-Centre National de la Recherche Scientifique (CNRS)

Subjects
Arabinose, Rhamnose, Mannose, Antineoplastic Agents, 02 engineering and technology, Uronic acid, Polysaccharide, Biochemistry, Citrullus, 03 medical and health sciences, chemistry.chemical_compound, Polysaccharides, Structural Biology, Arabinogalactan, Cell Line, Tumor, Humans, Monosaccharide, Molecular Biology, ComputingMilieux_MISCELLANEOUS, 030304 developmental biology, chemistry.chemical_classification, 0303 health sciences, Monosaccharides, [CHIM.MATE]Chemical Sciences/Material chemistry, General Medicine, 021001 nanoscience & nanotechnology, [CHIM.POLY]Chemical Sciences/Polymers, chemistry, Galactose, 0210 nano-technology
Abstract

As a health-beneficial fruit, watermelon is widely consumed by people around the world. However, components responsible for the health benefits are not yet determined. As watermelon contains a large amount of polysaccharides, these carbohydrates might play an important role in the health benefits. In this work, polysaccharide from watermelon rinds (PWR) was extracted by papain digestion, purified and characterized by GC–MS, SEC/MALS/VD/DRI, FTIR and 1D and 2D NMR which revealed the glycosidic linkages, their locations in branches and backbone. The monosaccharide composition revealed that the extracted polysaccharide was composed of galactose (38.26%), arabinose (26.12%), rhamnose (17.86%), mannose (9.94%), xylose (5.10%) and glucose (2.70%) with a percentage of uronic acid of 45%. A combination of CPG and NMR analysis showed that the extracted polysaccharide is arabinogalactan linked to type I rhamnogalacturonan. we notice that the arabinogalactan was formed by →6)-β-D-Galp-(1→ as backbone with short branching of arabinose linked in α 1 → 3, rhamnose linked in α 1 → 4, mannose linked in β 1 → 6 and galactose branches linked in β 1 → 3. Furthermore, PWR exhibited obvious cytotoxicity ability to human laryngeal carcinoma Hep-2 cells in a dose-and time-dependant manner.

Published
2019
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17. Laparoscopic approach in an incarcerated femoral hernia, with the ipsilateral fallopian tube as a single content

Author

M. Moussa, S. Bouchoucha, Ahmed Itaimi, Omar Karray, O. Baraket, and Wissem Triki

Subjects
medicine.medical_specialty, animal structures, medicine.diagnostic_test, business.industry, General surgery, Incarcerated femoral hernia, 030230 surgery, medicine.disease, female genital diseases and pregnancy complications, 03 medical and health sciences, 0302 clinical medicine, medicine.anatomical_structure, 030220 oncology & carcinogenesis, medicine, Right Fallopian Tube, Hernia, Laparoscopy, business, Fallopian tube
Abstract

The right fallopian tube as a single content of an incarcerated femoral hernia is an uncommon condition. Due to its extreme rarity, preoperative misdiagnosis is frequent.

Published
2016
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18. Poster abstracts of the 18th Pan Arab Cancer Congress. TUNISIA. April 19-21, 2018

Author

J, Aarab, Ibtissem, Abbess, Fathi, Abdalla, Z, Abdelaziz, S, Abdelfattah, I, Abdelli, K, Abdelmajid, Zied, Abdelsselem, N, Abdelwahed, Nihed, Abdessayed, Bassem, Abid, K, Abid, R, Abidi, Asma, Abudabbous, Sana, Abujanah, Afaf, Aburwais, E, Acacha, Nessrine, Acharfi, Nejmeddine, Affes, R, Aftis, I, Ahalli, Mr, Aid, D, Aissaoui, A, Alaoui, M, Alaoui, Salaheddin, Albatran, Aldehmani, Mamdouh, Rabia, Alkikkli, A, Allam, S, Aloulou, Omar, Alqawi, Mussa A, Alragig, Ali, Alsharksi, K Oualla L, Amaadour, L, Amaadour, N, Ameziane, A, Ammari, H, Ammour, R, Amrane, N, Annad, E, Aouati, S, Aouichat, S, Aouragh, S, Arifi, Md, Astra, M, Atassi, Nidhal, Ati, K, Atoui, L, Atreche, S, Ayachi, I, Ayadi, Mohammed Ali, Ayadi, Mouna, Ayadi, Jihene, Ayari, Haroun, Ayed, K, Ayed, Henda, Ayedi, Ines, Ayedi, M, Azegrar, Heifa, Azzouz, Fathi, Babdalla, R, Bachiri, Z, Bachiri, M, Baghdad, R, Bahloul, A, Bahouli, M, Bahri, I, Baississ, Hanae, Bakkali, Mehdi, Balti, O, Baraket, Hayfa, Bargaoui, Rim, Batti, Ahlem, Bedioui, R, Begag, Z, Behourah, Imtinene, Belaid, Asma, Belaïd, Amine, Ben Abdallah, Ichrak, Ben Abdallah, Slim, Ben Ahmed, Tarek, Ben Ahmed, M, Ben Azaiz, M A, Ben Chehida, Leila, Ben Fatma, D, Ben Ghachem, T, Ben Ghachem, J, Ben Hassouna, S, Ben Hmida, Sonia, Ben Nasr, Dalel, Ben Nejima, K, Ben Rahal, M, Ben Rejeb, S, Ben Rhouma, I, Ben Safta, A, Ben Salem, Yosr, Ben Zargouna, Ichrak, Benabdallah, H, Benabdella, Mohamed Zied, Benabdessalem, Khaled, Benahmed, Slim, Benahmed, Hazem, Benameur, S, Benasr, Fz, Benbrahim, W, Benbrahim, Z, Benbrahim, Ma, Benchehida, Yasser, Bencheikh, Tarek, Bendhiab, Leila, Benfatma, A, Bengueddach, M, Benhami, Jamel, Benhassouna, W, Benhbib, Noureddine, Benjaafar, R, Benkali, Wala, Benkridis, A, Benlaloui, Mahmoud, Benmaitig, A, Benmansour, M, Benmouhoub, Farouk, Benna, H, Benna, Marouan, Benna, Mehdi, Benna, H, Bennabdellah, Khaled, Benrahal, Ines, Bensafta, Hanène, Bensalah, A, Bensalem, Mohammed, Bensaud, Riadh, Benslama, M, Benyoub, K, Benzid, H, Bergaoui, M, Beroual, S, Berrad, Y, Berrazaga, Z, Bezzaz, Hanene, Bhiri, M, Bibi, Mohamed Yassine, Binous, Ahlem, Blel, Jamela M, Boder, N, Bouaouina, Hanen, Bouaziz, S, Bouchoucha, Tahia, Boudawara, Zaher, Boudawara, A, Bouderbala, Rima, Bouhali, Malek, Bouhani, R, Boujarnija, Salah, Boujelben, Nadia, Boujelbene, I, Boukerzaza, H, Boukhari, W, Boulfoul, R, Boulma, N, Boumansour, A, Bouned, A, Bounedjar, I, Bouraoui, Saadia, Bouraoui, Rym, Bourigua, M, Bourmech, Hamza, Bousaffa, A, Bousahba, C, Bousrih, A, Boussarsar, Hammouda, Boussen, Selwa, Boutayeb, Khaled, Bouzaidi, Faten, Bouzaiene, H, Bouzaiene, Z, Bouzerzour, Kamel, Bouzid, N, Bouzid, Dw, Bouzidi, W, Bouzidi, Abderrazek, Bouzouita, S, Brahimi, A, Brahmia, Abdelbaset, Buhmeida, Kais, Chaaben, Hatem, Chaabouni, Mohamed, Chaabouni, Kais, Chaabène, H, Chaari, Ines, Chaari, M, Chaari, Imene, Chabchoub, K, Chabeene, K, Chaker, Marouene, Chakroun, M, Charfi, Slim, Charfi, R, Chargui, Md, Charles, Mohamed, Chebil, Khadidja, Cheikchouk, Beya, Chelly, Ines, Chelly, N, Cheraiet, Aziz, Cherif, Mohamed, Cherif, A, Cherifi, T, Chikhrouhou, A, Chikouche, A, Chirouf, Nesrine, Chraiet, Y, Collan, Zhanglin, Cui, Habiba, Dabbebi, Amira, Daldoul, I, Damouche, H, Daoud, N, Daoud, J, Daoued, Khadija, Darif, Dalia O, Darwish, Z, Derbouz, Amine, Derouiche, T T, Dhibe, Tarek, Dhibet, A, Djallaoui, N, Djami, K, Djebbes, H, Djedi, S, Djeghim, L, Djellali, A, Djellaoui, K, Djilat, R, Djouabi, H, Doumbia, Mustafa, Drah, M, Dridi, Mohamed, Hsairi, S, Elabbassi, Fz, Elallia, Zohra, Elati, M, Elattassi, Houda, Elbenna, Mohamed A, Elfagieh, Omran, Elfaitori, Hebatallah, Elfannas, Amine, Elghali, Mohamed Amine, Elghali, Salah, Elgonti, O Elamine, Elhadj, R, Elhazzaz, H, Elkacemi, Khaoula, Elkinany, Youssri, Elkissi, F, Elloumi, Olfa, Elmaalel, I S, Elmajjaou, S, Elmajjaoui, H, Elmhabrech, Fz, Elmrabet, Wesam A, Elsaghayer, Adam, Elzagheid, Fatma, Emaetig, H, Erraichi, Mejda, Essid, Nada, Ewshah, Faten, Ezzairi, Raja, Faleh, Sourour, Fallah, Amr Lotfy, Farag, L, Farhat, R, Fehri, Jihène, Feki, Sami, Fendri, Sana, Fendri, Z, Fessi, Taha, Filali, A, Fissah, M, Fourati, N, Fourati, Mounir, Frikha, C S, Fuchs, Azza, Gabssi, F, Gachi, Selma, Gadria, A, Gammoudi, I, Ganzoui, Asma, Gargoura, Imen, Ghaddabb, Imen, Gharbi, Maroua, Gharbi, E, Ghazouani, N, Gheriani, Abdelmonom, Ghorbel, L, Ghorbel, A, Ghozi, Rafik, Ghrissi, Amine, Gouader, A, Goucha, A, Guebsi, I, Guellil, Fatma, Guermazi, Sondess, Guesmi, Wafa, Guetari, N, Habak, A, Haddad, S, Haddad, Abderrazek, Haddaoui, I, Hadef, Abdelbasit Faraj, Hader, A, Hadiji, F, Hadjarab, Myriam, Hadoussa, Nadia, Hadoussa, Ch, Hafsa, Mariem, Hafsia, Ahmed, Hajji, M, Hajmansour, S, Hamdi, Z, Hamici, S, Hamida, Fehmi, Hamila, Selim, Hamissa, Boussen, Hammouda, Slim, Haouet, I, Harhira, Ayed, Haroun, K, Hassouni, A, Hdiji, Monia, Hechiche, L, Hejjane, C, Hellal, Manseurs, Henni, K, Herbegue, L, Hichami, M, Hikem, Alaa, Hmad, Lina, Hmida, S, Hmissa, Makrem, Hochlaf, A, Houas, M, Houhani, Ali, Huwidi, Chau, Ian, B N, Ibrahim, Noha Y, Ibrahim, H, Idir, Dhilel, Issaoui, A, Itaimi, A E, Izem, Olfa, Jaidane, Daoud, Jamel, H, Jamous, Medsalah, Jarrar, Mohamed Salah, Jarrar, Saber, Jarray, M, Jebsi, Hafedh, Jmal, Abdallah, Juwid, Ons, Kaabia, A, Kablouti, Imene, Kacem, K, Kacem, M Y, Kaid, M, Kallel, R, Kallel, H, Kammoun, Syrjänen, Kari, Sarra, Karrit, Hela, Kchir, Nidhameddine, Kchir, T, Kebdani, N, Kechad, H, Kehili, E, Kerboua, Hassib, Keskes, Nora N, Kessi, N, Khababa, H, Khaldi, Afef, Khanfir, B, Khater, A, Khelif, S, Khemiri, K, Khennouf, H, Khouni, S, Khrouf, Zahra, Kmira, L, Kochbati, Asma, Korbi, N, Kouadri, F, Kouhen, M, Krarti, M, Handoussa, Yanzhi, Hsu, Ons, Laakom, Matti, Laato, Soumaya, Labidi, Fz, Lahlali, A, Lahmidi, A, Lalaoui, Naija, Lamia, A, Lamri, Feryel, Letaief, M R, Letaief, M, Aldehmani, A, Rafael, A M, Liepa, Faten, Limaiem, K, Limam, H, Loughlimi, F, Ltaief, Nadia, Maamouri, Mohamed, Mabrouk, R, Madouri, N, Mahjoub, Z, Mahjoubi, M, Mahrsi, Hochlef, Makrem, W, Mallek, Moez, Manitta, L, Mansoura, Houyem, Mansouri, Maher, Maoua, W, Maoui, Chakroun, Marouene, K, Marzouk, S, Masmoudi, Fatma, May, I, Meddeb, Khedija, Meddeb, S, Meddour, Fatma, Medhioub, Nesrine, Mejri, Mohamed Rochdi, Melizi, N, Mellas, Rihab, Melliti, A, Melzi, N, Merair, F Z, Merrouki, C, Mersali, O, Messalbi, Lina, Messaoudi, S, Messioud, K, Messoudi, Sarra, Mestiri, Amal, Mezlini, Amel, Mezlini, F, Mghirbi, H, Mhabrech, A, Mhiri, N, Midoun, Rabia, Milud, B, Missaoui, Aymen, Mnasser, Wafa, Mnejja, Moncef, Mokni, Amina, Mokrani, Mokrani, Mokrani, R, Moujahed, Y, Moukasse, A, Mouzount, Karima, Mrad, Mohamed Hedi, Mraidha, Nejib, Mrizak, Rafik, Mzali, Y, Mzid, F, M'ghirbi, Abdelwaheb, Nakhli, Chiraz, Nasr, Salsabil, Nasri, Gef, Noubigh, Daoud, Nouha, L, Nouia, Y, Nouira, A, Noureddine, O, Nouri, Atsushi, Ohtsu, H, Ouahbi, K, Oualla, Y, Ouanes, H, Ouaz, A, Ouikene, N, Ouldbessi, Iqbal, Parker, S, Pyrhonen, H, Rachdi, K, Rahal, Khaled, Rahal, M, Rahoui, Henda, Raies, Soumaya, Rameh, K, Reguieg, Haitham, Rejab, R, Rejiba, Mohamed Salah, Rhim, S, Riahi, N, Rouimel, N, Saad Saoud, K, Saadi, Myriam, Saadi, A, Sadou, Ines, Saguem, T, Sahnoun, H, Sahnoune, Saida, Sakhri, A, Sallemi, Asma, Sassi, W, Sbika, C, Sedkaoui, S, Sefiane, A, Sellami, Pyrhönen, Seppo, H, Sfaoua, Syrine, Sghaier, Ali, Shagan, W, Siala, I, Slim, M, Slimene, S, Soltani, S, Souilah, Marwa, Souissi, Badreddine, Sriha Badreddine, Youssef, Swaisi, A, Taibi, T, Taktak, Ghofran, Talbi, S W, Talha, Soha M, Talima, S, Tbessi, N, Tebani, S, Tebra, S, Tebramrad, D, Telaijia, A, Tenni, Ahmedou, Tolba, Yassen, Topov, K, Touil, Nabil, Toumi, W, Toumi, N, Tounsi, Aymen, Trigui, R, Trigui, W, Triki, Maroua, Walha, Ines, Werda, Haythem, Yacoub, Yosra, Yahyaoui, A, Yaich, R, Yaici, M, Yamouni, I, Yeddes, D, Yekrou, Ma, Yousfi, N, Yousfi, M A, Youssfi, L, Zaabar, Sonia, Zaied, I, Zaim, Walid, Zakhama, S, Zayed, Alia, Zehani, I, Zemni, Yosr, Zenzri, S, Zeraoula, O, Zouiten, Olfa, Zoukar, Ws, Zrafi, Aref, Zribi, and Naji, Zubia

Published
2018

19. Appendiceal duplication: a new case

Author

Wissem, Triki, Ahmed, Itaimi, Imed, Abbassi, Oussama, Baraket, and Sami, Bouchoucha

Subjects
Adult, Incidental Findings, Appendectomy, Humans, Female, Appendix, Appendicitis, Congenital Abnormalities
Abstract

Duplication of the vermiform appendix is a rare malformation. Few than 100 cases have been reported worldwide. It is usually diagnosed incidentally during emergency appendectomies due to inflammatory processes in the cecal appendix. We report a case of a woman presented with clinical features typical of acute appendicitis and surgical exploration revealed a double appendix. The operating surgeon should be vigilant of these rare anomalies to avoid serious clinical and medico legal consequences.

Published
2018

22. Difficultés diagnostiques et thérapeutiques de l’actinomycose abdominale : à propos d’une observation chez une patiente tunisienne

Author

Karim Ayed, B. Kort, S. Ben Hmida, Ahmed Itaimi, A. Haggari, Samy Bouchoucha, M. Moussa, Wissem Triki, and O. Baraket

Subjects
medicine.medical_specialty, business.industry, Abdominal Abscess, Iliac fossa, Malignancy, medicine.disease, Pathology and Forensic Medicine, Surgery, 03 medical and health sciences, 0302 clinical medicine, medicine.anatomical_structure, Pharmacotherapy, 030220 oncology & carcinogenesis, medicine, Abdomen, 030211 gastroenterology & hepatology, Histopathology, Actinomycosis, Differential diagnosis, business
Abstract

The Abdominal Actinomycosis (AA) is a rare and often unrecognised suppurative chronic illness. The diagnosis is difficult. It can have a variety of clinical manifestations and can mimic a malignancy. It's established by histology of surgical biopsy. We report a case of a 58 years old woman admitted to our institution for a pain of the right iliac fossa with a mass. The diagnosis was established after surgical intervention and histological examination. The treatment was surgical resection and antibiotherapy by amoxcillin during 6 months. The primary diagnosis of abdominal pelvic actinomycosis is difficult. All organs and anatomic structures of the abdomen can be involved. Even with extensive infection, combined operative and antibiotic therapy allows cure in most cases.

Published
2016
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23. Optimization of polysaccharides extraction from quince peels: partial characterization, antioxidant and antiproliferative properties.

Author

Dammak, Mariem Itaimi, Mzoughi, Zeineb, Chakroun, Ibtissem, Mansour, Hedi Ben, Le Cerf, Didier, and Majdoub, Hatem

Subjects
QUINCE, FOURIER transform infrared spectroscopy, GEL permeation chromatography, MICROBIAL exopolysaccharides, NUCLEAR magnetic resonance, GALACTURONIC acid, GALACTOMANNANS
Abstract

In this study, Box-Behnken Design was used to optimize the ultrasonic extraction of polysaccharides from quince peels (QPPs) by ascorbic acid and the effect of extraction temperature, extraction time and pH was evaluated. Under optimized conditions of temperature 90 °C, 60 min sonication time and pH = 3.26, the extraction yield, the galacturonic acid yield and the concentration of sample required to scavenge 50% of 2,2'-azino-bis(3-ethylbenzothiazoline-6-sulphonic) acid (ABTS) values of QPPs were respectively 10.25%, 3.86% and 1.35 mg/mL. The QPPs extracted under optimum conditions was characterized by Fourier transform infrared spectroscopy (FTIR), Nuclear magnetic resonance (1 H NMR) and Size exclusion chromatography (SEC/MALS/VD/DRI). The monosaccharide analysis revealed that arabinose was the most abundant, followed by galactose, glucose, mannose and xylose. Moreover, QPPs showed significant antioxidant activities (2,2-diphenyl-1-picrylhydrazyl (DPPH) and Ferric- reducing antioxidant power (FRAP)) and reduced viability of human Caco-2 and murine B-16 cell lines in a dose-dependent manner. Hence QPPs could be used as antitumor agent in functional foods andpharmaceutical industries. [ABSTRACT FROM AUTHOR]

Published
2020
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29. [Therapeutic and diagnostic difficulties of abdominal actinomycosis: about one case in a Tunisian female patient]

Author

O, Baraket, A, Itaimi, W, Triki, M, Moussa, K, Ayed, S, Ben Hmida, A, Haggari, B, Kort, and S, Bouchoucha

Subjects
Diagnosis, Differential, Abdominal Abscess, Tunisia, Abdomen, Humans, Female, Middle Aged, Actinomycosis
Abstract

The Abdominal Actinomycosis (AA) is a rare and often unrecognised suppurative chronic illness. The diagnosis is difficult. It can have a variety of clinical manifestations and can mimic a malignancy. It's established by histology of surgical biopsy. We report a case of a 58 years old woman admitted to our institution for a pain of the right iliac fossa with a mass. The diagnosis was established after surgical intervention and histological examination. The treatment was surgical resection and antibiotherapy by amoxcillin during 6 months. The primary diagnosis of abdominal pelvic actinomycosis is difficult. All organs and anatomic structures of the abdomen can be involved. Even with extensive infection, combined operative and antibiotic therapy allows cure in most cases.

Published
2015

31. Factors affecting prognosis after curative surgical treatment of gastric cancer

Author

Ahmed Itaimi, M. Moussa, Sami Bouchoucha, Omar Karray, Karim Ayed, Wissem Triki, and Baraket Oussama

Subjects
medicine.medical_specialty, business.industry, medicine.medical_treatment, Cancer, General Medicine, Fundus (eye), medicine.disease, Surgery, Dissection, medicine.anatomical_structure, Medicine, Lymphadenectomy, Gastrectomy, Lymph, Stage (cooking), business, Lymph node
Abstract

Background: Gastric cancer is a cancer with a poor prognosis. Surgery with adequate lymph node dissection is the only potentially curative treatment for gastric cancer. The aim of this work is to determine the prognostic factors after curative resection for gastric cancer.Patients and Methods: We retrospectively assessed 66 patients who underwent operation for gastric cancer (excluding the eso gastric junction cancer) in a single institution between 2001 and 2015. Results: There were 25 women and 40 men. The median age was 60 years (21–87). Four patients died (6.1%). A total gastrectomy was performed in 35 cases, and a subtotal gastrectomy was performed in 30 cases. The type of lymphadenectomy was D2 lymphadenectomy in 35 cases and D2 without spl enectomy in 30 cases. The pathologic review of the slides revealed that the tumors were stage T3–T4 in 49 cases. The median number of lymph node removed was 14. Median survival rate was 34 months. The median follow-up was 24 months. In multivariate analysis, the location in the fundus, lymph nodes involvement, and involvement of located organs were associated with poor prognosis. Conclusion: After R0 resection with DII lymphadenectomy, fundus location, lymph node Involvement, and involvement of organs were independent predictive factors for survival.

Published
2016
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32. Poster abstracts of the 18th Pan Arab Cancer Congress. TUNISIA. April 19-21, 2018

Author

Aarab, J., Abbess, I., Abdalla, F., Abdelaziz, Z., Abdelfattah, S., Abdelli, I., Abdelmajid, K., Abdelsselem, Z., Abdelwahed, N., Abdessayed, N., Abid, B., Abid, K., Abidi, R., Abudabbous, A., Abujanah, S., Aburwais, A., Acacha, E., Acharfi, N., Affes, N., Aftis, R., Ahalli, I., Aid, M., Aissaoui, D., Alaoui, A., Alaoui, M., Albatran, S., Mamdouh, A., Alkikkli, R., Allam, A., Aloulou, S., Alqawi, O., Alragig, M. A., Alsharksi, A., Amaadour, K. O. L., Amaadour, L., Ameziane, N., Ammari, A., Ammour, H., Amrane, R., Annad, N., Aouati, E., Aouichat, S., Aouragh, S., Arifi, S., Astra, M., Atassi, M., Ati, N., Atoui, K., Atreche, L., Ayachi, S., Ayadi, I., Ayadi, M. A., Ayadi, M., Ayari, J., Ayed, H., Ayed, K., Ayedi, H., Ayedi, I., Azegrar, M., Azzouz, H., Babdalla, F., Bachiri, R., Bachiri, Z., Baghdad, M., Bahloul, R., Bahouli, A., Bahri, M., Baississ, I., Bakkali, H., Balti, M., Baraket, O., Bargaoui, H., Batti, R., Bedioui, A., Begag, R., Behourah, Z., Belaid, I., Belaïd, A., Ben Abdallah, A., Ben Abdallah, I., Ben Ahmed, S., Ben Ahmed, T., Ben Azaiz, M., Ben Chehida, M. A., Ben Fatma, L., Ben Ghachem, D., Ben Ghachem, T., Ben Hassouna, J., Ben Hmida, S., Ben Nasr, S., Ben Nejima, D., Ben Rahal, K., Ben Rejeb, M., Ben Rhouma, S., Ben Safta, I., Ben Salem, A., Ben Zargouna, Y., Benabdallah, I., Benabdella, H., Benabdessalem, M. Z., Benahmed, K., Benahmed, S., Benameur, H., Benasr, S., Benbrahim, F., Benbrahim, W., Benbrahim, Z., Benchehida, M., Bencheikh, Y., Bendhiab, T., Benfatma, L., Bengueddach, A., Benhami, M., Benhassouna, J., Benhbib, W., Benjaafar, N., Benkali, R., Benkridis, W., Benlaloui, A., Benmaitig, M., Benmansour, A., Benmouhoub, M., Benna, F., Benna, H., Benna, M., Bennabdellah, H., Benrahal, K., Bensafta, I., Bensalah, H., Bensalem, A., Bensaud, M., Benslama, R., Benyoub, M., Benzid, K., Bergaoui, H., Beroual, M., Berrad, S., Berrazaga, Y., Bezzaz, Z., Bhiri, H., Bibi, M., Binous, M. Y., Blel, A., Boder, J. M., Bouaouina, N., Bouaziz, H., Bouchoucha, S., Boudawara, T., Boudawara, Z., Bouderbala, A., Bouhali, R., Bouhani, M., Boujarnija, R., Boujelben, S., Boujelbene, N., Boukerzaza, I., Boukhari, H., Boulfoul, W., Boulma, R., Boumansour, N., Bouned, A., Bounedjar, A., Bouraoui, I., Bouraoui, S., Bourigua, R., Bourmech, M., Bousaffa, H., Bousahba, A., Bousrih, C., Boussarsar, A., Boussen, H., Boutayeb, S., Bouzaidi, K., Bouzaiene, F., Bouzaiene, H., Bouzerzour, Z., Bouzid, K., Bouzid, N., Bouzidi, D., Bouzidi, W., Bouzouita, A., Brahimi, S., Brahmia, A., Buhmeida, A., Chaaben, K., Chaabouni, H., Chaabouni, M., Chaabène, K., Chaari, H., Chaari, I., Chaari, M., Chabchoub, I., Chabeene, K., Chaker, K., Chakroun, M., Charfi, M., Charfi, S., Chargui, R., Charles, M., Chebil, M., Cheikchouk, K., Chelly, B., Chelly, I., Cheraiet, N., Cherif, A., Cherif, M., Cherifi, A., Chikhrouhou, T., Chikouche, A., Chirouf, A., Chraiet, N., Collan, Y., Cui, Z., Dabbebi, H., Daldoul, A., Damouche, I., Daoud, H., Daoud, N., Daoued, J., Darif, K., Darwish, D. O., Derbouz, Z., Derouiche, A., Dhibe, T. T., Dhibet, T., Djallaoui, A., Djami, N., Djebbes, K., Djedi, H., Djeghim, S., Djellali, L., Djellaoui, A., Djilat, K., Djouabi, R., Doumbia, H., Drah, M., Dridi, M., Hsairi, M., Elabbassi, S., Elallia, F., Elati, Z., Elattassi, M., Elbenna, H., Elfagieh, M. A., Elfaitori, O., Elfannas, H., Elghali, A., Elghali, M. A., Elgonti, S., Elhadj, O. E., Elhazzaz, R., Elkacemi, H., Elkinany, K., Elkissi, Y., Elloumi, F., Elmaalel, O., Elmajjaou, I. S., Elmajjaoui, S., Elmhabrech, H., Elmrabet, F., Elsaghayer, W. A., Elzagheid, A., Emaetig, F., Erraichi, H., Essid, M., Ewshah, N., Ezzairi, F., Faleh, R., Fallah, S., Farag, A. L., Farhat, L., Fehri, R., Feki, J., Fendri, S., Fessi, Z., Filali, T., Fissah, A., Fourati, M., Fourati, N., Frikha, M., Fuchs, C. S., Gabssi, A., Gachi, F., Gadria, S., Gammoudi, A., Ganzoui, I., Gargoura, A., Ghaddabb, I., Gharbi, I., Gharbi, M., Ghazouani, E., Gheriani, N., Ghorbel, A., Ghorbel, L., Ghozi, A., Ghrissi, R., Gouader, A., Goucha, A., Guebsi, A., Guellil, I., Guermazi, F., Guesmi, S., Guetari, W., Habak, N., Haddad, A., Haddad, S., Haddaoui, A., Hadef, I., Hader, A. F., Hadiji, A., Hadjarab, F., Hadoussa, M., Hadoussa, N., Hafsa, C., Hafsia, M., Hajji, A., Hajmansour, M., Hamdi, S., Hamici, Z., Hamida, S., Hamila, F., Hamissa, S., Hammouda, B., Haouet, S., Harhira, I., Haroun, A., Hassouni, K., Hdiji, A., Hechiche, M., Hejjane, L., Hellal, C., Henni, M., Herbegue, K., Hichami, L., Hikem, M., Hmad, A., Hmida, L., Hmissa, S., Hochlaf, M., Houas, A., Houhani, M., Huwidi, A., Ian, C., Ibrahim, B. N., Ibrahim, N. Y., Idir, H., Issaoui, D., Itaimi, A., Izem, A. E., Jaidane, O., Jamel, D., Jamous, H., Jarrar, M., Jarrar, M. S., Jarray, S., Jebsi, M., Jmal, H., Juwid, A., Kaabia, O., Kablouti, A., Kacem, I., Kacem, K., Kaid, M. Y., Kallel, M., Kallel, R., Kammoun, H., Kari, S., Karrit, S., Kchir, H., Kchir, N., Kebdani, T., Kechad, N., Kehili, H., Kerboua, E., Keskes, H., Kessi, N. N., Khababa, N., Khaldi, H., Khanfir, A., Khater, B., Khelif, A., Khemiri, S., Khennouf, K., Khouni, H., Khrouf, S., Kmira, Z., Kochbati, L., Korbi, A., Kouadri, N., Kouhen, F., Krarti, M., Handoussa, M., Hsu, Y., Laakom, O., Laato, M., Labidi, S., Lahlali, F., Lahmidi, A., Lalaoui, A., Lamia, N., Lamri, A., Letaief, F., Letaief, M. R., Aldehmani, M., Rafael, A., Liepa, A. M., Limaiem, F., Limam, K., Loughlimi, H., Ltaief, F., Maamouri, N., Mabrouk, M., Madouri, R., Mahjoub, N., Mahjoubi, Z., Mahrsi, M., Makrem, H., Mallek, W., Manitta, M., Mansoura, L., Mansouri, H., Maoua, M., Maoui, W., Marouene, C., Marzouk, K., Masmoudi, S., May, F., Meddeb, I., Meddeb, K., Meddour, S., Medhioub, F., Mejri, N., Melizi, M. R., Mellas, N., Melliti, R., Melzi, A., Merair, N., Merrouki, F. Z., Mersali, C., Messalbi, O., Messaoudi, L., Messioud, S., Messoudi, K., Mestiri, S., Mezlini, A., Mghirbi, F., Mhabrech, H., Mhiri, A., Midoun, N., Milud, R., Missaoui, B., Mnasser, A., Mnejja, W., Mokni, M., Mokrani, A., Mokrani, M., Moujahed, R., Moukasse, Y., Mouzount, A., Mrad, K., Mraidha, M. H., Mrizak, N., Mzali, R., Mzid, Y., M Ghirbi, F., Nakhli, A., Nasr, C., Nasri, S., Noubigh, G., Nouha, D., Nouia, L., Nouira, Y., Noureddine, A., Nouri, O., Ohtsu, A., Ouahbi, H., Oualla, K., Ouanes, Y., Ouaz, H., Ouikene, A., Ouldbessi, N., Parker, I., Pyrhonen, S., Rachdi, H., Rahal, K., Rahoui, M., Raies, H., Rameh, S., Reguieg, K., Rejab, H., Rejiba, R., Rhim, M. S., Riahi, S., Rouimel, N., Saad Saoud, N., Saadi, K., Saadi, M., Sadou, A., Saguem, I., Sahnoun, T., Sahnoune, H., Sakhri, S., Sallemi, A., Sassi, A., Sbika, W., Sedkaoui, C., Sefiane, S., Sellami, A., Seppo, P., Sfaoua, H., Sghaier, S., Shagan, A., Siala, W., Slim, I., Slimene, M., Soltani, S., Souilah, S., Souissi, M., Sriha Badreddine, B., Swaisi, Y., Taibi, A., Taktak, T., Talbi, G., Talha, S. W., Talima, S. M., Tbessi, S., Tebani, N., Tebra, S., Tebramrad, S., Telaijia, D., Tenni, A., Tolba, A., Topov, Y., Touil, K., Toumi, N., Toumi, W., Tounsi, N., Trigui, A., Trigui, R., Triki, W., Walha, M., Werda, I., Yacoub, H., Yahyaoui, Y., Yaich, A., Yaici, R., Yamouni, M., Yeddes, I., Yekrou, D., Yousfi, M., Yousfi, N., Youssfi, M. A., Zaabar, L., Zaied, S., Zaim, I., Walid ZAKHAMA, Zayed, S., Zehani, A., Zemni, I., Zenzri, Y., Zeraoula, S., Zouiten, O., Zoukar, O., Zrafi, W., Zribi, A., and Zubia, N.

33. Fournier's Gangrene: validation of the severity index.

Author

Itaimi A, Triki W, Abbassi I, Ayed K, Baraket O, and Bouchoucha S

Subjects
Gangrene, Humans, Male, Middle Aged, Retrospective Studies, Severity of Illness Index, Fournier Gangrene diagnosis, Fournier Gangrene therapy
Abstract

Introduction: Fournier's gangrene is a serious infection and is considered a major emergency. A complete assessment of the severity factors using a severity score is essential and makes it possible to adapt the therapeutic management., Aim: Validate Fournier's Gangrene Severity Index and evaluate its benefits in the initial assessment of disease severity., Methods: This is a retrospective, monocentric study which gathered all the cases of perineal gangrene that were managed in General Surgery Department of Habib Bougatfa Hospital in Bizerte over a period of 8 years. The primary endpoint in our study was mortality., Results: Thirty-five cases of Fournier's gangrene were collected. The average age of our patients was 46 years. Mortality rate was 23%. We calculated the Fournier's Gangrene Severity Index for 22 patients. There was a significant difference in the average Fournier's Gangrene Severity Index score between the group of surviving patients (3.75) and the group of deceased patients (12.63) (p 9.5 (sensitivity 87.5%, specificity 100%), we noted that the mortality rate was significantly higher in the group with a score> 10 (100%) than in the group with a score ≤ 9 (6%) (p.

Published
2022

34. Poster abstracts of the 18th Pan Arab Cancer Congress. TUNISIA. April 19-21, 2018.

Author

Aarab J, Abbess I, Abdalla F, Abdelaziz Z, Abdelfattah S, Abdelli I, Abdelmajid K, Abdelsselem Z, Abdelwahed N, Abdessayed N, Abid B, Abid K, Abidi R, Abudabbous A, Abujanah S, Aburwais A, Acacha E, Acharfi N, Affes N, Aftis R, Ahalli I, Aid M, Aissaoui D, Alaoui A, Alaoui M, Albatran S, Mamdouh A, Alkikkli R, Allam A, Aloulou S, Alqawi O, Alragig MA, Alsharksi A, Amaadour KOL, Amaadour L, Ameziane N, Ammari A, Ammour H, Amrane R, Annad N, Aouati E, Aouichat S, Aouragh S, Arifi S, Astra M, Atassi M, Ati N, Atoui K, Atreche L, Ayachi S, Ayadi I, Ayadi MA, Ayadi M, Ayari J, Ayed H, Ayed K, Ayedi H, Ayedi I, Azegrar M, Azzouz H, Babdalla F, Bachiri R, Bachiri Z, Baghdad M, Bahloul R, Bahouli A, Bahri M, Baississ I, Bakkali H, Balti M, Baraket O, Bargaoui H, Batti R, Bedioui A, Begag R, Behourah Z, Belaid I, Belaïd A, Ben Abdallah A, Ben Abdallah I, Ben Ahmed S, Ben Ahmed T, Ben Azaiz M, Ben Chehida MA, Ben Fatma L, Ben Ghachem D, Ben Ghachem T, Ben Hassouna J, Ben Hmida S, Ben Nasr S, Ben Nejima D, Ben Rahal K, Ben Rejeb M, Ben Rhouma S, Ben Safta I, Ben Salem A, Ben Zargouna Y, Benabdallah I, Benabdella H, Benabdessalem MZ, Benahmed K, Benahmed S, Benameur H, Benasr S, Benbrahim F, Benbrahim W, Benbrahim Z, Benchehida M, Bencheikh Y, Bendhiab T, Benfatma L, Bengueddach A, Benhami M, Benhassouna J, Benhbib W, Benjaafar N, Benkali R, Benkridis W, Benlaloui A, Benmaitig M, Benmansour A, Benmouhoub M, Benna F, Benna H, Benna M, Benna M, Bennabdellah H, Benrahal K, Bensafta I, Bensalah H, Bensalem A, Bensaud M, Benslama R, Benyoub M, Benzid K, Bergaoui H, Beroual M, Berrad S, Berrazaga Y, Bezzaz Z, Bhiri H, Bibi M, Binous MY, Blel A, Boder JM, Bouaouina N, Bouaziz H, Bouchoucha S, Boudawara T, Boudawara Z, Bouderbala A, Bouhali R, Bouhani M, Boujarnija R, Boujelben S, Boujelbene N, Boukerzaza I, Boukhari H, Boulfoul W, Boulma R, Boumansour N, Bouned A, Bounedjar A, Bouraoui I, Bouraoui S, Bourigua R, Bourmech M, Bousaffa H, Bousahba A, Bousrih C, Boussarsar A, Boussen H, 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M, Yeddes I, Yekrou D, Yousfi M, Yousfi N, Youssfi MA, Zaabar L, Zaied S, Zaim I, Zakhama W, Zayed S, Zehani A, Zemni I, Zenzri Y, Zeraoula S, Zouiten O, Zoukar O, Zrafi W, Zribi A, and Zubia N

Published
2018

35. Appendiceal duplication: a new case.

Author

Triki W, Itaimi A, Abbassi I, Baraket O, and Bouchoucha S

Subjects
Adult, Congenital Abnormalities diagnosis, Female, Humans, Incidental Findings, Appendectomy, Appendicitis surgery, Appendix abnormalities, Appendix surgery
Abstract

Duplication of the vermiform appendix is a rare malformation. Few than 100 cases have been reported worldwide. It is usually diagnosed incidentally during emergency appendectomies due to inflammatory processes in the cecal appendix. We report a case of a woman presented with clinical features typical of acute appendicitis and surgical exploration revealed a double appendix. The operating surgeon should be vigilant of these rare anomalies to avoid serious clinical and medico legal consequences.

Published
2017

36. [Therapeutic and diagnostic difficulties of abdominal actinomycosis: about one case in a Tunisian female patient].

Author

Baraket O, Itaimi A, Triki W, Moussa M, Ayed K, Ben Hmida S, Haggari A, Kort B, and Bouchoucha S

Subjects
Abdomen pathology, Abdomen surgery, Abdominal Abscess diagnosis, Abdominal Abscess surgery, Actinomycosis surgery, Diagnosis, Differential, Female, Humans, Middle Aged, Tunisia, Abdomen microbiology, Abdominal Abscess microbiology, Actinomycosis diagnosis
Abstract

The Abdominal Actinomycosis (AA) is a rare and often unrecognised suppurative chronic illness. The diagnosis is difficult. It can have a variety of clinical manifestations and can mimic a malignancy. It's established by histology of surgical biopsy. We report a case of a 58 years old woman admitted to our institution for a pain of the right iliac fossa with a mass. The diagnosis was established after surgical intervention and histological examination. The treatment was surgical resection and antibiotherapy by amoxcillin during 6 months. The primary diagnosis of abdominal pelvic actinomycosis is difficult. All organs and anatomic structures of the abdomen can be involved. Even with extensive infection, combined operative and antibiotic therapy allows cure in most cases.

Published
2016
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