46 results on '"Bouhout T"'
Search Results
2. A case of intra-abdominal textiloma mimicking a mesenteric tumor
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Rhoul, C., Mhand, M., Inouss, M., Hamdaoui, Y., Bouhout, T., and Serji, B.
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- 2024
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3. Ovarian tuberculosis mimicking ovarian malignancy in an unvaccinated patient: A case report.
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Harouachi A, Jabri L, Bouhout T, and Serji B
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Introduction: Ovarian tuberculosis is a rare form of extra-pulmonary tuberculosis that usually present with atypical symptoms mimicking ovarian carcinoma., Case Report: We report a case of non-vaccinated 20-years-old women who present with non-specific symptoms and for whom imaging techniques weren't conclusive for ovarian tuberculosis. The ultrasound shows hydronephrosis secondary to the compressive pelvic mass. Regarding the compressive character of the mass and it's consequence on the urinary system as well as the suspicion of malignant origin, laparotomy was performed. Based on histopathological analysis of surgical biopsies a diagnosis of ovarian tuberculosis was made and the patient was put under anti-TB drugs. During the follow up there was a good response to treatment with improvement of health state, regression of the abdominopelvic mass as well as the hydronephrosis., Discussion: Ovarian tuberculosis can occur even in the absence of previous pulmonary TB. The major risk with female genital tuberculosis is infertility., Conclusion: Ovarian tuberculosis is a rare form of extra pulmonary TB that should be always considered in differential diagnosis of ovarian TB., Competing Interests: Conflict of interest statement The authors declared no potential conflicts of interests with respect to research, authorship and/or publication of the article., (Copyright © 2024. Published by Elsevier Ltd.)
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- 2024
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4. Hydatid cyst at unusual locations: Report of three cases.
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Harouachi A, Bouhout T, and Serji B
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Introduction: Hydatidosis is an anthropozoonosis due to the development in humans of the larval form of Echinococcus granulosus and is endemic in many countries of the Mediterranean region such as Morocco., Cases Presentation: We report three cases of hydatid cyst at unusual locations such as the peritoneum, and the retroperitoneum., Discussion: Hydatid disease usually involves the liver (75 %), the lungs (15.4 %), and the spleen (5.1 %). Almost any anatomic location can be the host site of the parasitic cysts., Conclusion: Multiple locations of hydatid cyst often pose a problem of differential diagnosis. Surgery is the mainstay of treatment., Competing Interests: Conflict of interest statement The authors declared no potential conflicts of interests with respect to research, authorship and/or publication of the article., (Copyright © 2024. Published by Elsevier Ltd.)
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- 2024
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5. Pre-sternal Embryonic Dermoid Cyst: A Case Report.
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Mhand M, Harouachi A, Aberkane M, Bennani A, Bouhout T, and Serji B
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Epidermoid and dermoid cysts are benign, usually slow-growing lesions classified as ectodermal inclusion cysts. These cysts form when epithelial remnants become trapped during the closure of the first and second branchial arch; however, a few cases are related to trauma or are iatrogenic. Diagnosis is made based on the cyst development history and imaging such as ultrasound. Surgical excision is the treatment of choice to avoid complications. We report a case report of a dermoid cyst in the pre-sternal region in a 17-year-old male patient., Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Mhand et al.)
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- 2024
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6. Giant Cervical Occipital Lipoma: A Case Report.
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Mhand M, Harouachi A, Bouhout T, and Serji B
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Lipomas are common, well-circumscribed neoplasms of mesodermal origin, characterized by being slow, painless growths that are mostly subcutaneous, not invasive, and not recurring after surgery. Lipomas are the most prevalent kind of mesenchymal tumor, yet giant lipomas are rare in the cervical region and the occipital area. We report a 46-year-old female with diabetes insipidus was referred with a giant occipital cervical tumor, which she had noticed for 17 years and which had rarely given her any complaints of compressive symptoms. The clinical assessment indicated a firm, painless, and mobile swelling, which demonstrated features of venous ectasia, and there was no external ulceration. Ultrasonography and MRI of the neck revealed a large, subcutaneous fatty tumor with distinctive echographic features on both modalities, including hyperintense signals on T1 and T2 and no ring enhancement after Gadolinium injection. Due to the mass being smooth, round, and not attached to any structure, the patient underwent surgical enucleation under general anesthesia, resulting in full recovery without complications. Pathology revealed a benign adipose tissue tumor without liposarcoma, and there were no difficulties observed during follow-up for two years., Competing Interests: Human subjects: All authors have confirmed that this study did not involve human participants or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Mhand et al.)
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- 2024
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7. Cystic Lymphangioma of the Mesentery in an Adult: A Case Report and Literature Review.
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Mhand M, Rhoul C, Bouhout T, and Serji B
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Lymphangiomas are rare benign cystic tumors. Surgical excision is the primary treatment, aiming for complete removal. Diagnosis relies on imaging and histological confirmation. Malignant transformation is exceptionally rare. We report a 25-year-old man admitted for peri-umbilical abdominal pain and an abdominal mass. Imaging revealed multilocular peritoneal cystic formations with infiltration of adjacent mesenteric fat. Laboratory findings were unremarkable, and exploratory laparotomy was performed. A voluminous cystic mass originating from the mesentery was discovered, requiring intestinal sacrifice for complete resection. Immediate postoperative recovery was smooth. Pathological analysis confirmed the diagnosis of mesenteric cystic lymphangioma. The patient had a favorable outcome with no tumor recurrence at a three-year follow-up. We emphasize the significance of complete surgical removal to prevent complications associated with cystic lymphangioma and reduce the risk of recurrence., Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Mhand et al.)
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- 2024
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8. Perforated ulcer at the gastrojejunal anastomosis: a rare complication of pancreaticoduodenectomy (case report).
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El Hammouti M, Majdoubi A, El Achchi A, Bouhout T, and Serji B
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- Humans, Postoperative Complications etiology, Postoperative Complications diagnosis, Abdominal Pain etiology, Male, Peptic Ulcer Perforation surgery, Peptic Ulcer Perforation etiology, Peritonitis etiology, Peritonitis surgery, Peritonitis diagnosis, Jejunum surgery, Middle Aged, Stomach surgery, Pancreaticoduodenectomy adverse effects, Anastomosis, Surgical adverse effects, Tomography, X-Ray Computed
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Pancreaticoduodenectomy (PD) is recognized as one of the most intricate abdominal surgical procedures, often accompanied by high morbidity rates. The occurrence of an anastomotic ulcer at the gastrojejunal anastomosis post-pancreaticoduodenectomy surgery is a relatively uncommon complication, albeit potentially leading to severe, life-threatening consequences. The predominant symptomatology manifests as acute abdominal pain accompanied by peritonitis. Conventionally, diagnosis is achieved through computed tomography (CT) scans, facilitating subsequent management, and surgical management is recommended in the majority of instances. Herein, we present a rare case of a patient who experienced ulcer perforation at the gastrojejunal anastomosis site after undergoing pancreaticoduodenectomy with stomach preservation, and we reviewed the available literature to gain more comprehension of this rare complication of this type of surgical intervention., Competing Interests: The authors declare no competing interests., (Copyright: Mohamed El Hammouti et al.)
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- 2024
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9. Pleomorphic Carcinoma of the Breast: A Report of Three Cases.
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Anass EA, Amine M, Mohamed EH, Bouhout T, and Serji B
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Pleomorphic carcinoma (PC) is an uncommon and high-grade form of breast carcinoma characterized by the presence of distinctive pleomorphic giant tumor cells exhibiting bizarre nuclei and atypical mitosis. In this study, we report three patients who presented with lesions composed of a proliferation of large pleomorphic cells with a predominance of multinucleated giant cells on a microscope. Immunohistochemical analysis revealed distinct immunologic profiles within the respective malignant components. Notably, this report aims to contribute valuable insights, adding to the understanding of this uncommon tumor, accompanied by a literature review. Despite its rarity, PC in the breast remains clinically relevant due to its distinctive morphological and pathological features. These unique attributes require specific considerations in both clinical presentation and management., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2024, Anass et al.)
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- 2024
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10. A Pigmented Lesion of the Vulva Revealing Aggressive Melanoma: A Case Report.
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Samba S, Soufia EO, Bouhout T, Al Jarroudi O, Berhili S, Moukhlissi M, Brahmi SA, Serji B, Afqir S, and Mezouar L
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Vulvar melanoma (VM) is a rare and aggressive malignancy presenting unique challenges in diagnosis and management. This report presents the case of a 61-year-old female patient and explores the clinical characteristics, diagnostic modalities, treatment strategies, and prognosis associated with VM. The patient presented with a painless mass on the labia majora, which turned out to be an undifferentiated malignant tumor process consistent with melanoma on examination. Immunohistochemical analysis confirmed the diagnosis and subsequent imaging revealed metastatic disease necessitating palliative chemotherapy following radiotherapy. VM is a rare and aggressive form of melanoma. While surgery is the standard of care for early stages, advanced stages require a combination of immunotherapy and targeted treatments. Clinical trials are vital to improve our understanding of this condition and the various aspects of its care. Collaboration among experts is essential to achieve progress in managing these patients., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2024, Samba et al.)
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- 2024
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11. Gastric Volvulus: A Rare Cause of Intestinal Occlusion.
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Amine M, Mohammed EH, Anass EA, Bouhout T, and Serji B
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Gastric volvulus (GV) is a rare condition characterized by the rotation of all or part of the stomach around its transversal or longitudinal axis. We report the case of a 76-year-old woman with the acute form of GV, likely exacerbated by hiatal hernia and age-related ligamentous relaxation, evolving for a week before her admission. She underwent a midline laparotomy with fundoplication at 270° and anterior gastropexy. GV poses life-threatening risks in its acute presentation. Surgical management entails restoring the hemodynamic stability, surgical detorsion of the volvulus, and addressing the etiology (hiatal hernia)., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2024, Amine et al.)
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- 2024
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12. Spleen-preserving surgery for splenic hydatid cyst: a case report.
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Bouhout T, Majdoubi A, Abdelbassir R, and Serji B
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- Humans, Morocco, Male, Echinococcus granulosus isolation & purification, Adult, Spleen parasitology, Spleen pathology, Spleen surgery, Female, Animals, Echinococcosis surgery, Echinococcosis diagnosis, Splenic Diseases surgery, Splenic Diseases parasitology, Splenic Diseases diagnosis
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Hydatidosis is a zoonosis due to the development of the larval form of Echinococcus granulosus in humans. This disease is very frequent in many countries of North Africa such as Morocco. The most frequent locations of hydatid cysts are the liver (75%) and the lungs (15.4%). Splenic hydatid cyst occurs in only 5.1% of cases. The diagnosis remains challenging and is made upon a hundle of clinical, radiological, biological, and histological arguments. In this paper, we report a case of spleen-preserving surgery for a splenic hydatid cyst to suggest the best management of these hydatid cysts and avoid recurrences., Competing Interests: The authors declare no competing interests., (Copyright: Tariq Bouhout et al.)
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- 2024
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13. Gastric schwannoma: The gastrointestinal tumor simulator - case report and review of the literature.
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Majdoubi A, El Achchi A, El Hammouti M, Bouhout T, and Serji B
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Introduction and Importance: Gastric schwannoma is a rare and benign tumor originating from the peripheral nerves of the stomach. Despite its benign nature, this tumor typically remains asymptomatic for an extended period, and its radiological and endoscopic presentation poses challenges in distinguishing it from other gastric mesenchymal tumors., Case Presentation: Here, we present a rare case of a patient experiencing gastric pain and melena secondary to a gastric mass. The initial preoperative diagnosis indicated a gastrointestinal stromal tumor, but subsequent pathological and immunohistochemical staining of the surgical specimen confirmed the presence of gastric schwannoma., Discussion: To gain insights into this uncommon condition, we conducted an electronic search on PubMed using the keywords "gastric schwannoma" and "gastric neurinoma." Our focus centered on case series containing more than five cases of gastric localization, resulting in the analysis of 14 case series involving a total of 321 patients. Our review aims to comprehensively discuss the clinical, radiological, and therapeutic aspects associated with this rare disease., Conclusion: In the absence of a definitive preoperative diagnosis, the surgical approach is considered the primary treatment for resectable gastric schwannoma, given its excellent long-term outcomes. However, further studies are imperative to better define the role of endoscopic resection in managing this condition., (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
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- 2024
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14. Extrahepatic bile duct metastasis from rectal adenocarcinoma: case report and literature review.
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Majdoubi A, El Achchi A, El Hammouti M, Bouhout T, and Serji B
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Introduction and Importance: Extrahepatic metastasis is an exceptional site for rectal adenocarcinoma. Its clinical and radiological presentations are similar to those of cholangiocarcinoma, and its management requires collaboration between surgeons, endoscopists, and oncologists., Case Presentation: We present a unique case of a 58-year-old woman previously treated two and a half years ago for middle rectal adenocarcinoma with liver metastasis. In the immediate postoperative period, following restoring digestive continuity, she presented cholestatic jaundice from malignant obstruction of the extrahepatic bile duct. A midline laparotomy revealed a tumor of the common bile duct invading the hepatic pedicle. Therefore, external bile drainage, biopsy and hepatic lymph node dissection were performed. Immunohistochemical staining confirmed the diagnosis of extrahepatic bile duct metastasis from rectal adenocarcinoma., Clinical Discussion: Extrahepatic bile duct metastasis from rectal adenocarcinoma manifests as bile duct stenosis or intraluminal lesions, and only pathological examination with immunochemical staining confirms the diagnosis. Radical treatment is possible when general conditions allow it., Conclusion: Our case is the twelfth to describe a solitary metastasis of the bile duct metastasis from colorectal adenocarcinoma. The rarity of published cases in the literature means that their development mechanism and management are not well-codified., Competing Interests: Conflict of interest statement None., (Copyright © 2024. Published by Elsevier Ltd.)
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- 2024
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15. Pseudoaneurysm of the Gastroduodenal Artery: A Rare Complication of Bile Duct Surgery.
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Bouhout T, Kharkhach A, Ramdani A, Harouachi A, and Serji B
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Pseudoaneurysm of the gastroduodenal artery (GDA) is an exceptional complication of common bile duct (CBD) resection. We present the case of a 60-year-old woman with a history of cholecystectomy. The patient was admitted to our hospital for surgical management of the cystic dilatation of the CBD. The patient presented on postoperative day 21 with hemodynamic instability related to a pseudoaneurysm of the GDA. An urgent open surgery was performed with dissection and ligation of the GDA., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2024, Bouhout et al.)
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- 2024
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16. A Report of Two Rare Cases of Buschke-Löwenstein Tumor.
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Bouhout T, Ramdani A, Kharkhach A, and Serji B
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The Buschke-Löwenstein tumor is a rare clinical entity. Its severity is related to the local invasion and the risk of recurrence and malignant transformation. It is caused by a viral infection due to the human papillomavirus. The transmission is primarily sexual and often affects the penile region. The perineal location is relatively rare. We report two rare cases of neglected Buschke-Löwenstein tumor due to the late diagnosis treated with large surgical resection. This study aimed to emphasize the contribution of clinical examination in the early diagnosis and the management of our patients., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2024, Bouhout et al.)
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- 2024
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17. Early Small Bowel Obstruction Caused by Surgical Drain Following Rectal Cancer Surgery: A Case Report.
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Bouhout T, Kharkhach A, Ramdani A, Harouachi A, and Serji B
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The abdominal drains are commonly used and could be a source of several complications, including infection and small bowel obstruction. We report the case of a 70-year-old male patient with intestinal obstruction related to abdominal drainage after rectal surgery. Acute bowel obstruction remains a rare complication of abdominal drains. Surgeons should be aware of this situation and use drains with caution. The treatment options include conservative treatment or surgery either a laparoscopic approach or laparotomy., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2024, Bouhout et al.)
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- 2024
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18. Radiation-induced angiosarcoma of the breast: a case report.
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Rhoul C, Kharkhach A, Aabdi H, Atmani A, Mhand M, Seghrouchni N, Amal B, Bouhout T, Serji B, and El Harroudi T
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Introduction: Breast angiosarcoma is a rare, aggressive tumour affecting adult women. It can occur in two forms, primary form and secondary forms or radiation-induced breast angiosarcoma affecting patients with history of breast or chest radiotherapy., Case Presentation: The authors report a new case of breast angiosarcoma in 52-year-old women, with history of invasive ductal carcinoma, and reporting a discoloration of her breast skin. The patient did undergo a mastectomy of right breast and adjuvant chemotherapy., Conclusion/discussion: Surgery with total excision associated or not to adjuvant chemotherapy remains the treatment of choice in breast angiosarcoma., Competing Interests: All authors have no conflict of interest to declare.Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article., (Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.)
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- 2023
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19. Biliptysis Revealing a Bilio-Bronchial Fistula.
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Thouil A, Bouhout T, Rhazari M, Serji B, and Kouismi H
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The presence of a bilio-bronchial fistula (BBF) of hydatid origin is considered a serious complication as it can lead to significant injuries at the abdominal, diaphragmatic, and thoracic levels. Here, we report the case of a 70-year-old patient presenting with biliptysis as a symptom and whose thoracic and abdominal CT scan confirmed the presence of a right BBF. The management consisted of an initial endoscopic sphincterotomy, followed by an exclusive left thoracotomy surgery to treat lung, liver, and diaphragmatic injuries. Fortunately, the evolution was favorable with the disappearance of the biliptysis. To diagnose a BBF, it is crucial to conduct a precise assessment, focusing mainly on imaging to accurately locate the injury before any surgical intervention., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2023, Thouil et al.)
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- 2023
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20. Hydatid cyst of the psoas: case report and review of literature.
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Mhand M, Ramdani A, Khomssi N, Rhoul C, Bouhout T, Serji B, and El Harroudi T
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Hydatid disease (HD) is a parasitic pathology that remains endemic in Morocco and poses a public health problem. Its location in the psoas muscle is a rare entity. We report this case highlighting the diagnostic challenges, therapeutic modalities as well as prognosis., Case Presentation: We report the case of a 40-year-old male patient without a notable pathological history, referred to our department for management of a paravertebral hydatid cyst mass with fluid density and scalloping on the verteral body on thoraco-abdomino-pelvic computed tomography scan. After a pretherapeutic assessment, the patient underwent an exploratory laparotomy which objective a deep right laterovertebral mass. The patient underwent a resection of the protruding dome, lavage using hydrogen peroxide and drainage of the residual cavity. The patient recovered well and was discharged 5 days later on albendazole 10 mg/kg/d. The anatomopathological analysis of the specimen confirmed the diagnosis of hydatid cyst. The evolution was satisfactory for the patient with a recall of 6 months., Discussion: Hydatidosis is an anthropozonosis caused by the larval form of Echinococcus granulosus . It can reach the psoas muscle by great circulation. The diagnosis of HD in the psoas is often difficult. Biology and imaging confirm the diagnosis and the standard treatment remains surgery., Conclusion: HD of the psoas is a rare entity. The diagnosis is based on biology and imaging, and radical treatment is surgery., Competing Interests: The authors declare that they have no financial conflict of interest with regard to the content of this report.Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article., (Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.)
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- 2023
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21. Peritoneal melanosis associated with serous carcinoma of the ovary: A case report and literature review.
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Mhand M, Obed R, Harouachi A, Haloui A, Bouhout T, Bennani A, Serji B, and Harroudi TE
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Introduction: Melanosis peritonei is an exceptionally benign condition of uncertain origin marked by the deposition of dark pigments on the peritoneal cavity. It's usually associated with other abnormalities and must be differentiated from metastatic melanoma., Case Presentation: We report this case of a 67-year-old female presented for abdominal distension for 16 months. Abdomino-pelvic CT scan showed a right pelvic ovarian mass locally developed with the presence of peritoneal ascites. We performed initially an exploratory laparotomy confirmed the radiological constatations with biopsies of the peritoneal carcinosis. Histologic analysis showed a poorly differentiated carcinomatous cell. The patient benefited from neoadjuvant chemotherapy then an abdomino-pelvic CT scan of control was performed showing the reduction in size of the ovarian mass and dispersion of the abdominal effusion. A second laparotomy was carried out and the exploration showed the appearance of dark nodules on the peritoneum. Hysterectomy associated with appendectomy and omentectomy with biopsy of the dark nodules was performed. Pathological study and immunohistochemical staining confirmed the diagnosis of benign peritoneal melanosis associated with serous carcinoma of the ovary., Discussion: Peritoneal melanosis is a rare condition with only 18 cases reported on the English literature. It is often associated with other conditions. The origin of this lesion still unclear although some hypotheses were reported. The main differential diagnosis is metastatic melanoma with very poor prognosis., Conclusion: benign peritoneal melanosis is a rare condition. Its management depends essentially on the associated disease., Competing Interests: The authors declared no potential conflicts of interests with respect to research, authorship and/or publication of the article., (© 2022 The Authors.)
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- 2022
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22. Surgical management of ancient retroperitoneal schwannoma.
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Harouachi A, Khomsi N, Aabdi H, Akouh N, Bouhout T, Bennani A, Harroudi TE, and Serji B
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Schwannomas are benign and rare entities of peripheral nerve sheath origin. The clinical presentation depends the size of tumor, and they may cause symptoms of abdominal pain, urinary difficulties, anemia, hematuria, and abdominal mass as a result of the pressure of the tumor to the adjacent structures. The diagnosis can only be established by immunohistochemical study. Complete surgical clearance remains the mainstay of treatment. We report the case of a 35-year-old female patient consulted for chronic abdominal pain. Abdominal ultrasound and abdomino-pelvic CT scan identified a well-delineated, heterogenous retroperitoneal mass developed in anteraortocaval region measuring 55 × 65 × 88 mm. The lesion seemed to repress the inferior vena cava, and enhanced with contrast administration. The histopathological panel confirmed the diagnosis of retroperitoneal schwannoma., Competing Interests: The authors declared no potential conflicts of interests with respect to research, authorship and/or publication of the article., (© 2022 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.)
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- 2022
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23. Acute hepatitis with portal and mesenteric vein thrombosis revealing SARS-CoV-2 infection: Case report and literature review.
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Harouachi A, Bouhout T, Hadj Kacem H, Serji B, Berkhli H, Madani H, and El Harroudi T
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Novel coronavirus disease 2019 (COVID-19) is a single-stranded RNA virus identified for the first time in Wuhan, China, and it unfurls quickly worldwide. The corona virus 2019 is a systemic disease which develops a prothrombotic environment, and has an extensive spectrum of clinical presentations in the gastrointestinal and hepatobiliary systems. Ischemic hepatitis (hypoxic hepatitis) is one potential mechanism behind lessened perfusion of the liver. The portal and mesenteric vein thrombosis are extremely rare complications and unusual main manifestations of COVID-19. We report the case of a patient presented acute hepatitis with portal and mesenteric vein thrombosis revealing a SARS-CoV-2 infection. In addition, we discuss the most characteristic elements of the Impact of COVID-19 on liver Injury, and the mechanisms of this damage and the formation of thrombus in portal and mesenteric vein., Competing Interests: The authors declare that they have no conflict of interest., (© 2022 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.)
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- 2022
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24. Gastrointestinal stromal tumor in the fourth portion of the duodenum does not express the CD117: A case report.
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Harhar M, Harouachi A, Akouh N, Atmani A, Aabdi H, Bouhout T, Bennani A, Serji B, and El Harroudi T
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Introduction: Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the digestive tract., Presentation of Case: 54-year-old woman with a history of phyllodes tumor of the left breast he patient was admitted to our hospital for management of retroperitoneal soft tissue tumor, attached to the fourth portion of the duodenum, opposite the head of the pancreas. The patient underwent a large excision of the tumor, the duodenojejunal flexure, and the third and fourth portions of the duodenum along with the head of the pancreas. The histopathological examination confirmed the presence of a spindlecell mesenchymal proliferation. These cells do not express CD117, but they express DOG1. A PDGFRA mutation was identified later. The final diagnosis was duodenal GIST., Discussion: few cases of GIST in the fourth portion of the duodenum had been reported in the literature. PDGFRA mutation is identified as GISTs tumorigenesis to 15% of cases, and the diagnosis of GISTs is not based solely on the expression of the protein Kit., Conclusion: the molecular biology examinations are very helpful in the direction of the correct diagnosis in case of negative staining for CD117., Competing Interests: The authors declared no potential conflicts of interests with respect to research, authorship and/or publication of the article., (© 2022 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.)
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- 2022
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25. A rare association of Vagus Nerve Schwannoma and Pheochromocytoma: A case report.
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Harhar M, Harouachi A, Bouhout T, Serji B, and El Harroudi T
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Vagus nerve schwannoma is a very rare benign nerve tumor. Pheochromocytoma is a rare, mostly benign tumor of the adrenal medulla with a large clinical spectrum. Their association is uncommon. The management of both tumors depends solely on surgery. The surgery of vagal schwannomas is particularly challenging considering the anatomical compositions of the area. Here, we report a case of a 76 year-old patient with cervical vagal schwannoma and benign pheochromocytoma association. We discuss the diagnosis and the surgical management of these tumors., Competing Interests: The authors declared no potential conflicts of interests with respect to research, authorship and/or publication of the article., (© 2022 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.)
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- 2022
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26. Giant symptomatic adrenal myelolipoma: A case report.
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Ramdani A, Aissaoui A, Bouhout T, Bennani A, Latrech H, Serji B, and El Harroudi T
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Introduction: Adrenal myelolipomas are rare non-functioning benign tumors composed of adipose and hematopoietic tissues. Most AMLs are discovered incidentally and represent the second most common adrenal incidentaloma., Case Presentation: A 58-years-old female patient, obese with a history of diabetes and blood hypertension presented with complaints of pain in the left flank. Abdominopelvic computed tomography showed a giant well-defined mass of the left adrenal gland with fat density suggesting adrenal myelolipoma. The patient underwent open left adrenalectomy. The pathological study confirmed the diagnosis of adrenal myelolipoma., Discussion: Most AMLs are asymptomatic, remain stable in size, or grow slowly. Mass effect symptoms and spontaneous rupture are observed more in larger AMLs. The most common symptoms observed are abdominal discomfort/pain, hypochondrial pain, and flank pain. Most of the AMLs are discovered incidentally and the radiological features are accurate in diagnosing AML in up to 90% of the cases, CT is more sensitive for detection than other imaging modalities. The open surgery approach is the standard treatment of choice for giant AML (>10cm) while the minimally invasive approach has been used in only a few cases., Conclusion: The therapeutic management is discussed on a case-by-case basis. Surgical treatment is indicated for larger, symptomatic, or rapidly growing AMLs. Meanwhile smaller and asymptomatic AMLs are managed conservatively., Competing Interests: The authors declared no potential conflicts of interests with respect to research, authorship and/or publication of the article., (© 2022 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.)
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- 2022
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27. Extra gastrointestinal stromal tumor EGIST in the recto-vesical pouch: A case report and literature review.
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Harouachi A, Harhar M, Mhand M, Atmani A, Elamrani A, Kharkhach A, Bouhout T, Serji B, and Harroudi TE
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Introduction: Extra-gastrointestinal stromal tumors (EGISTs) are rare mesenchymal tumors located outside the gastrointestinal tract, and exhibit the same phenotypic and morphological profile of gastrointestinal stromal tumors (GISTs)., Case Report: We report the case of a 20-year-old male patient consulted for chronic discomfort in the hypogastric region. Abdominal ultrasound and abdomino-pelvic CT scan identified a retro-vesical mass measuring 16 × 9 cm. He underwent an exploratory laparotomy and a total resection of the mass R0. The histopathological panel of the surgical specimen confirmed the diagnosis of EGIST., Clinical Discussion: The primary localization in the recto-vesical pouch of EGIST is a very rare entity. Their clinical and radiological presentations are unusual, and their definitive diagnosis is largely based on immunohistochemistry staining., Conclusion: the origin of extra gastrointestinal stromal tumors EGIST can remain unclear., Competing Interests: The authors declare that they have no conflict of interest., (© 2022 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.)
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- 2022
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28. Intraductal papillary mucinous neoplasm of the pancreas presenting as a giant abdominal mass: A case report.
- Author
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Harouachi A, Harhar M, Kharkhach A, Khomsi N, Rhoul C, Bouhout T, Harroudi TE, and Serji B
- Abstract
Introduction: Intraductal papillary mucinous neoplasms (IPMNs) constitute a group of rare conditions with a potential for malignant degeneration. The appearance of symptoms should suggest degeneration. This case demonstrates an unusual case of a patient presenting an intestinal type IPMN that was revealed by a large abdominal mass., Case Report: 47-year-old woman with a history of hydatid cyst of the liver. The patient was admitted to our hospital for management of large abdominal mass measuring 185 × 128*190 mm. Intra-operative findings showed a voluminous tumor, of approximately 20 cm in all its dimensions, with double solido-cystic component at the expense of the neck and the body of the pancreas. The patient underwent splenopancreatectomy. The histopathological examination confirmed the presence of intestinal type of IPMN of pancreas., Discussion: Acute pancreatitis is revealed in the majority of cases of IPMNs, related to duct obstruction by secreting mucus plug. IPMNs are rarely the cause of a large abdominal mass. They are cystic lesions of slow evolution, macroscopically visible and rarely macrocystic, unlike serous cystadenoma. The tumor size is a powerful indicator of the malignancy of IPMNs. The current definitive and ideal treatment for main duct and mixed type IMPNs is a surgical resection., Conclusion: IPMNs are a cystic lesion, rarely revealed by a large mass., Competing Interests: The authors declared no potential conflicts of interests with respect to research, authorship and/or publication of the article., (© 2022 The Authors.)
- Published
- 2022
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29. Desmoid tumor of trapezius muscle: A case report.
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Harouachi A, Ramdani A, Kharkhach A, Akouh N, Bouhout T, Bennani A, Serji B, and Harroudi TE
- Abstract
Introduction: Desmoid tumors are benign fibrous entities developed from connective tissue, and they result from muscle fascia or aponeurosis. Surgical excision is the main pillar of treatment., Case Report: A 29-year-old female patient presented with a left postero-lateral cervical swelling that had been evolving for 11 months. Cervical MRI showed a mass at the expense of the trapezium muscle measuring 41 × 68 × 81 mm. A biopsy of the mass was performed, concluding a desmoid tumor. The patient underwent a large resection of the tumor involving the left trapezius muscle. An immunohistochemistry staining was performed, demonstrating cytoplasmic labeling with anti AML antibody, and nuclear labeling of tumor cells with anti-beta-catenin antibody. The case was analyzed by a multidisciplinary committee, and it was decided to follow the patient for surveillance., Discussion: The localization of desmoid tumors in the trapezius muscle is extremely rare. The main risk of these benign lesions is infiltration of surrounding tissue leading to morbidity and mortality. Recurrence is a main feature of these tumors, even if complete excision has been performed. Unresectable desmoid tumors require medical and non-surgical treatment such as hormone therapy (tamoxifen), and chemotherapy with vinblastine and methotrexate., Conclusion: Desmoid tumor of trapezius muscle is classified as benign without metastatic power, and the main risk is infiltration of surrounding tissue., Competing Interests: The authors declared no potential conflicts of interests with respect to research, authorship and/or publication of the article., (© 2021 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.)
- Published
- 2021
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30. Colostomy orifice complications: a case report of a prolapsed colostomy with necrosis of the eviscerated greater omentum.
- Author
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Rockson O, Mhand M, Aabdi H, Bouhout T, El Harroudi T, and Serji B
- Abstract
Evisceration and necrosis of the greater omentum at the site of a prolapsed colostomy is a rare situation. Considered an early stoma complication, it often occurs during the first month after surgery. We report the observation and our attitude to such a situation in a 56-year-old patient who underwent initial surgery for a locally advanced rectal adenocarcinoma after receiving neoadjuvant radio-chemotherapy. A loop colostomy for decompression was performed due to large bowel obstruction. On the 10th day after surgery, he was readmitted for an oedematous prolapsed colostomy and a necrotic end of the greater omentum, which eviscerated through the colostomic hole, secondary to severe ascites. Emergency re-intervention involving resection of the prolapsed stoma with the necrotic segment of the omentum was performed. The three factors associated with the development of this rare peri-colostomy complication were: emergency surgery, locally advanced rectal tumor, and increased intra-abdominal pressure., (Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2021.)
- Published
- 2021
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31. Radical treatment of Sister Mary-Joseph nodule: case report and literature review.
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Majdoubi A, Bouhout T, Harhar M, Mirry A, Badr S, and Harroudi TE
- Subjects
- Humans, Male, Middle Aged, Tomography, X-Ray Computed, Umbilicus, Adenocarcinoma, Sister Mary Joseph's Nodule, Skin Neoplasms
- Abstract
Sister Mary-Joseph nodule (NSMJ) is a cutaneous metastasis of the umbilicus, rare and accounts for 2-3% of the patients with advanced stages of colorectal adenocarcinoma. Here we report the observation of a 48-year-old Moroccan man, referred to our hospital to manage a painful ulcero-budding nodule of the umbilicus; computed tomography revealed that the processes infiltrated the urachus and the bladder. Laboratory parameters were normal and radical surgery was performed to remove the tumor and embryological remnant of the umbilicus. The histological assessment confirmed the sigmoidal origin of the umbilical nodule. This kind of disease always poses a problem of treatment. It was considered for a long time as an outdated stage of tumor disease that deserves just palliative treatment. Several cases published in the international literature with radical treatment had good survival and evolution, which gives hope to patients with this disease., Competing Interests: The authors declare no competing interest., (Copyright: Amine Majdoubi et al.)
- Published
- 2021
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32. Hepatic epithelioid hemangioendothelioma simulating liver metastasis: A case report.
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Serji B, Ramdani A, Mirali H, Bouhout T, Bennani A, and El Harroudi T
- Abstract
Introduction: Hepatic epithelioid hemangioendothelioma (HEHE) is a rare tumor of vascular origin. Liver involvement is often multinodular simulating metastases. Herein, we report a rare case of HEHE mimicking liver metastases in a female patient., Case Presentation: A 43-years-old female patient, presented with complaints of pain in the right upper quadrant. Laboratory tests were all within the normal range. Abdominal ultrasound revealed multiple heterogeneous hypoechoic liver lesions. A thoracic and abdominopelvic computed tomography showed bilateral pulmonary micronodules with multiple hypodense hepatic nodules involving both lobes. Percutaneous ultrasound-guided biopsy with pathological study and immunohistochemistry staining revealed the diagnosis of hepatic epithelioid hemangioendothelioma., Discussion: HEHE usually involves both liver lobes with three radiological presentations: single nodular, multiple nodular, or diffuse types, the diffuse type reflects an advanced stage. 3/4 of the cases are initially misdiagnosed as liver metastases or primary liver tumors. The pathological study with the immunochemistry stainings confirms the diagnosis. There is no standard treatment for HEHE due to its rarity and lack of prospective randomized studies., Conclusion: HEHE is a rare tumor of vascular origin of unknown etiology with malignant potential and unpredictable course. The therapeutic management of this rare condition is not codified and is discussed on a case-by-case basis. Surgical treatment remains the best option with an excellent outcome., Competing Interests: The authors declared no potential conflicts of interests with respect to research, authorship and/or publication of the article., (© 2021 The Authors.)
- Published
- 2021
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33. Undifferentiated Pancreatic Carcinoma with Osteoclast-like Giant Cells: a Review and Case Report Analysis.
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Kharkhach A, Bouhout T, Serji B, and El Harroudi T
- Subjects
- Fatal Outcome, Humans, Male, Middle Aged, Morocco, Pancreatic Neoplasms, Giant Cells pathology, Osteoclasts pathology, Pancreatic Neoplasms pathology
- Published
- 2021
- Full Text
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34. Infrarenal Vena Cava Leiomyosarcoma Treated With Surgical Resection and Vascular Reconstruction.
- Author
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Malki Y, Lazaar H, Bouhout T, Serji B, Benzirar A, and El Harroudi T
- Abstract
Leiomyosarcoma of the inferior vena cava is a rare malignant tumor with a poor prognosis. We report a case of a 39-year-old woman admitted for a surgical resection of a retroperitoneal mass revealed by pain localised in the right lumbar fossa. Computed tomography of the abdomen revealed a heterogeneous retroperitoneal mass compressing the inferior vena cava. Surgical resection was performed with the reconstruction of the inferior vena cava using a Dacron prosthesis, the diagnosis of vessel wall leiomyosarcoma was revealed by histopathology. Surgical resection with clear margins remains the only treatment offering the best survival rate. The complex nature of the surgery of those tumors is a major therapeutic challenge for surgeons., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2021, Malki et al.)
- Published
- 2021
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35. Retroperitoneal Schwannoma: Two Rare Case Reports.
- Author
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Harhar M, Ramdani A, Bouhout T, Serji B, and El Harroudi T
- Abstract
Schwannomas are neuroectodermal tumors that rarely occur in the retroperitoneal space. We report two cases of patients who presented with abdominal pain. Radiological findings revealed a retroperitoneal mass in both cases. Both patients underwent complete surgical excision with an uneventful postoperative course. The histopathological study confirmed the nature of schwannoma. Complete surgical excision remains the gold standard for the management of these tumors. The preoperative diagnosis is usually difficult; however, the definitive diagnosis is made upon histopathological examination., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2021, Harhar et al.)
- Published
- 2021
- Full Text
- View/download PDF
36. Partial Splenectomy for a Sizeable Cavernous Hemangioma: Case Report and a Review of the Literature.
- Author
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Lazaar H, Malki Y, Bouhout T, Serji B, and El Harroudi T
- Abstract
The recent awareness of the spleen's important role, especially its immune function, has fundamentally changed the management of splenic diseases, promoting the splenic preserving surgery, and protecting from the significant risk of total splenectomy: overwhelming post-splenectomy sepsis. Partial splenectomy is a safe and feasible technique that offers, according to the literature, the same results of a total approach, either in achieving hematological benefits in congenital hemolytic anemia, or treating the focal splenic lesion such as hemangioma, while preserving the immune function., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2021, Lazaar et al.)
- Published
- 2021
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37. The Outcome of Neoadjuvant Imatinib Therapy Combined With Surgery for Rectal Gastrointestinal Stromal Tumors: A Report of Three Cases and a Review of the Literature.
- Author
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Ramdani A, Bouhout T, Serji B, Khannoussi W, and El Harroudi T
- Abstract
Gastrointestinal stromal tumors (GISTs) represent the most frequent mesenchymal tumors of the gastrointestinal tract. They occur most frequently in the stomach. Rectal localization remains rare and represents only 5% of all GIST cases and 0.1% of all rectal tumors. Immunohistochemical staining (CD117, DOG1) and molecular analysis remain the gold standard for diagnosis; DOG1 represents a very sensitive marker regardless of CD117 expression. Complete en-bloc resection constitutes the only curative treatment; however, surgical management of rectal GIST remains challenging and can involve extensive surgery such as abdominoperineal resection with significant morbidity. The role of neoadjuvant Imatinib therapy in rectal GISTs is controversial and mainly indicated in a locally advanced tumor or sphincter invasion to increase the chance of complete resection and sphincter preservation. Herein, we report three cases of a rectal GIST treated with neoadjuvant Imatinib therapy and who underwent extensive surgery with complete resection (R0), as well as a recent review of the literature, to study clinicopathological features, surgical challenges, and perioperative Imatinib therapy outcome of rectal GISTs., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2020, Ramdani et al.)
- Published
- 2020
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38. Struma ovarii: two case reports of a rare teratoma of the ovary.
- Author
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Rockson O, Kora C, Ramdani A, Basma A, Bouhout T, Serji B, and El Harroudi T
- Abstract
Struma ovarii is an extremely rare type of ovarian teratoma distinguished by the unusual presence of thyroid tissue. It is usually a benign condition; however, malignant transformation is sometimes detected. The diagnosis relies on histopathological examination and is infrequently made on routine investigations. We report two cases of struma ovarii: one benign and the other malignant. The first case involved a 27-year-old woman who underwent a right ovarian cystectomy for an incidental ultrasonographic finding of a solid right adnexal mass. The diagnosis of a benign struma was made after histopathological study. The second case involved a 68-year-old woman who underwent a right salpingo-oophorectomy for a right ovarian bulky mass and the histopathological diagnosis was consistent with that of a malignant struma. We examine the challenges involved in the diagnosis and management of this rare entity., (Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2020.)
- Published
- 2020
- Full Text
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39. Rare Case Report of an Endometrial Adenocarcinoma Arising in a Complete Septate Uterus With a Double Cervix and Vagina.
- Author
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Rockson O, Ramdani A, Bouhout T, Serji B, and El Harroudi T
- Abstract
Endometrial adenocarcinomas arising in a complete septate uterus with cervical and vaginal duplication are rare. Here, we report a case of stage III endometrioid endometrial adenocarcinoma arising in a complete septate uterus with a double cervix and vagina coupled with a left serous ovarian cystadenoma in a 35-year-old-female patient. The patient underwent a total abdominal hysterectomy with bilateral salpingo-oophorectomy and was addressed to the oncologist for adjuvant radio-chemotherapy. We highlight the symptoms, diagnosis, and therapeutic management, and compare them to the recent literature., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2020, Rockson et al.)
- Published
- 2020
- Full Text
- View/download PDF
40. Parathyroid Cyst: A Case Report of an Uncommon Diagnosis of a Cervical Mass.
- Author
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Ramdani A, Harhar M, Bouhout T, Serji B, and El Harroudi T
- Abstract
Parathyroid cysts (PCs) are uncommon entities in clinical practice. The lack of pathognomonic clinical presentation and radiological features of PCs makes preoperative diagnosis unlikely, therefore, most cases are diagnosed intraoperatively or postoperatively at the pathological analysis of the surgical specimen. Treatment of nonfunctional PCs remains controversial and includes fine-needle aspiration, injection of sclerosant, or surgical excision. However, surgical resection still the optimal treatment for functional and larger nonfunctional PCs. We report a case of a 60-year-old female presenting with asymptomatic left-sided cervical swelling diagnosed postoperatively as a nonfunctional PC., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2020, Ramdani et al.)
- Published
- 2020
- Full Text
- View/download PDF
41. Myxoid Liposarcoma: A Case Report of a Rare Location in the Abdominal Wall.
- Author
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Harhar M, Ramdani A, Bouhout T, Serji B, and El Harroudi T
- Abstract
Liposarcomas are considered to be the most common soft tissue sarcomas and have five histological subtypes. The myxoid subtype often occurs in the lower limbs and the retroperitoneum; however, the abdominal wall location is extremely rare. The clinical presentation and radiological findings are non-specific. Wide local excision with a minimum margin of 3 cm remains the mainstay of treatment to prevent local recurrences. We herein report a rare location of myxoid liposarcoma in the abdominal wall., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2020, Harhar et al.)
- Published
- 2020
- Full Text
- View/download PDF
42. Gallbladder Tuberculosis Mimicking Gallbladder Carcinoma: A Case Report and Review of the Literature.
- Author
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Ramdani A, Rockson O, Bouhout T, Serji B, and El Harroudi T
- Abstract
Gallbladder tuberculosis (GT) is an extremely rare disease entity, even in our country Morocco known for being an endemic area. The lack of pathognomonic clinical presentation and radiological features of GT makes preoperative diagnosis unlikely and poses a diagnostic dilemma regarding gallbladder carcinoma (GC). The diagnosis is usually made by histological examination after cholecystectomy, highlighting the importance of sending every gallbladder specimen to pathology. We report an exceedingly rare case of GT mimicking GC and refer to a recent review of the literature to discuss the clinical and radiological features of GT., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2020, Ramdani et al.)
- Published
- 2020
- Full Text
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43. An unusual complication of Meckel’s diverticulum: Littre’s hernia.
- Author
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Bouhout T, Serji B, Egyir EU, Amri BE, Bouhout I, Soufi M, Bouziane M, and Harroudi TE
- Subjects
- Adult, Female, Hernia, Abdominal diagnosis, Humans, Intestinal Obstruction diagnosis, Hernia, Abdominal etiology, Intestinal Obstruction etiology, Meckel Diverticulum complications
- Abstract
Competing Interests: The authors declare no competing interests.
- Published
- 2018
- Full Text
- View/download PDF
44. Leiomyosarcoma of scrotum: case report.
- Author
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Bouhout T, Serji B, Egyir EU, Amri BE, Bouhout I, Soufi M, Bouziane M, and Harroudi TE
- Subjects
- Genital Neoplasms, Male pathology, Genital Neoplasms, Male surgery, Humans, Leiomyosarcoma pathology, Leiomyosarcoma surgery, Male, Middle Aged, Scrotum surgery, Genital Neoplasms, Male diagnosis, Leiomyosarcoma diagnosis, Scrotum pathology
- Abstract
Scrotal leiomyosarcoma is rare tumor. It presents as a painless, slow-growing cutaneous lesion. It's often mistaken for a benign condition. It is best treated by wide local excision. A case of scrotum leiomyosarcoma is presented in a 63 year old patient who was treated for the first time as having a benign lesion., Competing Interests: The authors declare no competing interests.
- Published
- 2018
- Full Text
- View/download PDF
45. Ostomy skin complications treated with rhassoul: case studies.
- Author
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Serji B, Bouhout T, Chablou M, Ussman EE, and Harroudi TE
- Subjects
- Adult, Aged, Female, Humans, Retrospective Studies, Skin pathology, Wound Healing, Clay, Ostomy adverse effects, Skin drug effects
- Abstract
Skin complications are common in people who have an ostomy, and often involve the skin's function as a barrier breaking down. Many products have been developed to prevent and treat complications. However, in developing countries, they may be too expensive for patients to buy or not be available. Three case studies found the use of rhassoul, an affordable clay that is readily available in Morocco, to manage peristomal skin damage and protect the skin. Its protective properties are believed to include its ability to absorb and neutralise substances in ostomy output that damage skin and to act as a barrier.
- Published
- 2018
- Full Text
- View/download PDF
46. [Breast tuberculosis: about a case].
- Author
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Bouhout T, Serji B, Egyir EU, Amri BE, Bouhout I, Soufi M, Bouziane M, and Harroudi TE
- Subjects
- Breast Diseases microbiology, Breast Diseases pathology, Diagnosis, Differential, Female, Humans, Menopause, Middle Aged, Tuberculosis pathology, Breast Diseases diagnosis, Breast Neoplasms diagnosis, Tuberculosis diagnosis
- Abstract
Breast tuberculosis is rare. It poses a problem of differential diagnosis because it may be mistaken for breast cancer as clinical examination and diagnostic imaging are not specific. Breast tuberculosis should be suspected especially in endemic countries or in immunosuppressed individuals. We report the case of a menopausal woman with breast tuberculosis in order to raise concern for diagnosis.
- Published
- 2017
- Full Text
- View/download PDF
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