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235 results on '"Khalfallah M"'

5. Neurosurgical treatment of perineal neuralgias

Author

Robert, R., Labat, J. J., Riant, T., Khalfallah, M., Hamel, O., Pickard, J. D., editor, Akalan, N., editor, Di Rocco, C., editor, Dolenc, V. V., editor, Antunes, J. Lobo, editor, Mooij, J. J. A., editor, Schramm, J., editor, and Sindou, M., editor

Published
2007
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11. Chicken bones: An etiology of a misleading clinical presentation of a rare case report of appendicular perforation

Author

Trabelsi Mohamed Mehdi, Kammoun Neirouz, Nasseh Souhir, Bhouri Souha, Chaouch Mohamed Ali, Oueslati Annouar, Khalfallah Mehdi, and Nouira Ramzi

Subjects
Medicine (General), R5-920
Abstract

Foreign body (FB) ingestion leading to appendicular perforation, although rare in adults, presents a complex clinical challenge. The clinical presentation may not always be straightforward, necessitating a comprehensive array of diagnostic examinations. In fact, accurate and timely diagnosis is crucial to prevent severe complications. In this report, we present a case where a misleading clinical presentation led to the unexpected discovery of appendicular perforation during surgery, despite initial suspicion of small bowel perforation – a 77-year-old male patient who was edentulous and under follow-up for chronic bronchitis stage IV. He sought medical attention due to a 2-week history of right iliac fossa pain, during which he did not experience vomiting or fever. Upon physical examination, there was a tenderness noted in the sub umbilical region. An abdominal computed tomography (CT) scan was performed, revealing the presence of a dense FB which seems to be a bone located in the last ileal loop. Additionally, the appendix appeared slightly distended. Given the clinical presentation, which strongly indicated acute peritonitis resulting from small bowel perforation, and following consultation with gastroenterologists, it was decided that endoscopic retrieval was not suitable for this case. Therefore, a surgical approach was chosen, involving a midline incision, as laparoscopy was absolutely contraindicated because of patient’s respiratory distress. Per-operatively, we identified a clear effusion, and within the wall of the appendix, we discovered a thin, sharp chicken bone that had become lodged, resulting in a phlegmonous and perforated appendix. The 2-cm bone was successfully removed, and an appendectomy was performed. The post-operative period was uneventful, and the patient was discharged on the fourth postoperative day. This case highlights the need for a high index of suspicion for atypical clinical presentations and the ongoing need for research to improve our understanding and management of this rare condition, ultimately enhancing patient outcomes.

Published
2024
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17. Critères diagnostiques d’une névralgie pudendale (Critères de Nantes)

Author

Labat, J. -J., Riant, T., Robert, R., Amarenco, G., Lefaucheur, J. -P., Benaïm, J., De Tayrac, R., Galaup, J. -P., Guérineau, M., Khalfallah, M., Lassaux, A., Le Fort, M., Lucot, J. -P., Rabischong, B., Rigaud, J., Siproudhis, L., Arné-Bès, M. -C., Bonniaud, V., Charvier, K., Dumas, P., Herbault, A. -G., Lapeyre, E., Leroi, A. -M., Prat Pradal, D., Soler, J. -M., Testut, M. -F., Raibaut, P., Scheiber-Nogueira, M. -C., and Thomas, C.

Published
2007
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22. Digestive bleeding due to jejunal stromal tumor: A train can hide another—A case report

Author

Kammoun Neirouz, Trabelsi Mohamed Mehdi, Khalfallah Mehdi, Guelbi Mohamed, Oueslati Annouar, and Nouira Ramzi

Subjects
Medicine (General), R5-920
Abstract

Gastrointestinal mesenchymal tumors (GIST) are the most prevalent sarcoma tumors affecting the digestive tract. GIST originates from Cajal cells located within the digestive tract’s wall. These cells play a crucial role in regulating digestive peristaltism as they are considered pacemaker cells. These tumors are especially located in the stomach (60%) but can also be seen in the small bowel (30%), in which jejunal stromal tumors are estimated to reach (40%). In this case report, we describe a jejunal GIST, which was initially discovered due to active bleeding, serving as the primary symptom, along with an underlying small loop intussusception. In our knowledge, GIST causing an intussusception is a rare entity in literature as well as GIST causing active bleeding. For that aim, we present a 36-year-old male patient, presented to our department with melena. An abdominal computed tomography scan was performed, revealing a small bowel intussusception associated with a 2 cm tumor. Despite the imprecise cause of the bleeding, due to the ongoing active hemorrhage, we decided to proceed with an emergency laparotomy, suspecting a tumorous origin of the bleeding. During the surgery, the tumor was located in the jejunum. The affected jejunal segment containing the tumor was resected, and an anastomosis was performed. Pathology examination confirmed a stromal tumor. The postoperative follow-up was uneventful.

Published
2024
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46. Analyse de l’effet thérapeutique à trois mois des infiltrations du nerf pudendal dans les névralgies pudendales par syndrome canalaire. Étude prospective, randomisée à trois bras, comparant l’efficacité des corticoïdes locaux à des infiltrations à grands volumes versus bras contrôle. Réalisée chez 201 patients

Author

Labat, J.-J., primary, Riant, T., additional, Robert, R., additional, Rioult, B., additional, Lassaux, A., additional, Khalfallah, M., additional, Rabischong, B., additional, and Leroi, A.-M., additional

Published
2012
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