It is a cosmopolitan disease due to the embryonic shape of taenia of the dog echinococcosis granulosis. It is the disease which puts a real problem of public health in our country. We report a case of giant hydatid cy...It is a cosmopolitan disease due to the embryonic shape of taenia of the dog echinococcosis granulosis. It is the disease which puts a real problem of public health in our country. We report a case of giant hydatid cyst of the liver.展开更多
Trichobezoars are an infrequent form of bezoars formed from ingested hair. They are more common in adolescent females with history of trichotillomania. Exceptionally, it can occur in young children making the diagnosi...Trichobezoars are an infrequent form of bezoars formed from ingested hair. They are more common in adolescent females with history of trichotillomania. Exceptionally, it can occur in young children making the diagnosis difficult. We report the case of a 6-year-old girl with a history of abdominal pain, distension, weight loss, and attacks of vomiting. Upper gastrointestinal endoscopy revealed a trichobezoar occupying almost the whole gastric cavity. The gastric bezoar was removed by surgery. Gastric trichobezoar is exceptional in young children and can lead to stunting and gastric outlet obstruction. After definitive surgical or endoscopic treatment, pediatric psychiatric consultation should be opted for any mental disorder and for prevention of further recurrence.展开更多
The mucocele of appendix or mucosecreting tumor is a rare affection defined as a cystic dilatation of the light of the appendix following the intra luminal accumulation of mucinous, translucent, gelatinous, secretion ...The mucocele of appendix or mucosecreting tumor is a rare affection defined as a cystic dilatation of the light of the appendix following the intra luminal accumulation of mucinous, translucent, gelatinous, secretion which may reach either the entire organ or a segment more often distal. The pathogenesisis is discussed;the diagnosis is more often preoperative. The therapeutic depends on the histological nature. This goes from the simple appendicectomy, whose shapes are benign to the right hemicolectomy in the malignant mucocele. We report a case collaged in the general surgical service of the 5th Military Hospital.展开更多
The pulmonary artery dissection (PAD) is a rare and life-threatening event, usually secondary to a chronic pulmonary artery hypertension. We report the case of pulmonary artery dissection undergoing medical treatment ...The pulmonary artery dissection (PAD) is a rare and life-threatening event, usually secondary to a chronic pulmonary artery hypertension. We report the case of pulmonary artery dissection undergoing medical treatment by conservative management, discovered by performing a computed tomography (CT), and describe the clinical and therapeutic characteristics with the literature review.展开更多
Necrotizing fasciitis is an uncommon infection, but potentially lethal, especially when associated with systemic disorders such as diabetes. We report the case of a 35-year-old female with uncontrolled diabetes mellit...Necrotizing fasciitis is an uncommon infection, but potentially lethal, especially when associated with systemic disorders such as diabetes. We report the case of a 35-year-old female with uncontrolled diabetes mellitus, presenting with edema of the neck, facial and left mammary gland, secondary to untreated dental infection, progressing to a full-blown necrotizing fasciitis in a short period of time with sepsis. The patient was managed with aggressive multidisciplinary medical and surgical treatment. Despite the technologic advances in diagnosis and treatment, complications still result with astounding high mortality. Clearly, the morbidity associated to this infection, even in diabetic patients, can be minimized if an early diagnosis and effective debridement are done.展开更多
Recurrent foetal loss in early and late stages of pregnancy is a common problem of women affected by anti-phospholipid antibody syndrome. The therapeutic scheme consisting of associating aspirin and heparin has shown ...Recurrent foetal loss in early and late stages of pregnancy is a common problem of women affected by anti-phospholipid antibody syndrome. The therapeutic scheme consisting of associating aspirin and heparin has shown an improvement of the prognosis for the next pregnancies. We report 3 cases of anti-phospholipid antibody syndrome and pregnancy, and we underline the clinical, therapeutic and prognosis features of this syndrome.展开更多
Introduction: Gastro intestinal stromal tumors are rare which can arise at any age, mostly between 50 and 60 years old. They are characterized by the expression on the surface of their cells, a specific gene c-kit. Th...Introduction: Gastro intestinal stromal tumors are rare which can arise at any age, mostly between 50 and 60 years old. They are characterized by the expression on the surface of their cells, a specific gene c-kit. They can be located in any segment of the digestive tract, with a preference for the stomach (60%). The jejunum location is found in 200% to 30% of the cases. The originality of our observation is the revelation of a stromal jejunum tumor by a digestive bleeding. Case Report: A 71-year-old man was admitted in emergencies for a low digestive plentiful bleeding with state of hypovolemia shock. Result: The operation was performed after stabilization of his dynamic state and blood transfusion and we discovered a jejunal stromal tumor in operation. The follow-up was simple with a good evolution under treatment by Imatinib. Conclusion: Stromal digestive tumors are rare which can interest all the segments of the digestive tract and their diagnosis must be often evoked in front of any digestive bleeding.展开更多
A hypernatremia severity is often associated with a poor prognosis, especially if it is associated with multiple organ failure. In a country with very limited resources, the prognosis may be favorable in the absence o...A hypernatremia severity is often associated with a poor prognosis, especially if it is associated with multiple organ failure. In a country with very limited resources, the prognosis may be favorable in the absence of renal replacement. We report the case of a 63 years old woman, hypertensive and diabetic, admitted to the ICU for unconsciousness. Clinically, neurological examination notes a Glasgow of 8/15 (Y2, V2, M4) and a left hemiplegia. Temperature was 39°C. Diuresis was 100 ml during the first 24 hours. Blood pressure was 90/60 mmHg, tachycardia at 133/min. Cardiac auscultation is normal. Vascular axes were weakly perceptible. Oxygen saturation was 95%. The skin examination notes a dry skin and mucous membranes, a flattening of the superficial veins, sunken eyes and a persistent skin fold. There is no hepatomegaly or splenomegaly, or jaundice. Biological point of view note natremia: 176 mmol/L;osmolarity: 390 mosmol/kg;creatinin: 300 μmol/L;glycemia > 6 g/L;transaminases 217 UI. Diagnostics: malignant hypernatremia with a high plasma osmolarity associated with an acute anuric renal failure, hydro electrolytic disorders, an abnormal liver function, a fever of central origin and a stroke. The treatment consisted of a correction of the electrolyte disorders by infusion of isotonic and hypotonic fluids with insulin. In a country with very limited resources, the severe hypernatremia prognosis associated with anuric acute renal failure may be favorable in the absence of renal replacement.展开更多
Background: The tuberculosis is an endemic disease in our country;it remains a major public health problem. Liver and splenic tuberculosis is a classic disease which represents 1.5% of all gastrointestinal tuberculosi...Background: The tuberculosis is an endemic disease in our country;it remains a major public health problem. Liver and splenic tuberculosis is a classic disease which represents 1.5% of all gastrointestinal tuberculosis. Patients and Methods: We reported the case of a fifty-six years old patient admitted in the department of surgery for acute cholecystitis, and the biological balance showed a hyperleukocytosis at 16,000 elements/mm3 and a CRP at 25 with a light cholestasis. The abdominal scanner showed a micronodular splenomegaly with coelio mesenteric ganglions. We discovered a tuberculosis location in the liver and the spleen and we realized a cholecystectomy with a hepatic biopsy and a splenectomy. Results: A gallbladder ablation associated with an enlarged spleen and liver biopsy was diagnosed with liver and splenic tuberculosis. The patient was put under anti tubercular treatment with the good clinical and radiological evolution. Conclusion: The diagnosis of tuberculosis should always be considered especially in endemic countries.展开更多
It is a cosmopolitan disease, due to the embryonic shape of taenia of the dog Ecchinococcosis granulosis. The peritoneal hydatidosis is the sowing of this serous in a primitive or secondary way. It can be caused by th...It is a cosmopolitan disease, due to the embryonic shape of taenia of the dog Ecchinococcosis granulosis. The peritoneal hydatidosis is the sowing of this serous in a primitive or secondary way. It can be caused by the massive break of a visceral hydatid cyst realizing the anaphylactic shock. Somewhere else, the discreet fissuring is the most usual realizing peritoneum cysts. So the peritoneal hydatidosis appears under polymorphic clinical painting according to the anatomical location of cysts. The disease puts a real problem of public health in our country. The primitive peritoneal localization is rare. We report a case of a primitive intra-peritoneal hydatid cyst.展开更多
In December 2019, coronavirus disease (COVID-19) due to infection with the novel SARS-CoV-2 virus began to break out. Hemodialysis patients are at high risk because of the co-morbidities. We report the clinical and bi...In December 2019, coronavirus disease (COVID-19) due to infection with the novel SARS-CoV-2 virus began to break out. Hemodialysis patients are at high risk because of the co-morbidities. We report the clinical and biological characteristics of two patients who developed COVID-19 infection in our dialysis center in Donka National Hospital. None of the patients had contact with an infected person. The age was 38 and 54 years. The symptoms common to both patients were: fatigue, diarrhea, fever. Lymphopenia was present in both patients. None of them had a chest X-ray or chest scan because they were positive for the test before admission.展开更多
The Askin tumour is a highly malignant rare tumour with small cells, pertaining to the group of the primitive neuroectodermal tumours. It develops with the costs of the soft parts of the thoracic wall and it’s charac...The Askin tumour is a highly malignant rare tumour with small cells, pertaining to the group of the primitive neuroectodermal tumours. It develops with the costs of the soft parts of the thoracic wall and it’s characterized by extra and endothoracic fast extension. We report seven cases colliged in our service by specifying the role of the imagery in the diagnosis but especially the assessment of extension of these tumours.展开更多
The hydatid disease establishes a real problem of public health in our country. The hydatid cyst is preferentially located at the level of the liver and the lungs. Its mediastinal location is extremely rare, represent...The hydatid disease establishes a real problem of public health in our country. The hydatid cyst is preferentially located at the level of the liver and the lungs. Its mediastinal location is extremely rare, representing 0à 4% of all the hydatic locations. The imaging plays an important role in the diagnosis of this affection and in the balance sheet of extension in search of another location. The hydatid cyst also raises a diagnostic problem with the cystic hurts of the mediastinum. We report a case of mediastinal hydatid cyst colliged in the service of general surgery at the 5th military hospital.展开更多
文摘It is a cosmopolitan disease due to the embryonic shape of taenia of the dog echinococcosis granulosis. It is the disease which puts a real problem of public health in our country. We report a case of giant hydatid cyst of the liver.
文摘Trichobezoars are an infrequent form of bezoars formed from ingested hair. They are more common in adolescent females with history of trichotillomania. Exceptionally, it can occur in young children making the diagnosis difficult. We report the case of a 6-year-old girl with a history of abdominal pain, distension, weight loss, and attacks of vomiting. Upper gastrointestinal endoscopy revealed a trichobezoar occupying almost the whole gastric cavity. The gastric bezoar was removed by surgery. Gastric trichobezoar is exceptional in young children and can lead to stunting and gastric outlet obstruction. After definitive surgical or endoscopic treatment, pediatric psychiatric consultation should be opted for any mental disorder and for prevention of further recurrence.
文摘The mucocele of appendix or mucosecreting tumor is a rare affection defined as a cystic dilatation of the light of the appendix following the intra luminal accumulation of mucinous, translucent, gelatinous, secretion which may reach either the entire organ or a segment more often distal. The pathogenesisis is discussed;the diagnosis is more often preoperative. The therapeutic depends on the histological nature. This goes from the simple appendicectomy, whose shapes are benign to the right hemicolectomy in the malignant mucocele. We report a case collaged in the general surgical service of the 5th Military Hospital.
文摘The pulmonary artery dissection (PAD) is a rare and life-threatening event, usually secondary to a chronic pulmonary artery hypertension. We report the case of pulmonary artery dissection undergoing medical treatment by conservative management, discovered by performing a computed tomography (CT), and describe the clinical and therapeutic characteristics with the literature review.
文摘Necrotizing fasciitis is an uncommon infection, but potentially lethal, especially when associated with systemic disorders such as diabetes. We report the case of a 35-year-old female with uncontrolled diabetes mellitus, presenting with edema of the neck, facial and left mammary gland, secondary to untreated dental infection, progressing to a full-blown necrotizing fasciitis in a short period of time with sepsis. The patient was managed with aggressive multidisciplinary medical and surgical treatment. Despite the technologic advances in diagnosis and treatment, complications still result with astounding high mortality. Clearly, the morbidity associated to this infection, even in diabetic patients, can be minimized if an early diagnosis and effective debridement are done.
文摘Recurrent foetal loss in early and late stages of pregnancy is a common problem of women affected by anti-phospholipid antibody syndrome. The therapeutic scheme consisting of associating aspirin and heparin has shown an improvement of the prognosis for the next pregnancies. We report 3 cases of anti-phospholipid antibody syndrome and pregnancy, and we underline the clinical, therapeutic and prognosis features of this syndrome.
文摘Introduction: Gastro intestinal stromal tumors are rare which can arise at any age, mostly between 50 and 60 years old. They are characterized by the expression on the surface of their cells, a specific gene c-kit. They can be located in any segment of the digestive tract, with a preference for the stomach (60%). The jejunum location is found in 200% to 30% of the cases. The originality of our observation is the revelation of a stromal jejunum tumor by a digestive bleeding. Case Report: A 71-year-old man was admitted in emergencies for a low digestive plentiful bleeding with state of hypovolemia shock. Result: The operation was performed after stabilization of his dynamic state and blood transfusion and we discovered a jejunal stromal tumor in operation. The follow-up was simple with a good evolution under treatment by Imatinib. Conclusion: Stromal digestive tumors are rare which can interest all the segments of the digestive tract and their diagnosis must be often evoked in front of any digestive bleeding.
文摘A hypernatremia severity is often associated with a poor prognosis, especially if it is associated with multiple organ failure. In a country with very limited resources, the prognosis may be favorable in the absence of renal replacement. We report the case of a 63 years old woman, hypertensive and diabetic, admitted to the ICU for unconsciousness. Clinically, neurological examination notes a Glasgow of 8/15 (Y2, V2, M4) and a left hemiplegia. Temperature was 39°C. Diuresis was 100 ml during the first 24 hours. Blood pressure was 90/60 mmHg, tachycardia at 133/min. Cardiac auscultation is normal. Vascular axes were weakly perceptible. Oxygen saturation was 95%. The skin examination notes a dry skin and mucous membranes, a flattening of the superficial veins, sunken eyes and a persistent skin fold. There is no hepatomegaly or splenomegaly, or jaundice. Biological point of view note natremia: 176 mmol/L;osmolarity: 390 mosmol/kg;creatinin: 300 μmol/L;glycemia > 6 g/L;transaminases 217 UI. Diagnostics: malignant hypernatremia with a high plasma osmolarity associated with an acute anuric renal failure, hydro electrolytic disorders, an abnormal liver function, a fever of central origin and a stroke. The treatment consisted of a correction of the electrolyte disorders by infusion of isotonic and hypotonic fluids with insulin. In a country with very limited resources, the severe hypernatremia prognosis associated with anuric acute renal failure may be favorable in the absence of renal replacement.
文摘Background: The tuberculosis is an endemic disease in our country;it remains a major public health problem. Liver and splenic tuberculosis is a classic disease which represents 1.5% of all gastrointestinal tuberculosis. Patients and Methods: We reported the case of a fifty-six years old patient admitted in the department of surgery for acute cholecystitis, and the biological balance showed a hyperleukocytosis at 16,000 elements/mm3 and a CRP at 25 with a light cholestasis. The abdominal scanner showed a micronodular splenomegaly with coelio mesenteric ganglions. We discovered a tuberculosis location in the liver and the spleen and we realized a cholecystectomy with a hepatic biopsy and a splenectomy. Results: A gallbladder ablation associated with an enlarged spleen and liver biopsy was diagnosed with liver and splenic tuberculosis. The patient was put under anti tubercular treatment with the good clinical and radiological evolution. Conclusion: The diagnosis of tuberculosis should always be considered especially in endemic countries.
文摘It is a cosmopolitan disease, due to the embryonic shape of taenia of the dog Ecchinococcosis granulosis. The peritoneal hydatidosis is the sowing of this serous in a primitive or secondary way. It can be caused by the massive break of a visceral hydatid cyst realizing the anaphylactic shock. Somewhere else, the discreet fissuring is the most usual realizing peritoneum cysts. So the peritoneal hydatidosis appears under polymorphic clinical painting according to the anatomical location of cysts. The disease puts a real problem of public health in our country. The primitive peritoneal localization is rare. We report a case of a primitive intra-peritoneal hydatid cyst.
文摘In December 2019, coronavirus disease (COVID-19) due to infection with the novel SARS-CoV-2 virus began to break out. Hemodialysis patients are at high risk because of the co-morbidities. We report the clinical and biological characteristics of two patients who developed COVID-19 infection in our dialysis center in Donka National Hospital. None of the patients had contact with an infected person. The age was 38 and 54 years. The symptoms common to both patients were: fatigue, diarrhea, fever. Lymphopenia was present in both patients. None of them had a chest X-ray or chest scan because they were positive for the test before admission.
文摘The Askin tumour is a highly malignant rare tumour with small cells, pertaining to the group of the primitive neuroectodermal tumours. It develops with the costs of the soft parts of the thoracic wall and it’s characterized by extra and endothoracic fast extension. We report seven cases colliged in our service by specifying the role of the imagery in the diagnosis but especially the assessment of extension of these tumours.
文摘The hydatid disease establishes a real problem of public health in our country. The hydatid cyst is preferentially located at the level of the liver and the lungs. Its mediastinal location is extremely rare, representing 0à 4% of all the hydatic locations. The imaging plays an important role in the diagnosis of this affection and in the balance sheet of extension in search of another location. The hydatid cyst also raises a diagnostic problem with the cystic hurts of the mediastinum. We report a case of mediastinal hydatid cyst colliged in the service of general surgery at the 5th military hospital.
