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Bahloul M, Makni A, Kharrat S, Alila I, Suissi B, Bouaziz M. A possible cause of cholesterol crystal embolism in a polytrauma patient? J Med Vasc 2023; 48:88-90. [PMID: 37422333 DOI: 10.1016/j.jdmv.2023.06.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Accepted: 06/09/2023] [Indexed: 07/10/2023]
Affiliation(s)
- M Bahloul
- Department of Intensive Care, Habib Bourguiba University Hospital, Sfax University, Sfax, Tunisia.
| | - A Makni
- Department of Intensive Care, Habib Bourguiba University Hospital, Sfax University, Sfax, Tunisia
| | - S Kharrat
- Department of Intensive Care, Habib Bourguiba University Hospital, Sfax University, Sfax, Tunisia
| | - I Alila
- Department of Intensive Care, Habib Bourguiba University Hospital, Sfax University, Sfax, Tunisia
| | - B Suissi
- Department of Radiology, Habib Bourguiba Hospital, Sfax University, Sfax, Tunisia
| | - M Bouaziz
- Department of Intensive Care, Habib Bourguiba University Hospital, Sfax University, Sfax, Tunisia
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2
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Boufarguine R, Bettaieb H, Mbarki W, Halouani S, Abidi I, Makni A, Frikha M, Souayah N, Mbarki C, Oueslati H. Sexuality of the woman during pregnancy: Experience of the Tunisian woman. J Sex Med 2022. [DOI: 10.1016/j.jsxm.2022.03.458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Atri S, Hadad A, Makni A, Kacem MJ. Digestive surgical emergencies during the COVID-19 pandemic are deeply affected and more advanced. J Visc Surg 2020; 158:92-93. [PMID: 33272819 PMCID: PMC7685136 DOI: 10.1016/j.jviscsurg.2020.11.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- S Atri
- Department of digestive surgery 'A', La Rabta Hospital University, Faculty of Medicine of Tunis, 1007 Tunis, Tunisia.
| | - A Hadad
- Department of digestive surgery 'A', La Rabta Hospital University, Faculty of Medicine of Tunis, 1007 Tunis, Tunisia
| | - A Makni
- Department of digestive surgery 'A', La Rabta Hospital University, Faculty of Medicine of Tunis, 1007 Tunis, Tunisia
| | - M J Kacem
- Department of digestive surgery 'A', La Rabta Hospital University, Faculty of Medicine of Tunis, 1007 Tunis, Tunisia
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Abstract
Mucinous cystadenomas are the most frequent cystic benign tumors of the pancreas. They are characterized by a malignant potential. Acute pancreatitis is their most common complication. This manuscript reports a unique complication of mucinous cystadenomas of the pancreas: retroperitoneal rupture associated to acute pancreatitis. After resuscitation, the patient underwent surgery. A cystic mass of the pancreas tail with retroperitoneal rupture was found. Splenopancreatectomy was performed. Outcomes were straightforward. After 3 years of follow-up, no signs of recurrence are highlighted.
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Affiliation(s)
- A Haddad
- Surgery Department A, La Rabta Hospital, La Rabta Jebbari, 1007 Tunis, Tunisia.
| | - A Sebai
- Surgery Department A, La Rabta Hospital, La Rabta Jebbari, 1007 Tunis, Tunisia.
| | - R Rhaiem
- Surgery Department A, La Rabta Hospital, La Rabta Jebbari, 1007 Tunis, Tunisia.
| | - A Ghedira
- Surgery Department A, La Rabta Hospital, La Rabta Jebbari, 1007 Tunis, Tunisia.
| | - A Makni
- Surgery Department A, La Rabta Hospital, La Rabta Jebbari, 1007 Tunis, Tunisia.
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Maghrebi H, Batti R, Zehani A, Chrait N, Rais H, Makni A, Haddad A, Ayadi M, Daghfous A, Jrad M, Kchir N, Bensafta Z, Mezlini A. Round cell sarcoma of the colon with CIC rearrangement. BMC Res Notes 2017; 10:582. [PMID: 29121995 PMCID: PMC5679348 DOI: 10.1186/s13104-017-2906-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2016] [Accepted: 11/01/2017] [Indexed: 11/16/2022] Open
Abstract
Background The CIC-rearranged sarcoma is a very rare highly aggressive malignant soft tissue group of tumors. It has recently been described as highly aggressive soft tissue tumors of children and young adults sharing similar morphological features with the Ewing sarcoma. The digestive localization is exceptional. Case presentation A 14-year-old male presented with a history of abdominal pain for 1 year, which increased in intensity over the last 2 months. Imaging findings showed a large heterogeneous mesenteric mass on the left flank of the abdomen. Exploratory laparotomy was performed and revealed a large cystic hypervascularized mass depending on the transverse colon and mesocolon. A wide excision of the lesion was performed with segmental colectomy. No postoperative complications were noted. The microscopic examination revealed a vaguely nodular growth of undifferentiated small round cells, arranged in solid sheets separated by thin fibrous septa with a scarce stroma. After an uncomplicated post-operative course, the patient was referred for chemotherapy. The patient died 2 months later with a peritoneal and pleural progression. Conclusions The CIC-rearranged sarcoma is an aggressive tumor. There is no standard therapy for this rare disease. Their treatment includes surgery and chemotherapy. Resistance to chemotherapy is common. Further publications and studies will help to determine a standard therapy for this rare disease.
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Affiliation(s)
- H Maghrebi
- Surgery Department la Rabta Hospital Tunis, Tunis, Tunisia. .,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
| | - R Batti
- Oncology Unit, Institut Salah Azaiez Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - A Zehani
- Pathology Department la Rabta Hospital. Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - N Chrait
- Oncology Unit, Institut Salah Azaiez Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - H Rais
- Oncology Unit, Institut Salah Azaiez Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - A Makni
- Surgery Department la Rabta Hospital Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - A Haddad
- Surgery Department la Rabta Hospital Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - M Ayadi
- Oncology Unit, Institut Salah Azaiez Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - A Daghfous
- Surgery Department la Rabta Hospital Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - M Jrad
- Radiology Department la Rabta Hospital. Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - N Kchir
- Pathology Department la Rabta Hospital. Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Z Bensafta
- Surgery Department la Rabta Hospital Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - A Mezlini
- Oncology Unit, Institut Salah Azaiez Tunis, Tunis, Tunisia.,Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
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6
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Maghrebi H, Makni A, Rhaiem R, Atri S, Ayadi M, Jrad M, Jouini M, Kacem M, Bensafta Z. Adult intussusceptions: Clinical presentation, diagnosis and therapeutic management. Int J Surg Case Rep 2017; 33:163-166. [PMID: 28327421 PMCID: PMC5358816 DOI: 10.1016/j.ijscr.2017.02.009] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2016] [Revised: 02/07/2017] [Accepted: 02/07/2017] [Indexed: 12/31/2022] Open
Abstract
This is a rare entity. Its treatment still difficult because of controversy regarding the diagnosis and the optimal management. We tried to present our experience with 8 adult intussusceptions cases followed by a review of the literature in order to analyze the cause, clinical features, diagnosis, and management of this rare pathology. It was a retrospective study, But it is very interesting with clear results and excellent figures which may guide surgeons who encounter this problem. I am hoping that you have received everything as required and that the reviewing process finds the manuscript acceptable for publication in the journal. Please accept again dear professor our most humble greetings.
Background Adult intussusception is a rare clinical entity. It is an uncommon cause of intestinal obstruction in adult. It often presents with nonspecific symptoms and preoperative diagnosis remains difficult. The purpose of this study was to determine the clinical entity and surgical approach of adult intussusception. Methods We have conducted a retrospective descriptive study starting from 2006 until 2014. We reviewed data for all patients that had been admitted to our department for intestinal intussusception. Results Eight consecutive patients were admitted to our department. The mean age was 48 years old (20–71). The sex ratio was 0,6. The clinical presentation was acute in 5 cases. A computed tomography was performed in 6 cases. The diagnosis of gastrointestinal intussusception was made preoperatively in 100% of patients. All patients underwent surgery. An organic lesion was identified in 100% of the cases. In all cases, resection of the intussuscepted intestinal loop was done without intestinal reduction. All patients were well followed up and recurrences have been documented. Conclusion In adults, intussusception is usually secondary to an organic cause. In the absence of signs of severity, etiologic diagnosis based on CT allows the diagnosis of the intussusception and sometimes can detect the causal lesion. Therapeutic sanction of intussusception is surgery and there is more emphasis towards resection without reduction.
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Affiliation(s)
- H Maghrebi
- Surgery Department La Rabta Hospital, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia.
| | - A Makni
- Surgery Department La Rabta Hospital, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia.
| | - R Rhaiem
- Surgery Department La Rabta Hospital, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia.
| | - S Atri
- Surgery Department La Rabta Hospital, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia.
| | - M Ayadi
- Oncology Unit, Institut Salah Azaiez, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia.
| | - M Jrad
- Radiology Department La Rabta Hospital, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia.
| | - M Jouini
- Surgery Department La Rabta Hospital, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia.
| | - M Kacem
- Surgery Department La Rabta Hospital, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia.
| | - Z Bensafta
- Surgery Department La Rabta Hospital, Tunis, Tunisia; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia.
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Dahmeni A, Bouchekoua M, Aloui D, Trabelsi S, Khaled S, Gara S, Herbegue B, Chetoui A, Sellami S, Slama I, Antit S, Boussabah E, Thameur M, Zakhama L, Benyoussef S, Guemira F, Bellil N, Gargouri D, Masmoudi N, Elloumi H, Bibani N, Trad D, Kharrat J, Tounsi I, Fakhfakh N, Kallel A, Hadj Salah N, Belhadj S, Ladab S, Kallell K, Ayadi I, Frikha S, Messaoud M, Belhaj S, Triki H, Kallel K, BenHamida S, Ghribi I, Belkhamsa A, Ben Hamida M, Cheikh I, Hamdi B, Maazaoui S, Berraies A, Sakly H, Blibech H, Ammar J, Hamzaoui A, Belaazri S, Lamine F, Baidada A, Kharbach A, Mensi A, Ben Mohammed A, Khedher S, Mouelhi L, Houissa F, Najjar T, BenJemàa R, Oukaa-Kchaou A, Ben Mefteh I, Ayachi A, Morjène I, Trabelsi H, Mourali M, Maghrebi H, Barka M, Haddad A, Jlassi A, Makni A, Daghfous A, Rebai W, Fteriche F, Chebbi F, Ksantini F, Ammous A, Jouini M, Kacem MJ, Ben Safta Z, Cherif M, Zaafouri H, Bouhafa A, Ben Maamer A, Ben Khelifa M, Daboussi O, El Jeri K, Said Y, Salem M, Dabbech R, Hadidane M, Triki A, Henchiri H, Driss M, Ben Hassouna J, Hechiche M, Dhieb T, Rahal K, Lamghari J, Khaiz D, Ghaddou Y, Avala P, El Hattabi K, Bensardi FZ, Lefriyekh MR, Fadil A, Zerouali NO, Benahmed I, Karrou M, Benjaout K, Marouf R, Alloubi I, Achouri L, Slimene M, Laamouri B, Jendoubi M, Satouri L, Ghoul F, Reziga H, Malek M, Makni MK, Baba A, Derbel AM, Sellami L, Zili M, Khelifa R, Benahmed I, Benjaout K, Alloubi I, Maarouf R, Youssef A, Amdouni B, Gharrad M, Saadaoui M, Mbarki M, Rezigua H, Shimi C, Semlani J, Amhajer S, Ghouda H, Imane Z, Gaouzi M, Kriouile Y, Attia M, Ben Amor A, Banneni S, Dimassi K, Triki A, Gara MF, Amdouni B, Bennasser L, Magherbi H, Jallouli I, Harabi S, Kbeili S, Derbel M, Gassara H, Louati D, Chaabene K. Abstracts of the Maghreb Medical Congress 2015. Tunis Med 2016; 94:570-579. [PMID: 28603834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
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Makni A, Chebbi F, Ben Safta Z. Pneumoretroperitoneum, Bilateral Pneumothorax and Subcutaneous Emphysema Following Endoscopic Biliary Sphincterotomy. Acta Chir Belg 2016. [DOI: 10.1080/00015458.2012.11680844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- A. Makni
- Department of General Surgery ‘A’, La Rabta Hospital, Tunis, Tunisia
| | - F. Chebbi
- Department of General Surgery ‘A’, La Rabta Hospital, Tunis, Tunisia
| | - Z. Ben Safta
- Department of General Surgery ‘A’, La Rabta Hospital, Tunis, Tunisia
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9
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Makni A, Daghfous A, Ayadi S, Jouini M, Kacem MJ, Ben Safta Z. [Duplication of the gallbladder]. Tunis Med 2013; 91:669-670. [PMID: 24343492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
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10
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Lahmar S, Rebaï W, Boufana BS, Craig PS, Ksantini R, Daghfous A, Chebbi F, Fteriche F, Bedioui H, Jouini M, Dhibi M, Makni A, Ayadi MS, Ammous A, Kacem MJ, Ben Safta Z. Cystic echinococcosis in Tunisia: analysis of hydatid cysts that have been surgically removed from patients. Annals of Tropical Medicine & Parasitology 2013; 103:593-604. [DOI: 10.1179/000349809x12502035776153] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
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11
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Makni A, Chebbi F, Ksantini R, Fétirich F, Bedioui H, Jouini M, Kacem M, Ben Mami N, Filali A, Ben Safta Z. Laparoscopic-assisted versus conventional ileocolectomy for primary Crohn's disease: Results of a comparative study. J Visc Surg 2013; 150:137-43. [DOI: 10.1016/j.jviscsurg.2012.10.006] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
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Makni A, Ben Safta Z. Complete retro-portal lamina excision. J Visc Surg 2012; 149:e259-61. [PMID: 22883560 DOI: 10.1016/j.jviscsurg.2012.07.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- A Makni
- Service de chirurgie A, Hôpital La Rabta, Jabbari, 1007 Tunis, Tunisia.
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Makni A, Chebbi F, Ben Safta Z. Pneumoretroperitoneum, bilateral pneumothorax and emphysema following endoscopic biliary sphincterotomy. Acta Chir Belg 2012; 112:307-309. [PMID: 23008997] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
We report a case of pneumothorax, subcutaneous emphysema and pneumoretroperitoneum after an endoscopic sphincterotomy. A 40-yr-old woman presented with dyspnea immediately after she had undergone an endoscopic retrograde cholangiopancreatogram for a residual stone in common bile duct. On arrival to our hospital, she complained about severe dyspnea and on examination subcutaneous emphysema was discovered. A CT scan was conducted and showed a right-sided pneumothorax, a pneumoretroperitoneum in the peritoneal cavity. We recommended to the patient an immediate laparotomic exploration. We discovered a duodenal perforation in which we sutured it with accompanying pyloric exclusion, double truncular vagotomy and gastroenteroanastomosis. Endoscopic retrograde cholangiopancreatogram (ERCP) is a popular procedure for biliary and pancreatic diseases, but it can cause severe complications such as intestinal perforation. Besides perforations, air can spread through the abdominal cavity, retroperitoneum, mediastinum, and the soft tissues of the neck, eventually causing pneumothorax. Early recognition and appropriate management is crucial for optimal results.
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Affiliation(s)
- A Makni
- Department of General Surgery 'A', La Rabta Hospital, Tunis, Tunisia.
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Makni A, Safta YB, Rebai W, Fetirich F, Jouini M, Kacem M, Safta ZB. Cas clinique: Peritonite aigue par rupture non traumatique de la vessie. African Journal of Urology 2012. [DOI: 10.1016/j.afju.2012.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Makni A, Fetirich F, Jouini M, Kacem M, Ben Safta Z. [Primary and isolated phrenic hydatid cyst in Tunisia]. Bull Soc Pathol Exot 2012; 105:262-4. [PMID: 22354550 DOI: 10.1007/s13149-012-0218-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/15/2011] [Accepted: 01/03/2012] [Indexed: 11/30/2022]
Abstract
The hydatid cyst of the diaphragm is defined as the development of a hydatid cyst in the diaphragm muscle. The purpose of this study is to identify the specific pathogenic, clinical and therapeutic aspects of this hydatid cyst. It is important to confirm the diagnosis of the location before surgery. We report the case of a patient aged 40 years, in whom the diagnosis of hydatid cyst of the diaphragm was made incidentally in the course of a gastric stromal tumour. The patient was operated by a midline laparotomy. Resection of the protruding dome of hydatid cyst of the diaphragm was carried out along with total gastrectomy. The postoperative course was uneventful. After 12 months, the results were negative. The diagnosis of hydatid cyst of the diaphragm is based on the thoraco-abdominal CT scan. The treatment is surgical based on the topographic features of the cyst.
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Affiliation(s)
- A Makni
- Service de chirurgie générale A, hôpital La Rabta, Tunis, Tunisie.
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17
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Makni A, Bedioui H, Jouini M, Chebbi F, Ksantini R, Fetirich F, Rebai W, Daghfous A, Ayedi S, Kacem M, Ben Safta Z. Pancreaticojejunostomy vs. pancreaticogastrostomy following pancreaticoduodenectomy: results of comparative study. MINERVA CHIR 2011; 66:295-302. [PMID: 21873963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
AIM Several techniques have been proposed for reconstructing pancreatico-digestive continuity, which the first goal is reducing the rate of pancreatic leakage after pancreaticoduodenectomy. Only a limited number studies have been carried out. Our objective is to compare the results of pancreaticojejunostomy versus pancreaticogastrostomy following pancreaticoduodenectomy. METHODS This is a retrospective and comparative study about 80 patients who underwent pancreaticoduodenectomy. These patients were divided into two groups: pancreaticojejunostomy (group PJ) and pancreaticogastrostomy (group PG). RESULTS The PJ group included 39 patients, while 41 patients were included in the PG group. There were no differences between the two groups concerning: patients' demographics, risk factors, indication, mean duration of surgery, texture of pancreatic tissue, need for intraoperative blood transfusion and postoperative prophylactic octreotide. Overall, the mortality postoperative rate was 7.5% (N.=6), the incidence of surgical complications was 50% (51.3% in PJ, 48.8% in PG; P=0.823, not significant). Pancreatic fistula was the most frequent complication, occurring in 17.5% of patients (25.6% in PJ and 9.8% in PG; P=0.062, almost significant). 7.7% of patients who underwent PJ and 14.6% of patients who underwent PG required a second surgical intervention (P=0.326, not significant). There were no differences between the two groups PG and PJ concerning: Postoperative hemorrhage (P=0.63), biliary fistula (P=0.09), acute pancreatitis (P=0.95), delayed gastric emptying (P=0.33). The mean postoperative hospitalisation period stay was similar in both groups (P=0.63) CONCLUSION There were not any significant differences between the two groups in the overall postoperative complication rate, the incidence of postoperative haemorrhage, biliary fistula, acute pancreatitis, and delayed.
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Affiliation(s)
- A Makni
- Department of Digestive Surgery 'A', La Rabta Hospital University, Tunis, Tunisia.
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Rebai W, Ksantini R, Bouassida M, Makni A, Chebbi F, Ayadi S, Daghfous A, Fterriche F, Bedioui H, Jouini M, Ammous A, Kacem M, Ben Safta Z. [Duodenal pseudo obstruction]. Gastroenterol Clin Biol 2010; 34:e9-e10. [PMID: 20537482 DOI: 10.1016/j.gcb.2010.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/22/2009] [Accepted: 04/08/2010] [Indexed: 05/29/2023]
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Rebai W, Makni A, Azouz H, Ksantini R, Kourda J, Chebbi F, Daghfous A, Ayadi S, Ftériche F, Bedioui H, Jouini M, Kacem M, Ammous A, Ben Safta Z. [Complicated sigmoid tumor: perforated amebiasis]. Med Trop (Mars) 2010; 70:399-401. [PMID: 22368943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Amoeboma is an inflammatory mass of the colon. It can be an inaugural symptom and thus pose the problem of differential diagnosis with colon cancer. The purpose of this report is to describe the case of a 43-year-old patient who presented with acute abdomen. Physical examination revealed a perforated circumferential mass in the sigmoid colon. Based on a presumptive diagnosis of colonic cancer complicated by perforation, segmental colectomy was performed. Histological examination of the surgical specimen demonstrated colonic amoeboma. The patient was treated using metronidazole. Although rare, amoeboma must be considered in differential diagnosis of cancer of any colonic mass.
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Affiliation(s)
- W Rebai
- Service de chirurgie "A", Hôpital la Rabta, Tunis, Tunisie.
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Rebai W, Chebbi F, Bouassida M, Azouz H, Ksantini R, Makni A, Daghfous A, Fteriche F, Ayadi S, Bedioui H, Ammous A, Jouini M, Kacem JM, Bensafta Z. [Tuberculosis of the abdominal wall: a rare localization]. Med Trop (Mars) 2010; 70:6. [PMID: 20337106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Affiliation(s)
- W Rebai
- Service chirurgie A, Laboratoire anatomopathologie la Rabta, Tunis, Tunisie.
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El Ajmi M, Ksantini R, Chebbi F, Makni A, Rebai W, Daghfous A, Bedioui H, Fteriche F, Jouini M, Kacem M, Ben Safta Z. Abdominal metastasis of a parosteal osteosarcoma of the femur: an unusual cause of large-bowel obstruction. Acta Chir Belg 2009; 109:633-4. [PMID: 19994810 DOI: 10.1080/00015458.2009.11680503] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
BACKGROUND Parosteal osteosarcoma is a rare, well-differentiated, predominantly fibro-osseous variant of osteosarcoma. It is regarded as a distinct form of osteosarcoma with better prognosis than conventional osteosarcoma. AIM We report an unusual case of abdominal mass recurrence of parosteal osteosarcoma of the left distal femur treated eight years previously with wide resection, hip disarticulation and chemotherapy, which presented as an acute abdomen: we discuss the clinical outcomes of this rare entity. CASE PRESENTATION We present a 54-year-old patient with low-grade parosteal osteosarcoma of the left distal femur. Left total hip disarticulation was indicated after several local relapses of the tumour following extensive resection and chemotherapy. Eight years later, he presented with an acute large bowel obstruction secondary to a compression of the large bowel by an abdominal mass. Abdominal computed tomography showed a large abdominal calcified mass with dilated large bowel loops. During laparotomy, the mass was unresectable. So, the patient underwent emergent colostomy of diversion. Biopsy of the lesion yielded grade III parosteal osteosarcoma material. The patient received adjuvant chemotherapy, but the response was poor: six months later, the patient presented with a peristomal mass and two pulmonary metastases. CONCLUSION Abdominal recurrence of parosteal osteosarcoma of the distal femur eight years after definitive surgery is rare. This case emphasises the importance of the long-term follow-up of patients with parosteal osteosarcoma.
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Bedioui H, Daghfous A, Ayadi M, Noomen R, Chebbi F, Rebai W, Makni A, Fteriche F, Ksantini R, Ammous A, Jouini M, Kacem M, Bensafta Z. A report of 15 cases of small-bowel obstruction secondary to phytobezoars: predisposing factors and diagnostic difficulties. Gastroenterol Clin Biol 2008. [PMID: 18487032 DOI: 10.1016/j.gcb.2008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
UNLABELLED Phytobezoars are a rare cause of acute bowel obstruction. The purpose of this work was to identify the predisposing factors and diagnostic difficulties of this rare entity. MATERIAL AND METHODS This was a retrospective study including all cases of small-bowel obstruction secondary to phytobezoars observed between April 2001 and August 2007. The diagnosis of bezoars was established by surgical exploration or by computed tomography (CT). RESULTS During the study period, 375 patients were hospitalized at our institution with a diagnosis of bowel obstruction that, in 15 (4%) cases, was secondary to phytobezoars. The average patient age was 55 years, with a gender ratio of 1.7, favoring men. The predisposing factors were gastroduodenal surgery for peptic ulcer in nine patients, and excessive consumption of prickly pears (cactus figs) in 12. The diagnosis was established by CT scans in three patients, who were successfully treated with gastric aspiration, thereby avoiding surgery. Laparotomy was performed in 12 patients to allow digital fragmentation of the bezoar, which was then washed into the colon. There were no postoperative deaths and morbidity was about 13%. CONCLUSION An abdominal CT scan should be obtained for patients with small-bowel obstruction. This examination offers a precise diagnosis of bezoars, reducing the number of unnecessary surgical procedures, and helping to guide the approach if surgery is needed.
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Affiliation(s)
- H Bedioui
- Service de chirurgie A, hôpital La Rabta, Jabbari, 1007 Tunis, Tunisia. h
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Bedioui H, Daghfous A, Ayadi M, Noomen R, Chebbi F, Rebai W, Makni A, Fteriche F, Ksantini R, Ammous A, Jouini M, Kacem M, Bensafta Z. A report of 15 cases of small-bowel obstruction secondary to phytobezoars: predisposing factors and diagnostic difficulties. ACTA ACUST UNITED AC 2008; 32:596-600. [PMID: 18487032 DOI: 10.1016/j.gcb.2008.01.045] [Citation(s) in RCA: 46] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2008] [Accepted: 01/28/2008] [Indexed: 12/16/2022]
Abstract
UNLABELLED Phytobezoars are a rare cause of acute bowel obstruction. The purpose of this work was to identify the predisposing factors and diagnostic difficulties of this rare entity. MATERIAL AND METHODS This was a retrospective study including all cases of small-bowel obstruction secondary to phytobezoars observed between April 2001 and August 2007. The diagnosis of bezoars was established by surgical exploration or by computed tomography (CT). RESULTS During the study period, 375 patients were hospitalized at our institution with a diagnosis of bowel obstruction that, in 15 (4%) cases, was secondary to phytobezoars. The average patient age was 55 years, with a gender ratio of 1.7, favoring men. The predisposing factors were gastroduodenal surgery for peptic ulcer in nine patients, and excessive consumption of prickly pears (cactus figs) in 12. The diagnosis was established by CT scans in three patients, who were successfully treated with gastric aspiration, thereby avoiding surgery. Laparotomy was performed in 12 patients to allow digital fragmentation of the bezoar, which was then washed into the colon. There were no postoperative deaths and morbidity was about 13%. CONCLUSION An abdominal CT scan should be obtained for patients with small-bowel obstruction. This examination offers a precise diagnosis of bezoars, reducing the number of unnecessary surgical procedures, and helping to guide the approach if surgery is needed.
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Affiliation(s)
- H Bedioui
- Service de chirurgie A, hôpital La Rabta, Jabbari, 1007 Tunis, Tunisia. h
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Bedioui H, Makni A, Nouira K, Mekni A, Daghfous A, Ayadi S, Rebai W, Ksantini R, Chebbi E, Fteriche F, Ammous A, Jouini M, Kacem M, Ben Safta Z. [Subcutaneous hydatid cyst. Case report of an exceptional location]. Med Trop (Mars) 2007; 67:181-2. [PMID: 17691440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
Primary subcutaneous cyst hydatid disease is an exceptional entity. We report a new case involving a 70-year-old woman hospitalized for a subcutaneous mass in the hypogastric area with no local inflammatory signs. Radiological examination was consistent with a partially calcified subcutaneous cyst in the hypogastric area. Complete surgical resection of the mass was performed with uneventful postoperative recovery. Histopathological examination of the surgical specimen demonstrated multivesicular hydatid cyst.
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Affiliation(s)
- H Bedioui
- Service de chirurgie générale A, Hôpital La Rabta, Tunis.
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Bedioui H, Chebbi F, Ayadi S, Makni A, Fteriche F, Ksantini R, Jouini M, Kacem M, Ben Safta Z. [Laparoscopic cholecystectomy in a patient with situs inversus]. ACTA ACUST UNITED AC 2006; 131:398-400. [PMID: 16460662 DOI: 10.1016/j.anchir.2005.12.014] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2005] [Accepted: 12/19/2005] [Indexed: 11/19/2022]
Abstract
Laparoscopic cholecystectomy is the standard approach to manage symptomatic gallbladder stones. However, only twelve patients with total situs invertus have been previously reported in the literature. We report a new case of a 58-year-old patient hospitalized for acute pain of the left hypochondrium with fever. The diagnosis of acute cholecystitis with situs inversus totalis was made following clinical examination and radiological investigations. Laparoscopic cholecystectomy was subsequently performed through a modification of the technique to adapt to the mirror image anatomy.
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Affiliation(s)
- H Bedioui
- Service de Chirurgie A, Hôpital La-Rabta, 1007 Jabbari, Tunis, Tunisie.
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Fodha M, Morjane A, Oueslati A, Ben Hadj Bettaieb N, el Kamel R, Makni A, Abdelhak M, Jegham H, Letaief A. [Should acute diffuse appendicular peritonitis be drained?]. Tunis Med 1987; 65:511-4. [PMID: 3333118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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