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Aftiss F, El Mezzeoui S, El Aidouni G, Merbouh M, Nasri S, Jabi R, Bkiyar H, Skikar I, Bouziane M, Housni B. Surgical and anesthetic management of paraganglioma diagnosed in a 2nd trimester parturient: Case report. Ann Med Surg (Lond) 2021; 72:103094. [PMID: 34934482 PMCID: PMC8654780 DOI: 10.1016/j.amsu.2021.103094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 09/11/2021] [Revised: 11/18/2021] [Accepted: 11/20/2021] [Indexed: 11/25/2022] Open
Abstract
Introduction Neuroendocrine tumors represent a rare entity whose diagnosis is based on clinical, biological and radiological arguments. When they are secreting, they expose the patient to serious complications that can be much more severe during pregnancy and engage the vital prognosis of both the mother and the fetus, which requires multidisciplinary management: anesthesiologist resuscitator - obstetrician – endocrinologist. Case presentation In our article, we report the case of a patient with an estimated pregnancy at 25 weeks of amenorrhea (WA) with a history of 3 miscarriages related to atypical gravid hypertension. The treatment consisted of preoperative medical preparation followed by removal of the paraganglioma and postoperative monitoring. The maternal-fetal evolution was favorable. Conclusion The non-negligible morbi-mortality of this type of tumors require a multidisciplinary management. Neuroendocrine tumors represent a rare entity whose diagnosis is based on clinical, biological and radiological arguments. The treatment consisted of preoperative medical preparation, removal of the paraganglioma and postoperative monitoring. The anesthetic and surgical management of pheochromocytomas and paragangliomas in pregnant women presents a real challenge.
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Affiliation(s)
- F Aftiss
- Intensive Care Unit, Mohammed VI University Hospital Center, Oujda, Morocco
| | - S El Mezzeoui
- Intensive Care Unit, Mohammed VI University Hospital Center, Oujda, Morocco
| | - G El Aidouni
- Intensive Care Unit, Mohammed VI University Hospital Center, Oujda, Morocco
| | - M Merbouh
- Intensive Care Unit, Mohammed VI University Hospital Center, Oujda, Morocco
| | - S Nasri
- Department of Radiology, Mohamed VI University Hospital Center, Oujda, Morocco.,Faculty of Medicine and Pharmacy, Oujda, Morocco
| | - R Jabi
- Department of General Surgery, Mohamed VI University Hospital Center, Oujda, Morocco.,Faculty of Medicine and Pharmacy, Oujda, Morocco
| | - H Bkiyar
- Intensive Care Unit, Mohammed VI University Hospital Center, Oujda, Morocco.,Faculty of Medicine and Pharmacy, Oujda, Morocco.,Oujda Medical Simulation Training Center, Morocco
| | - I Skikar
- Department of Radiology, Mohamed VI University Hospital Center, Oujda, Morocco.,Faculty of Medicine and Pharmacy, Oujda, Morocco
| | - M Bouziane
- Department of General Surgery, Mohamed VI University Hospital Center, Oujda, Morocco.,Faculty of Medicine and Pharmacy, Oujda, Morocco
| | - B Housni
- Intensive Care Unit, Mohammed VI University Hospital Center, Oujda, Morocco.,Faculty of Medicine and Pharmacy, Oujda, Morocco.,Oujda Medical Simulation Training Center, Morocco
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Oujidi H, Elmeghraoui H, Elalj W, Hamdaoui M, Oujidi Y, Bkiyar H, Hosni B, Haddiya I, Bentata Y. Insuffisance rénale aiguë obstétricale. Nephrol Ther 2021. [DOI: 10.1016/j.nephro.2021.07.231] [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: 11/28/2022]
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Taouihar S, Bouabdallaoui A, Aabdi M, Kaouini A, El aidouni G, Merbouh M, Zaid I, Bkiyar H, Housni B. Peripheral facial paralysis as the only symptom revealing sars cov 2 infection: Case report. Ann Med Surg (Lond) 2021; 68:102550. [PMID: 34257954 PMCID: PMC8265209 DOI: 10.1016/j.amsu.2021.102550] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [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: 05/12/2021] [Revised: 07/07/2021] [Accepted: 07/07/2021] [Indexed: 01/08/2023] Open
Abstract
The SARS cov 2 infection was initially marked by its respiratory symptomatology. Nevertheless, other non-respiratory manifestations have been raised as atypical revealing symptoms, namely cardiac and neurological attacks. Several neurological manifestations have been described during this pandemic. We describe in this case report the clinical, biological and radiological characteristics of two patients presenting to the emergency department with facial paralysis revealing a Sars cov 2 viral infections after investigation.
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Affiliation(s)
- S. Taouihar
- Intensive Care Unit, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Oujda, Morocco
| | - A. Bouabdallaoui
- Intensive Care Unit, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Oujda, Morocco
| | - M. Aabdi
- Intensive Care Unit, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Oujda, Morocco
| | - A.El Kaouini
- Intensive Care Unit, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Oujda, Morocco
| | - G. El aidouni
- Intensive Care Unit, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Oujda, Morocco
| | - M. Merbouh
- Intensive Care Unit, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Oujda, Morocco
| | - I. Zaid
- Intensive Care Unit, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Oujda, Morocco
| | - H. Bkiyar
- Intensive Care Unit, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Oujda, Morocco
| | - B. Housni
- Intensive Care Unit, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Oujda, Morocco
- Simulation Center for Medical Formation, Faculty of Medicine and Pharmacy, Oujda, Morocco
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Elkaouini A, Berrajaa S, Aabdi M, Merbouh M, El Mezzeoui S, El Aidouni G, Bkiyar H, Jabi R, Bouziane M, Housni B. Inferior mesenteric artery aneurysm revealed by massif rectal bleeding, case report. Ann Med Surg (Lond) 2021; 66:102425. [PMID: 34141412 PMCID: PMC8188245 DOI: 10.1016/j.amsu.2021.102425] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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: 05/01/2021] [Revised: 05/17/2021] [Accepted: 05/22/2021] [Indexed: 12/02/2022] Open
Abstract
INTRODUCTION Inferior mesenteric aneurysms are rare, usually asymptomatic. Their diagnostic is challenging based on clinical examination, ultrasonography, and abdominal CT scan; surgery remains the gold standard of treatment. CASE REPORT In this paper, we will report a clinical case of 62 years old man admitted to the emergency department for massif rectal bleeding due to inferior mesenteric aneurysm fistulization in the transversal colon one month after a left colectomy; the treatment was surgical consisted of a Ligation. CONCLUSION IMA aneurysm is a rare condition, usually asymptomatic, and it might be revealed by various symptoms, including massif rectal bleeding.
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Affiliation(s)
- A. Elkaouini
- Intensive Care Unit, Faculty of Medicine and Pharmacy Oujda, Mohammed VI University Hospital Center, Mohammed University 1st, Oujda, Morocco
| | - S. Berrajaa
- Intensive Care Unit, Faculty of Medicine and Pharmacy Oujda, Mohammed VI University Hospital Center, Mohammed University 1st, Oujda, Morocco
| | - M. Aabdi
- Intensive Care Unit, Faculty of Medicine and Pharmacy Oujda, Mohammed VI University Hospital Center, Mohammed University 1st, Oujda, Morocco
| | - M. Merbouh
- Intensive Care Unit, Faculty of Medicine and Pharmacy Oujda, Mohammed VI University Hospital Center, Mohammed University 1st, Oujda, Morocco
| | - S. El Mezzeoui
- Intensive Care Unit, Faculty of Medicine and Pharmacy Oujda, Mohammed VI University Hospital Center, Mohammed University 1st, Oujda, Morocco
| | - G. El Aidouni
- Intensive Care Unit, Faculty of Medicine and Pharmacy Oujda, Mohammed VI University Hospital Center, Mohammed University 1st, Oujda, Morocco
| | - H. Bkiyar
- Intensive Care Unit, Faculty of Medicine and Pharmacy Oujda, Mohammed VI University Hospital Center, Mohammed University 1st, Oujda, Morocco
| | - R. Jabi
- General Surgery Department, Faculty of medicine and pharmacy Oujda, Mohammed VI University Hospital Center, Mohammed University 1st, Oujda, Morocco
| | - M. Bouziane
- General Surgery Department, Faculty of medicine and pharmacy Oujda, Mohammed VI University Hospital Center, Mohammed University 1st, Oujda, Morocco
| | - B. Housni
- Intensive Care Unit, Faculty of Medicine and Pharmacy Oujda, Mohammed VI University Hospital Center, Mohammed University 1st, Oujda, Morocco
- Oujda Medical Simulation Training Center, Faculty of medicine and pharmacy Oujda, Morocco
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Taouihar S, Bouabdallaoui A, Aabdi M, Elaidouni G, Bkiyar H, Aichouni N, Smaili N, ElOuafi N, Skiker I, Housni B. ST elevation revealing acute myocarditis with SARS cov 2 infection: Case report. Ann Med Surg (Lond) 2021; 65:102313. [PMID: 33898039 PMCID: PMC8052501 DOI: 10.1016/j.amsu.2021.102313] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [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: 03/19/2021] [Revised: 04/08/2021] [Accepted: 04/12/2021] [Indexed: 01/14/2023] Open
Abstract
Introduction SARS-CoV-2 viral infection can manifested by respiratory symptoms, or other symptoms, such as the cardiovascular manifestations including acute coronary syndrome, pericardial effusion, and heart failure. Clinical case A 51-year-old patient admitted to the emergency room for epigastric pain with no respiratory signs and with an ST-segment elevation inelectrocardiogram that ultimately revealed myocarditis and SARS CoV-2 2 infection. Conclusion The clinical manifestations of SARS CoV-2 might be atypical, and the diagnosis might be considered in this pandemic area SARS-CoV2 manifests usually with respiratory symptoms, but it can manifests with others signs including cardiovascular like myocarditis. In this case, the patient represent with ST elevation and myocarditis, a rare revelation mode.
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Affiliation(s)
- S. Taouihar
- Anesthesiology and Intensive Care Unit, Mohammed VI University Hospital, University MOHAMMED I, Oujda, Morocco
- Corresponding author. Anesthesiology and Intensive Care Unit Department, MOHAMMED VI University Hospital Center, Oujda, Morocco.
| | - A. Bouabdallaoui
- Anesthesiology and Intensive Care Unit, Mohammed VI University Hospital, University MOHAMMED I, Oujda, Morocco
| | - M. Aabdi
- Anesthesiology and Intensive Care Unit, Mohammed VI University Hospital, University MOHAMMED I, Oujda, Morocco
| | - G. Elaidouni
- Anesthesiology and Intensive Care Unit, Mohammed VI University Hospital, University MOHAMMED I, Oujda, Morocco
| | - H. Bkiyar
- Anesthesiology and Intensive Care Unit, Mohammed VI University Hospital, University MOHAMMED I, Oujda, Morocco
| | - N. Aichouni
- Radiology Department, Mohammed VI University Hospital, University MOHAMMED I, Oujda, Morocco
| | - N. Smaili
- Cardiology Department, Mohammed VI University Hospital, University MOHAMMED I, Oujda, Morocco
| | - N. ElOuafi
- Cardiology Department, Mohammed VI University Hospital, University MOHAMMED I, Oujda, Morocco
| | - I. Skiker
- Radiology Department, Mohammed VI University Hospital, University MOHAMMED I, Oujda, Morocco
| | - B. Housni
- Anesthesiology and Intensive Care Unit, Mohammed VI University Hospital, University MOHAMMED I, Oujda, Morocco
- Simulation Center for Medical Formation, University MOHAMMED I, Oujda, Morocco
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