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Niasse A, Faye PM, Ndong A, Kuadjovi SR, Leye A, Diack ND, Gueye ML, Thiam O, Ndiaye M, Diouf A, Sarr ISS, Seye Y, Toure AO, Seck M, Cisse M, Dieng M. [Superior mesenteric artery syndrome in gastric cancer: a case report]. Pan Afr Med J 2022; 42:217. [PMID: 36845233 PMCID: PMC9949278 DOI: 10.11604/pamj.2022.42.217.27281] [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] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2020] [Accepted: 12/16/2020] [Indexed: 11/11/2022] Open
Abstract
Superior mesenteric artery syndrome or Wilkie syndrome is due to the compression of the third duodenum between the superior mesenteric artery and the aorta. It causes acute or chronic upper bowel occlusion. Abdominal CT scan facilitates the diagnosis. Severe malnutrition is its main etiological factor. Medical treatment can be based on aspiration of gastric contents and parenteral nutrition. If this fails, surgery is necessary. We here report the case of a 46-year-old patient, with a history of smoking, presenting with profuse postprandial bile and food vomiting. He had had weight loss of 7% over a period of 6 months. Upper GI endoscopy revealed non-stenotic antro-pyloric tumour mass. Histological examination showed poorly differentiated tubular gastric adenocarcinoma. Staging was without any peculiarity and allowed for the detection of superior mesenteric artery syndrome at an angle of 8°C. The patient received parenteral nutrition for 10 days, followed by inferior pole gastrectomy and gastrojejunal anastomosis (omega loop). The postoperative course was uneventful. Adjuvant chemotherapy was indicated.
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Affiliation(s)
- Abdou Niasse
- Service de Chirurgie, Centre Hospitalier National de Pikine, Dakar, Sénégal
| | - Papa Mamadou Faye
- Service de Chirurgie Générale, Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal
| | - Abdourahmane Ndong
- Service de Chirurgie Générale, Hôpital Régional de Saint-Louis, Saint-Louis, Sénégal
| | | | - Abdoulaye Leye
- Service de Médecine Interne, Centre Hospitalier National de Pikine, Dakar, Sénégal
| | - Ngoné Diaba Diack
- Service de Médecine Interne, Centre Hospitalier National de Pikine, Dakar, Sénégal
| | - Mohamadou Lamine Gueye
- Service de Chirurgie Générale, Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal
| | - Ousmane Thiam
- Service de Chirurgie Générale, Centre Hospitalier Universitaire Dalal Jamm, Dakar, Sénégal
| | - Mamadou Ndiaye
- Service de Chirurgie Générale, Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal
| | - Ahmed Diouf
- Service de Chirurgie Générale, Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal
| | | | - Yacine Seye
- Service de Chirurgie Générale, Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal
| | - Alpha Oumar Toure
- Service de Chirurgie Générale, Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal
| | - Mamadou Seck
- Service de Chirurgie Générale, Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal
| | - Mamadou Cisse
- Service de Chirurgie Générale, Centre Hospitalier Universitaire Dalal Jamm, Dakar, Sénégal
| | - Madieng Dieng
- Service de Chirurgie Générale, Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal
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Gaye AM, Thiam I, Deguenonvo GNC, Guèye M, Sarr ISS, Dial CMM. Lithopedion as a factor in post‐traumatic intestinal perforation. J Forensic Sci 2022; 67:2097-2100. [DOI: 10.1111/1556-4029.15070] [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] [Received: 04/04/2022] [Revised: 05/19/2022] [Accepted: 05/19/2022] [Indexed: 11/27/2022]
Affiliation(s)
- Abdou Magib Gaye
- Anatomy and Pathological Cytology Laboratory of the Aristide Le Dantec Hospital Dakar Senegal
| | - Ibou Thiam
- Anatomy and Pathological Cytology Laboratory of the Aristide Le Dantec Hospital Dakar Senegal
| | | | - Mamour Guèye
- Department of Gynecology and Obstetrics of the Aristide Le Dantec Hospital Dakar Senegal
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Niasse A, Faye PM, Ndong A, Thiam O, Gueye O, Gueye ML, Sarr ISS, Seye Y, Toure AO, Seck M, Cisse M, Dieng M. Lipome géant du dos: à propos d'un cas avec revue de la littérature. Pan Afr Med J 2022; 42:292. [DOI: 10.11604/pamj.2022.42.292.21047] [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] [Received: 11/21/2019] [Accepted: 01/20/2020] [Indexed: 11/11/2022] Open
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Abstract
Abdominal pregnancy (AP) is defined as the implantation and the development of the fertilized egg in the peritoneal cavity. It is a rare type of ectopic pregnancy, whose detection can be fortuitous, mimicking surgical emergency. We report a rare case of acute febrile bowel obstruction revealing abdominal pregnancy in a 27-year old patient, with no particular past medical history, admitted to hospital for the treatment of occlusive syndrome evolving over the last week. Physical examination showed shiny, distended, meteoric, completely sensitive abdomen. Laboratory tests showed white blood cell count 20300, haemoglobin 7,2g/dL. Surgical exploration showed hemoperitoneum 2000ml, retrouterine encapsulated mass, strongly adherent to the mesosigmoid and to the sigmoid, responsible of a stenosis of the descending colon. The patient underwent monobloc exeresis, which showed a portion of placenta next to the mesosigmoid attached to the fetus, right annexectomy and colostomy.
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Affiliation(s)
| | - Magatte Faye
- Service de Chirurgie Générale, Centre Hospitalier et Universitaire Aristide Le Dantec de Dakar, Sénégal
| | - Papa Mamadou Faye
- Service de Chirurgie Générale, Centre Hospitalier et Universitaire Aristide Le Dantec de Dakar, Sénégal
| | - Mamadou Seck
- Service de Chirurgie Générale, Centre Hospitalier et Universitaire Aristide Le Dantec de Dakar, Sénégal
| | - Ousmane Ka
- Service de Chirurgie Générale, Centre Hospitalier et Universitaire Aristide Le Dantec de Dakar, Sénégal
| | - Madieng Dieng
- Service de Chirurgie Générale, Centre Hospitalier et Universitaire Aristide Le Dantec de Dakar, Sénégal
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Gueye ML, Sarr ISS, Gueye MN, Thiam O, Seck M, Toure AO, Cisse M, Ka O, Dieng M. Adult ileocecal intussusception induced by adenomatous ileal polyp: case report and literature review. J Surg Case Rep 2018; 2018:rjy256. [PMID: 30283630 PMCID: PMC6162352 DOI: 10.1093/jscr/rjy256] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2018] [Accepted: 09/12/2018] [Indexed: 01/27/2023] Open
Abstract
Intussusception is a rare cause of bowel obstruction in adults, and has generally an organic etiology. However, adenomatous polyp of the small bowel is an uncommon etiology. Moreover, there’s a great difference with childhood intussusception in its presentation, etiology and management. We describe herein a case of adult ileocecal intussusception due to an adenomatous ileal polyp with a preoperative diagnosis made on computed tomography. We performed a right hemicolectomy, without attempting to reduce the intussusception, and an end-to-end ileotransverse anastomosis. The pathological examination of the surgical specimen revealed an adenomatous polyp with a high grade dysplasia on the terminal ileum, being the cause of the ileocecal intussusception.
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Affiliation(s)
- M L Gueye
- Department of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal
| | - I S S Sarr
- Department of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal
| | - M N Gueye
- Department of Hepatogastroenterology, Aristide Le Dantec Hospital, Dakar, Senegal
| | - O Thiam
- Department of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal
| | - M Seck
- Department of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal
| | - A O Toure
- Department of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal
| | - M Cisse
- Department of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal
| | - O Ka
- Department of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal
| | - M Dieng
- Department of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal
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