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Bel Haj Yahia D, Bel Hadj Yahya M, Chelly I, Ksantini R, Jouini M, Kacem MJ. 21 years of evolution of primary hepatic neuroendocrine neoplasm in a patient with primary sclerosing cholangitis: A case report. Int J Surg Case Rep 2023; 106:108205. [PMID: 37075505 DOI: 10.1016/j.ijscr.2023.108205] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2023] [Revised: 03/25/2023] [Accepted: 03/29/2023] [Indexed: 04/21/2023] Open
Abstract
INTRODUCTION AND IMPORTANCE Primary hepatic neuroendocrine neoplasms(PHNEN) are among the rarest primitive neuroendocrine neoplasms. Main prognostic factor is histological. We report an unusual case of a PHNEN with 21 years of evolution in the setting of a primary sclerosing cholangitis(PSC). CASE PRESENTATION A 40 year old man presented in 2001 with clinical signs of obstructive jaundice. CT-scan and MRI showed a 4 cm large hypervascular proximal hepatic mass evoking hepatocellular carcinoma(HCC) or cholangiocarcinoma. Exploratory laparotomy found an aspect of advanced chronic liver disease of the left lobe. Extemporaneous biopsy of a suspicious nodule showed signs of cholangitis. Left lobectomy was performed and postoperatively the patient received ursodeoxycholic-acid and biliary stenting. After 11 years of follow-up, jaundice reappeared with a stable hepatic lesion.A percutaneous liver biopsy was done. Pathology showed a G1 neuroendocrine tumor. Endoscopy, imagery and Octreoscan were normal, supporting the diagnosis of PHNEN. PSC was diagnosed on tumor-free parenchyma. The patient is on liver transplantation waiting list. CLINICAL DISCUSSION PHNENs are exceptional. Pathology findings, endoscopy and imagery are necessary to rule out an extra hepatic NEN with liver metastasis. While G1 NEN are known for their slow evolution, this 21 year latency is extremely rare. The presence of PSC adds to the complexity of our case. Surgical resection is recommended when possible. CONCLUSION This case showcases the extreme latency of some PHNEN as well as possible overlap with PSC. Surgery is the most recognized treatment. Liver transplantation seems to be necessary for us, as the rest of the liver shows signs of PSC.
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Affiliation(s)
- D Bel Haj Yahia
- The Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia; Surgery Department A, Rabta Hospital, Tunis, Tunisia
| | - M Bel Hadj Yahya
- The Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia; Radiology Department, National Institut Mongi Ben Hmida of Neurology of Tunis, Tunisia.
| | - I Chelly
- The Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia; Department of Pathology, Rabta Hospital Tunis, Tunisia
| | - R Ksantini
- The Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia; Surgery Department A, Rabta Hospital, Tunis, Tunisia
| | - M Jouini
- The Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia; Surgery Department A, Rabta Hospital, Tunis, Tunisia
| | - M J Kacem
- The Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia; Surgery Department A, Rabta Hospital, Tunis, Tunisia
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Yacoub A, Ayadi A, Ayed W, Ayari S, Chebbi S, Magroun I, Ben Afia L, Mersni M, Mechergui N, Brahim D, Ben Said H, Bahri G, Youssef I, Ladhari N, Mziou N, Grassa A, M'rad M, Khessairi N, Krir A, Chihaoui M, Mahjoub S, Bahlous A, Jridi M, Cherif Y, Derbal S, Chebbi D, Hentati O, Ben Dahmen F, Abdallah M, Hamdi I, Sahli F, Ouerdani Y, Mnekbi Y, Abaza H, Ajmi M, Guedria A, Randaline A, Ben Abid H, Gaddour N, Maatouk A, Zemni I, Gara A, Kacem M, Maatouk I, Ben Fredj M, Abroug H, Ben Nasrallah C, Dhouib W, Bouanene I, Sriha A, Mahmoudi M, Gharbi G, Khsiba A, Azouz M, Ben Mohamed A, Yakoubi M, Medhioub M, Hamzaoui L, Azouz M, Ben Attig Y, Hamdi S, Essid R, Ben Jemia E, Rezgui B, Boudaya MS, Hassine H, Dabbabi H, Fradi Y, Cherif D, Lassoued I, Yacoub H, Kchir H, Maamouri N, Khairi W, Ben Ammar H, Abaza H, Chelbi E, Merhaben S, Neffati W, Ajmi M, Tarchalla S, Boughzala S, Gazzeh M, Gara S, Labidi A, Touati H, Nefzi AM, Ben Mustpha N, Fekih M, Serghini M, Boubaker J, Zouiten L, Driss A, Meddeb N, Driss I, Walha S, Ben Said H, Bel Hadj Mabrouk E, Zaimi Y, Mensi A, Trad N, Ayadi S, Said Y, Mouelhi L, Dabbèche R, Belfkih H, Bani M, Moussa A, Souissi S, Trabelsi Werchfeni B, Chelly S, Ezzi O, Ammar A, Besbes M, Njah M, Mahjoub M, Ghali H, Neffati A, Bhiri S, Bannour R, Ayadi S, Khouya FE, Kamel A, Hariz E, Aidani S, Kefacha S, Ben Cheikh A, Said H, Dogui S, Atig A, Gara A, Ezzar S, Ben Fradj M, Bouanène I, M'kadmi H, Farhati M, Dakhli N, Nalouti K, Chanoufi MB, Abouda SH, Louati C, Zaaimi Y, Dabbeche R, Hermi A, Saadi A, Mokaddem S, Boussaffa H, Bellali M, Zaghbib S, Ayed H, Bouzouita A, Derouiche A, Allouche M, Chakroun M, Ben Slama R, Gannoun N, Kacem I, Tlili G, Kahloul M, Belhadj Chabbah N, Douma F, Bouhoula M, Chouchene A, Aloui A, Maoua M, Brahem A, Kalboussi H, El Maalel O, Chatti S, Jaidane M, Naija W, Mrizek N, Sellami I, Feki A, Hrairi A, Kotti N, Baklouti S, Jmal Hammami K, Masmoudi ML, Hajjaji M, Naaroura A, Ben Amar J, Ouertani H, Ben Moussa O, Zaibi H, Aouina H, Ben Jemaa S, Gassara Z, Ezzeddine M, Kallel MH, Fourati H, Akrout R, Kallel H, Ayari M, Chehaider A, Souli F, Abdelaali I, Ziedi H, Boughzala C, Haouari W, Chelli M, Soltani M, Trabelsi H, Sahli H, Hamdaoui R, Masmoudi Y, Halouani A, Triki A, Ben Amor A, Makni C, Eloillaf M, Riahi S, Tlili R, Jmal L, Belhaj Ammar L, Nsibi S, Jmal A, Boukhzar R, Somai M, Daoud F, Rachdi I, Ben Dhaou B, Aydi Z, Boussema F, Frikha H, Hammami R, Ben Cheikh S, Chourabi S, Bokri E, Elloumi D, Hasni N, Hamza S, Berriche O, Dalhoum M, Jamoussi H, Kallel L, Mtira A, Sghaier Z, Ghezal MA, Fitouri S, Rhimi S, Omri N, Rouiss S, Soua A, Ben Slimene D, Mjendel I, Ferchichi I, Zmerli R, Belhadj Mabrouk E, Debbeche R, Makhloufi M, Chouchane A, Sridi C, Chelly F, Gaddour A, Kacem I, Chatti S, Mrizak N, Elloumi H, Debbabi H, Ben Azouz S, Marouani R, Cheikh I, Ben Said M, Kallel M, Amdouni A, Rejaibi N, Aouadi L, Zaouche K, Khouya FE, Aidani S, Khefacha S, Jelleli N, Sakly A, Zakhama W, Binous MY, Ben Said H, Bouallegue E, Jemmali S, Abcha S, Wahab H, Hmida A, Mabrouk I, Mabrouk M, Elleuch M, Mrad M, Ben Safta N, Medhioub A, Ghanem M, Boughoula K, Ben Slimane B, Ben Abdallah H, Bouali R, Bizid S, Abdelli MN, Ben Nejma Y, Bellakhal S, Antit S, Bourguiba R, Zakhama L, Douggui MH, Bahloul E, Dhouib F, Turki H, Sabbah M, Baghdadi S, Trad D, Bellil N, Bibani N, Elloumi H, Gargouri D, Ben Said M, Hamdaoui R, Chokri R, Kacem M, Ben Rejeb M, Miladi A, Kooli J, Touati S, Trabelsi S, Klila M, Rejeb H, Kammoun H, Akrout I, Greb D, Ben Abdelghaffar H, Hassene H, Fekih L, Smadhi H, Megdiche MA, Ksouri J, Kasdalli H, Hayder A, Gattoussi M, Chérif L, Ben Saida F, Gueldich M, Ben Jemaa H, Dammak A, Frikha I, Saidani A, Ben Amar J, Aissi W, Chatti AB, Naceur I, Ben Achour T, Said F, Khanfir M, Lamloum M, Ben Ghorbel I, Houman M, Cherif T, Ben Mansour A, Daghfous H, Slim A, Ben Saad S, Tritar F, Naffeti W, Abdellatif J, Ben Fredj M, Selmi M, Kbir GH, Maatouk M, Jedidi L, Taamallah F, Ben Moussa M, Halouani L, Rejeb S, Khalffalah N, Ben Ammar J, Hedhli S, Azouz MM, Chatti S, Athimni Z, Bouhoula M, Elmaalel O, Mrizak N, Maalej M, Kammoun R, Gargouri F, Sallemi S, Haddar A, Masmoudi K, Oussaifi A, Sahli A, Bhouri M, Hmaissi R, Friha M, Cherif H, Baya C, Triki M, Yangui F, Charfi MR, Ben Hamida HY, Karoui S, Aouini F, Hajlaoui A, Jlassi H, Sabbah M, Fendri MN, Kammoun N, Fehri S, Nouagui H, Harzalli A, Snène H, Belakhal S, Ben Hassine L, Labbene I, Jouini M, Kalboussi S, Ayedi Y, Harizi C, Skhiri A, Fakhfakh R, Jelleli B, Belkahla A, Fejjeri M, Zeddini M, Mahjoub S, Nouira M, Frih N, Debiche S, Blibech H, Belhaj S, Mehiri N, Ben Salah N, Louzir B, Kooli J, Bahri R, Chaka A, Abdenneji S, Majdoub Fehri S, Hammadi J, Dorgham D, Hriz N, Kwas H, Issaoui N, Jaafoura S, Bellali H, Shimi M, Belhaj Mabrouk E, Sellami R, Ketata I, Medi W, Mahjoub M, Ben Yacoub S, Ben Chaabene A, Touil E, Ben Ayed H, Ben Miled S, El Zine E, Khouni H, Ben Kadhi S, Maatoug J, Boulma R, Rezgui R, Boudokhane M, Jomni T, Chamekh S, Aissa S, Touhiri E, Jlaiel N, Oueslati B, Maaroufi N, Aouadi S, Belkhir S, Daghfous H, Merhaben S, Dhaouadi N, Ounaes Y, Chaker K, Yaich S, Marrak M, Bibi M, Mrad Dali K, Sellami A, Nouira Y, Sellami S, Anane I, Trabelsi H, Ennaifer R, Benzarti Z, Bouchabou B, Hemdani N, Nakhli A, Cherif Y, Abdelkef M, Derbel K, Barkous B, Yahiaoui A, Sayhi A, Guezguez F, Rouatbi S, Racil H, Ksouri C, Znegui T, Maazaoui S, Touil A, Habibech S, Chaouech N, Ben Hmid O, Ismail S, Chouaieb H, Chatti M, Guediri N, Belhadj Mohamed M, Bennasrallah C, Bouzid Y, Zaouali F, Toumia M, El Khemiri N, El Khemiri A, Sfar H, Farhati S, Ben Chehida F, Yamoun R, Braham N, Hamdi Y, Ben Mansour A, Mtir M, Ayari M, Toumia M, Rouis S, Sakly H, Nakhli R, Ben Garouia H, Chebil D, Hannachi H, Merzougui L, Samet S, Hrairi A, Mnif I, Hentati O, Bouzgarrou L, Souissi D, Boujdaria R, Kadoussi R, Rejeb H, Ben Limem I, Ben Salah I, Greb D, Ben Abdelghaffar H, Smadhi H, Laatiri H, Manoubi SA, Gharbaoui M, Hmandi O, Zhioua M, Taboubi F, Hamza Y, Hannach W, Jaziri H, Gharbi R, Hammami A, Dahmani W, Ben Ameur W, Ksiaa M, Ben Slama A, Brahem A, Elleuch N, Jmaa A, Kort I, Jlass S, Benabderrahim S, Turki E, Belhaj A, Kebsi D, Ben Khelil M, Rmadi N, Gamaoun H, Alaya Youzbechi F, Brahim T, Boujnah S, Abid N, Gader N, Kalboussi S, Ben Sassi S, Loukil M, Ghrairi H, Ben Said N, Mrad O, Ferjaoui M, Hedhli L, Ben Kaab B, Berriche A, Charfi R, Mourali O, Smichi I, Bel Haj Kacem L, Ksentini M, Aloui R, Ferchichi L, Nasraoui H, Maoua M, Chérif F, Belil Y, Ayed MA, Alloulou Y, Belhadj S, Daghfous J, Mehiri N, Louzir B, Abbes A, Ghrab A, Chermiti A, Akacha A, Mejri O, Debbiche A, Yahiaoui C, Binous M, Tissaoui A, Mekni K, El Fekih C, Said MA, Chtioui S, Mestiri S, Smaoui H, Ben Hamida S, Haddar A, Mrizek N, Gares N, Zaibi A, Bouazizi N, Gallas S, Lachhab A, Belhadj M, Hadj Salem N, Garrouch A, Mezgar Z, Khrouf M, Abbassi H, Souissi D, Hamra I, Ben Mustapha N, Abessi I, Boubaker F, Bouchareb S, ElOmma Mrabet H, Touil I, Boussoffara L, Knani J, Boudawara N, Alaya W, Sfar MH, Fekih S, Snène H, Boudawara N, Gargouri I, Benzarti W, Knaz A, Abdelghani A, Aissa S, Hayouni A, Mejri I, Kacem M, Mhamdi S, Daboussi S, Aichaouia C, Moatemri Z, Chaachou A, Fsili R, Ben Ghezala H, Ben Jazia A, Brahmi N. 2022 TUNISIAN NATIONAL CONGRESS OF MEDICINE ABSTRACTS. Tunis Med 2023; 101:62-64. [PMID: 37682263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Indexed: 09/09/2023]
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Haddad A, Sebai A, Chelly B, Maghrebi H, Chaker Y, Jouini M, Kacem M. Tuberculous severe acute colitis. A case report. Ann Med Surg (Lond) 2021; 69:102756. [PMID: 34484727 PMCID: PMC8405927 DOI: 10.1016/j.amsu.2021.102756] [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: 07/12/2021] [Revised: 08/16/2021] [Accepted: 08/22/2021] [Indexed: 11/16/2022] Open
Abstract
Introduction and importance: Intestinal tuberculosis represents 2% of the ten million cases of tuberculosis reported in 2018. Herein, we report a case of tuberculous severe acute colitis. It is a rare and life-threatening condition. Our literature review found only five published cases. It occurs generally in immunocompromised patients. Extended colonic inflammation seems to be the main predictive factor of death. Moreover, an early diagnosis and rapid onset of antituberculous treatment are mandatory to save the patient's life. Case presentation Herein, we present a case of tuberculous severe acute colitis with a review of the reported cases. The patient presented with a severe and idiopathic acute colitis. He was put on broad-spectrum antibiotics and intravenous corticosteroids. At day two, he developed septic shock and colic perforation. Colectomy was performed. Microbiology investigation and pathology examination confirmed tuberculous colitis. Clinical discussion Tuberculous severe acute colitis occurs generally in immunocompromised patients. Extended colic inflammation seems to be the main predictive factor of death. Moreover, an early diagnosis and rapid onset of antituberculous treatment are mandatory to save the patient's life. However, diagnosis is difficult as symptoms aren't specific. Microbiology and pathology were compulsory to retain colic tuberculosis in all the reported cases. Conclusion Tuberculous severe acute colitis is a challenging and life-threatening condition. It usually occurs in immunocompromised patients. Abdominal CT-scan may evoke the diagnosis. Microbiology and pathology are mandatory to retain the diagnosis. Early diagnosis and onset of antituberculous treatment are compulsory to save the patient's life. Diagnosis of tuberculous severe acute colitis is difficult. It usually occurs in immunocompromised patients. Surgery is mandatory if perforation occurs. Early diagnosis and onset of antituberculous treatment are compulsory to save the patient's life.
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Affiliation(s)
- A Haddad
- Surgery Department A, La Rabta Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, Tunis El Manar University, Tunisia
| | - A Sebai
- Surgery Department A, La Rabta Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, Tunis El Manar University, Tunisia
| | - B Chelly
- Pathology Department, La Rabta Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, Tunis El Manar University, Tunisia
| | - H Maghrebi
- Surgery Department A, La Rabta Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, Tunis El Manar University, Tunisia
| | - Y Chaker
- Surgery Department A, La Rabta Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, Tunis El Manar University, Tunisia
| | - M Jouini
- Surgery Department A, La Rabta Hospital, Tunis, Tunisia
| | - M Kacem
- Surgery Department A, La Rabta Hospital, Tunis, Tunisia.,Faculty of Medicine of Tunis, Tunis El Manar University, Tunisia
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Haddad A, Sebai A, Maghrebi H, Chaker Y, Jouini M, Kacem M. Enterosalpingeal fistula complicating Crohn's disease: Report of two cases and review of the literature. Ann Med Surg (Lond) 2021; 69:102734. [PMID: 34466222 PMCID: PMC8384770 DOI: 10.1016/j.amsu.2021.102734] [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: 07/12/2021] [Revised: 08/15/2021] [Accepted: 08/15/2021] [Indexed: 12/04/2022] Open
Abstract
Introduction and importance Reports of enterosalpingeal fistulae complicating Crohn's disease are scarce. They involve the last ileal loop and lead to a progressive destruction of the salpinx. Usually, no genital symptoms are found. In all the cases reported in the literature, the fistula was diagnosed intra-operatively and resection of the right salpinx was performed without the patient's pre-operative consent. Case presentation We describe 2 cases of women presenting with an Enterosalpingeal fistulae complicating Crohn's disease. Radiological findings allowed a pre-operative diagnosis. Thus, the patients were warned of the right salpinx resection and consent was obtained. Clinical discussion Enterosalpingeal fistulae complicating Crohn's disease are exceptional. Indeed, to the best of our knowledge, only five cases have been reported till now. In all the reported cases, no genital signs were present. As for our patients who didn't experience such symptoms. Moreover, no radiological evidence of the enterosalpingeal fistula was found in the literature. Consequently, the fistula was always diagnosed intra-operatively. For our patients, radiological findings allowed a pre-operative diagnosis. This permitted to warn them of a possible resection of the fallopian tube. Intra-operative findings were unfortunately conflicting with its preservation. Conclusion Enterosalpingeal fistula is an exceptional complication of the Crohn's disease. No clinical findings are present. The diagnosis should be evoked when the CT-scan or the MRI show an abnormal apposition between the fallopian tube, the last loop and the cecum. Surgical resection of the involved salpinx with the diseased intestinal segment is unfortunately usually needed in a young patient population. Report of two cases of an unusual form of Crohn's disease. Unique preoperative imaging. Preoperative diagnosis of the fistulae. Thus, patients were warned of salpingectomy.
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Affiliation(s)
- A Haddad
- Surgery Department A - La Rabta Hospital of Tunis, University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia
| | - A Sebai
- Surgery Department A - La Rabta Hospital of Tunis, University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia
| | - H Maghrebi
- Surgery Department A - La Rabta Hospital of Tunis, University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia
| | - Y Chaker
- Surgery Department A - La Rabta Hospital of Tunis, University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia
| | - M Jouini
- Surgery Department A - La Rabta Hospital of Tunis, University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia
| | - M Kacem
- Surgery Department A - La Rabta Hospital of Tunis, University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia
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Ettoumi M, Jouini M, Neculita CM, Bouhlel S, Coudert L, Haouech I, Benzaazoua M. Characterization of Kef Shfeir phosphate sludge (Gafsa, Tunisia) and optimization of its dewatering. J Environ Manage 2020; 254:109801. [PMID: 31733470 DOI: 10.1016/j.jenvman.2019.109801] [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] [Subscribe] [Scholar Register] [Received: 06/03/2019] [Revised: 10/16/2019] [Accepted: 10/28/2019] [Indexed: 06/10/2023]
Abstract
Water separation and recovery through thickening require adapted flocculants and densification processes. This study aimed to maximize water recovery from phosphate sludge (PS) at Kef Shfeir mine operation, Gafsa Phosphate Company, Tunisia. Representative samples of PS, PS treated with flocculant (F-PS), raw water, and recycled water were collected on the mine site. Solid samples (PS and F-PS) were characterized physically, chemically and mineralogically. To maximize water recovery, thickening tests were performed on the PS using different flocculants to optimize flocculant concentration, the agitation speed and the settling time. Results showed that PS had positive surface charge since its paste pH (7.3) was lower than pHPZC (8.0), whereas the tested flocculant (Slim Floc used by the company) showed negative surface charge. Solid samples contained coarse medium and fine particles of carbonates, silicates and residual hydroxyapatite. The cumulative fractions +32 μm of PS contained a promising residual potential of fluorapatite (up to 39.2%). Water recovery was about 58.1%, when the anionic Slim Floc was used, for a consumption rate of 1200 g/t of dry solids. Best efficiency (84%) of water recovery was obtained with the anionic flocculant E24 for a consumption rate of 360 g/t of dry solids, which is 3 times lower than actual flocculant consumption.
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Affiliation(s)
- M Ettoumi
- Mineralogy and Geochemistry Research Group, Department of Geology, Faculty of Sciences of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - M Jouini
- Research Institute on Mines and Environment (RIME), University of Québec in Abitibi-Témiscamingue (UQAT), Rouyn-Noranda, Québec, Canada
| | - C M Neculita
- Research Institute on Mines and Environment (RIME), University of Québec in Abitibi-Témiscamingue (UQAT), Rouyn-Noranda, Québec, Canada.
| | - S Bouhlel
- Mineralogy and Geochemistry Research Group, Department of Geology, Faculty of Sciences of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - L Coudert
- Research Institute on Mines and Environment (RIME), University of Québec in Abitibi-Témiscamingue (UQAT), Rouyn-Noranda, Québec, Canada
| | - I Haouech
- Environment Department, Gafsa Phosphate Company, Gafsa, Tunisia
| | - M Benzaazoua
- Research Institute on Mines and Environment (RIME), University of Québec in Abitibi-Témiscamingue (UQAT), Rouyn-Noranda, Québec, Canada; Mohammed VI Polytechnic University (UM6P), Benguerir, Morocco
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Kallel K, Zakraoui L, Othman YB, Jouini M, Selaouati F. Dissemination of the capacity building results - tools adapted to the local context. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz185.496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
Introduction
The Centres for Evidence into Health Policy created by the CONFIDE project are multidisciplinary; they are dedicated not only to health professionals but also to researchers, policy makers as well as other social, environmental and economic stakeholders. Good dissemination and awareness among all stakeholders are the basis of the success and sustainability of the project results.
The progress
Since the start of the project in October 2017 and after developing a dissemination plan, the first and large-scale dissemination action was the creation of a communication platform and a website. Subsequently, we have setup Facebook, Twitter and LinkedIn pages targeting people more involved in the project. These pages are regularly updated (progress of the project, actions carried out). Two press conferences have taken place in order to reach all targeted audiences in Tunisia. Indeed, our press conferences attracted journalists as well as representatives of NGOs, and health decision-makers in the ministry. A poster and a portfolio were designed in order to introduce the project to partner organizations that provide the students` internships and field trainings. The project also includes a policy game as a tool to bring to the same table the policymakers, researchers and other stakeholders in the community that will further contribute to the dissemination of the CONFIDE project results. Due to the dissemination activities of the Tunisian partners, the academic community in Tunisia has been exposed to a different approach and understanding of public health. The dissemination activities of the CONFIDE results have shed a new light on public health in Tunisia.
Conclusions
A good diffusion of the project, using tools adapted to the various audiences, will make it possible to reach a large and multidisciplinary target public and to associate them with the project. This is a key success factor for the sustainability of the Centres for Evidence into Health Policy.
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Affiliation(s)
- K Kallel
- Faculty of Medicine, Tunis El Manar University, Tunis, Tunisia
| | - L Zakraoui
- Faculty of Medicine, Tunis El Manar University, Tunis, Tunisia
| | - Y Ben Othman
- Faculty of Medicine, Tunis El Manar University, Tunis, Tunisia
| | - M Jouini
- Faculty of Medicine, Tunis El Manar University, Tunis, Tunisia
| | - F Selaouati
- Faculty of Medicine, Tunis El Manar University, Tunis, Tunisia
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Jouini M, Burte J, Biard Y, Benaissa N, Amara H, Sinfort C. A framework for coupling a participatory approach and life cycle assessment for public decision-making in rural territory management. Sci Total Environ 2019; 655:1017-1027. [PMID: 30577096 DOI: 10.1016/j.scitotenv.2018.11.269] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2018] [Revised: 11/18/2018] [Accepted: 11/18/2018] [Indexed: 06/09/2023]
Abstract
To ensure agricultural land in rural territories is managed sustainability, environmental assessments need to be undertaken to support both policy-makers and local stakeholders in their decision making. Thanks to its completeness, life cycle assessment (LCA) is one of the most widely used tools for the evaluation of environmental impacts. However, LCA is difficult to apply in rural areas of developing countries. First, it requires a lot of data that are difficult to collect due to the diversity of small farming systems. Second, LCA results are difficult for non-specialists to interpret due to the complexity of its multiple indicators. Third, the processes considered in LCA often do not match the values and interests of the stakeholders. The aim of this paper is to propose an innovative operational framework that couples LCA and a participatory approach to overcome these issues. The first step was to conduct a progressive participatory diagnosis of the socio-ecological structure of the rural territory and to characterise the main cropping systems. The results of the diagnosis and other data were progressively triangulated, validated and consolidated with the stakeholders at the territorial level. The paper discusses the quality and validity of data obtained using a participatory approach. To improve the appropriation of results by stakeholders, the LCA method was applied using a territorial approach to distinguish on-site and off-site activities as well as global and local impacts. The applicability of the framework was tested on a case study in a semi-arid region in central Tunisia.
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Affiliation(s)
- Meriem Jouini
- G-EAU, AgroParisTech, Cirad, IRD, IRSTEA, Montpellier SupAgro, Univ Montpellier, Montpellier, France; CIRAD, UMR G-EAU, INAT, Tunis, Tunisia; National Agronomic Institute of Tunisia (INAT), University of Carthage, Tunis, Tunisia; ITAP, IRSTEA, Montpellier SupAgro, Univ Montpellier, Montpellier, France.
| | - Julien Burte
- G-EAU, AgroParisTech, Cirad, IRD, IRSTEA, Montpellier SupAgro, Univ Montpellier, Montpellier, France; CIRAD, UMR G-EAU, INAT, Tunis, Tunisia.
| | - Yannick Biard
- CIRAD, UR Hortsys, ELSA, TA B-103/C, Campus international de Baillarguet, 34398 Montpellier Cedex 5, France.
| | - Nadhira Benaissa
- National Agronomic Institute of Tunisia (INAT), University of Carthage, Tunis, Tunisia
| | - Hajer Amara
- National Agronomic Institute of Tunisia (INAT), University of Carthage, Tunis, Tunisia
| | - Carole Sinfort
- ITAP, IRSTEA, Montpellier SupAgro, Univ Montpellier, Montpellier, France.
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Abdelhamid A, Jouini M, Bel Haj Amor H, Mzoughi Z, Dridi M, Ben Said R, Bouraoui A. Phytochemical Analysis and Evaluation of the Antioxidant, Anti-Inflammatory, and Antinociceptive Potential of Phlorotannin-Rich Fractions from Three Mediterranean Brown Seaweeds. Mar Biotechnol (NY) 2018; 20:60-74. [PMID: 29344826 DOI: 10.1007/s10126-017-9787-z] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/13/2017] [Accepted: 11/27/2017] [Indexed: 06/07/2023]
Abstract
Phlorotannins, phenolic compounds produced exclusively by seaweeds, have been reported to possess various pharmacological properties. However, there have been few works on these compounds from Mediterranean seaweeds. In this study, we investigated the phytochemical analysis and pharmacological potential of phlorotannin-rich fractions from three brown seaweeds collected along the Tunisia coast: Cystoseira sedoides (PHT-SED), Cladostephus spongeosis (PHT-CLAD), and Padina pavonica (PHT-PAD). Phytochemical determinations showed considerable differences in total phenolic content (TPC) and phlorotannin content (PHT). The highest TPC level (26.45 mg PGE/g dry material (Dm)) and PHT level (873.14 μg PGE/g Dm) were observed in C. sedoides. The antioxidant properties of these three fractions assessed by three different methods indicated that C. sedoides displayed the highest total antioxidant activity among the three species (71.30 mg GAE/g Dm), as well as the free radical scavenging activity with the lowest IC50 value in both DPPH (27.7 μg/mL) and ABTS (19.1 μg/mL) assays. Furthermore, the pharmacological screening of the anti-inflammatory potential of these fractions using in vivo models, in comparison to reference drugs, established a remarkable activity of PHT-SED at the dose of 100 mg/kg; the inhibition percentages of ear edema in mice model and paw edema in rats model were of 82.55 and 81.08%, respectively. The content of malondialdehyde (MDA) in liver tissues has been quantified, and PHT-SED was found to remarkably increase the lipid peroxidation in rat liver tissues. In addition, in two pain mice models, PHT-SED displayed a profound antinociceptive activity at 100 mg/kg and has proved a better analgesic activity when used in combination with the opioid drug, tramadol.
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Affiliation(s)
- Amal Abdelhamid
- Laboratory of Chemical, Galenic and Pharmacological Development of Drugs, Faculty of Pharmacy of Monastir, University of Monastir, 5000, Monastir, Tunisia.
| | - Meriem Jouini
- Laboratory of Heterocyclic Chemistry, Natural Products and Reactivity, Medicinal Chemistry and Natural Products Team, Faculty of Sciences of Monastir, University of Monastir, 5019, Monastir, Tunisia
| | - Haifa Bel Haj Amor
- Laboratory of Chemical, Galenic and Pharmacological Development of Drugs, Faculty of Pharmacy of Monastir, University of Monastir, 5000, Monastir, Tunisia
| | - Zeineb Mzoughi
- Laboratory of Interfaces and Advanced Materials, Faculty of Sciences of Monastir, University of Monastir, 5000, Monastir, Tunisia
| | - Mehdi Dridi
- Laboratory of Chemical, Galenic and Pharmacological Development of Drugs, Faculty of Pharmacy of Monastir, University of Monastir, 5000, Monastir, Tunisia
| | - Rafik Ben Said
- National Institute of Marine Sciences and Technologies, Salambôo, Tunis, Tunisia
| | - Abderrahman Bouraoui
- Laboratory of Chemical, Galenic and Pharmacological Development of Drugs, Faculty of Pharmacy of Monastir, University of Monastir, 5000, Monastir, Tunisia
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Jouini M, Abdelhamid A, Chaouch MA, le Cerf D, Bouraoui A, Majdoub H, Ben Jannet H. Physico-chemical characterization and pharmacological activities of polysaccharides from Opuntia microdasys var. rufida cladodes. Int J Biol Macromol 2018; 107:1330-1338. [DOI: 10.1016/j.ijbiomac.2017.10.003] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2017] [Revised: 09/21/2017] [Accepted: 10/01/2017] [Indexed: 11/25/2022]
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10
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Lagrost C, Lacroix JC, Aeiyach S, Jouini M, Chane-Ching KI, Lacaze PC. Électropolymérisation de complexes d'inclusion : vers des fils électriques moléculaires encapsulés. ACTA ACUST UNITED AC 2017. [DOI: 10.1051/jcp:1998248] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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11
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Sakmeche N, Aaron JJ, Dieng M, Jouini M, Aeiyach S, Lacroix JC, Lacaze PC. Dépôt sur métaux oxydables de films de poly[3,4-éthylènedioxythiophène] électrosynthétisés en milieu aqueux micellaire. ACTA ACUST UNITED AC 2017. [DOI: 10.1051/jcp:1998322] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Fall M, Aaron JJ, Dieng MM, Jouini M, Aeiyach S, Lacroix JC, Lacaze PC. Électropolymérisation en milieu micellaire aqueux du 3-méthoxythiophène : nouvelle méthode d'élaboration du seximéthoxythiophène. ACTA ACUST UNITED AC 2017. [DOI: 10.1051/jcp:1998328] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Mangeney C, Lacroix JC, Aeiyach S, Jouini M, Chane-Ching KI, Lacaze PC. Modulation des propriétés électroniques de groupes pendants par l'intermédiaire des polymères conducteurs. ACTA ACUST UNITED AC 2017. [DOI: 10.1051/jcp:1998323] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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14
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Chane-Ching KI, Lacroix JC, Baudry R, Jouini M, Aeiyach S, Lion C, Lacaze PC. Monomères dipyrroliques à caractère hydrophobe : étude électrochimique et polymérisation en milieu aqueux via des molécules cages. ACTA ACUST UNITED AC 2017. [DOI: 10.1051/jcp:1998246] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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15
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Bergamini JF, Aeiyach S, Chane-Ching KI, Jouini M, Lacroix JC, Lacaze PC. Une pompe électrochimique : diffusion active à travers une membrane de polypyrrole. ACTA ACUST UNITED AC 2017. [DOI: 10.1051/jcp:1998314] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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16
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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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19
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Daghfous A, Baraket O, Ayadi S, Ksantini R, Chebbi F, Jouini M, Kacem MJ, Bensafta Z. [Intestinal obstruction caused by migration of intragastric balloon. A case report]. Tunis Med 2015; 93:272-274. [PMID: 26375751] [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: 06/05/2023]
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20
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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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21
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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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22
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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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Bedioui H, Ayari H, Bouslama K, Maghrebi H, Hsairi H, Jouini M, Kacem JM, Safta ZB. Les facteurs prédictifs de récidive du kyste hydatique du foie : l’expérience tunisienne. ACTA ACUST UNITED AC 2012; 105:265-9. [DOI: 10.1007/s13149-012-0243-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2011] [Accepted: 03/27/2012] [Indexed: 01/20/2023]
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24
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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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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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28
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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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Kharrat S, Sahtout S, Sethom A, Jouini M, Besbes G. [Zenker diverticula: a case report]. Tunis Med 2010; 88:62. [PMID: 20415220] [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: 05/29/2023]
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31
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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, Nouira K, Daghfous A, Ammous A, Ayari H, Rebai W, Chebbi F, Ksantini R, Fteriche F, Jouini M, Kacem MJ, Menif E, BenSafta Z. [Primary hydatid cyst of the psoas muscle: description of 9 cases in Tunisia and review of the literature]. Med Trop (Mars) 2008; 68:261-266. [PMID: 18689318] [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: 05/26/2023]
Abstract
The psoas muscle is an uncommon location for hydatid cyst accounting for only 1 to 3% of cases. The purpose of this report is to describe the epidemiologic, clinical, paraclinical, and therapeutic features of primary hydatid cyst of the psoas muscle. A retrospective study conducted in Surgery Department A at the Rabta Hospital in Tunisia compiled a total of 9 cases of primary hydatid cyst of the psoas muscle treated between 1980 and 2006. There were 6 men and 3 women with a mean age of 42.8 years. Symptomatology was nonspecific with pain in 6 cases. Discovery was coincidental in two cases. Clinical examination detected a mass in the presents of an abdominal mass in 7 cases. Radiologic findings (ultrasound and/or CT scan) confirmed diagnosis in 8 cases. In one case a mistaken diagnosis of psoas muscle abscess was made in a patient with an infected hydatid cyst. Serological tests were performed in 4 cases and were positive in 3. All patients underwent surgical treatment. The extraperitoneal approach (Leriche) was used in 7 cases and the transperitoneal approach via median laparotomy in 2. In all cases the surgical procedure consisted of partial cystectomy leaving a part of the pericystic against neurovascular structures. There was no operative mortality. The only postoperative complication was urinary infection in one patient. Mean follow-up was 2.5 years. One local recurrence was observed 4 years after surgical treatment and required reoperation.
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Affiliation(s)
- H Bedioui
- Service de Chirurgie A, Hôpital La Rabta, Tunis, Tunisie.
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33
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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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34
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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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35
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Chelly I, Bellil K, Bellil S, Mekni A, Belhaj Salah M, Haouet S, Kchir N, Jouini M, Chelly H, Zitouna M. [Pseudomyxoma peritonei]. Tunis Med 2008; 86:507-509. [PMID: 19469310] [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: 05/27/2023]
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36
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Bedioui H, Chebbi F, Ayadi S, Daghfous A, Bakhtri M, Jouini M, Fteriche F, Ksantini R, Kacem M, Safta ZB. [Primary hydatid cyst of the pancreas: Diagnosis and surgical procedures. Report of three cases]. ACTA ACUST UNITED AC 2008; 32:102-6. [PMID: 18405655 DOI: 10.1016/j.gcb.2007.12.014] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
The pancreas is an uncommon site of a hydatid cyst, even in countries where echinococcal disease is endemic. We report three cases of primary hydatid cysts of the pancreas revealed by abdominal pain. The diagnosis was based on ultrasound and CT-scan, which showed a cystic mass in the tail of the pancreas in the two first cases. In the third case, the diagnosis was determined preoperatively and a pancreatic fistula was found in the head of the pancreas during peroperative cholangiography. The echinococcal immunological test (Elisa) was positive in all cases. Surgical treatment included resection of the prominent lump in two patients and a cystogastric anastomosis in the third. Based on these three cases and a study of the literature, the difficulties of diagnosing this rare disease and the surgical procedures are discussed.
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Affiliation(s)
- H Bedioui
- Service de chirurgie A, hôpital La-Rabta, rue Jabbari, 1007 Tunis, Tunisie
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37
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Bedioui H, Nouira K, Chaker Y, Chebbi F, Ksantini R, Daghfous A, Rebai W, Fteriche F, Ammous A, Jouini M, Kacem MJ, BenSafta Z. [Radiologic diagnosis of enterosalpingeal fistula complicating Crohn's disease]. Gastroenterol Clin Biol 2008; 32:158-161. [PMID: 18337036 DOI: 10.1016/j.gcb.2007.11.005] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/24/2007] [Revised: 10/27/2007] [Accepted: 11/04/2007] [Indexed: 05/26/2023]
Abstract
Enterosalpingeal fistula is a rare complication of Crohn's disease which is rarely diagnosed preoperatively. We describe a new case of this complication suspected by CT scan and confirmed by hysterosalpingogram and contrast from the ileum. This case is about a 50-year-old woman suffering from ileal Crohn's disease diagnosed two years previously and actually complicated by stenosis and entero-salpingeal fistula. The treatment consisted on resection of the ileocaecal region with salpingectomy. Postoperative course was uneventful.
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Affiliation(s)
- H Bedioui
- Service de chirurgie A, hôpital La Rabta, Tunis, Tunisie.
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38
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Bedioui H, Daghfous A, Ayadi S, Chaker Y, Chebbi F, Ksantini R, Rebai W, Ftériche F, Ammous A, Jouini M, Kacem MJ, Bensafta Z. [Unopened colostomy in colorectal surgery: a renewal interest?]. J Chir (Paris) 2007; 144:508-510. [PMID: 18235362 DOI: 10.1016/s0021-7697(07)79776-4] [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] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
INTRODUCTION Anastomotic leak or disruption is a grave complication of colorectal surgery. Protection of an at-risk anastomosis by an upstream open diverting colostomy (OC) reduces this gravity. An unopened upstream loop colostomy is a surgical alternative which may diminish the unpleasant consequences of an open colostomy while maintaining the option of diversion in case of need. The aim of this study is to report the results of this approach and to define its indications. MATERIAL AND METHODS [corrected] We report a retrospective series of 34 cases of unopened diverting loop colostomy to protect an at-risk colorectal anastomosis. Indications for this procedure were stool-laden bowel (59%), low serum albumin (11.5%), local inflammation (11.5%), and very low placed anastomosis (17.5%). RESULTS The loop colostomy was eventually opened after surgery in six cases because of anastomotic leakage diagnosed clinically and/or detected by water soluble contrast opacification which was performed routinely on the sixth post-operative day. In all six cases, there was no need for an urgent surgical intervention. In 28 cases, the anastomosis healed without complication and the exteriorized loop was returned to the abdominal cavity seven days after the initial surgery. This was a short, simple procedure with an average operating time of ten minutes. Average hospital stay after returning the unopened colostomy to the abdomen was two days. CONCLUSION Unopened loop colostomy offers the advantages of protection of a colorectal anastomosis without proper morbidity or mortality, shorter hospitalization, and improved psychological comfort for the patient. It's principal indication is to minimize the risks related to leakage from an at-risk colorectal anastomosis.
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Affiliation(s)
- H Bedioui
- Service de chirurgie A, Hôpital La Rabta - Tunis Tunisie.
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39
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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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40
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Bedioui H, Jouini M, Ksantini R, Fteriche F, Chebbi F, Daghfous A, Ayadi S, Kacem M, Boubaker J, Filali A, Ben Safta Z. [A previously unreported late complication of Finney strictureplasty]. ACTA ACUST UNITED AC 2007; 144:69-71. [PMID: 17369766 DOI: 10.1016/s0021-7697(07)89472-5] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
We report the case of a 23 year old woman, treated for Crohn's disease for 11 years. She was operated on for multiple obstructing jejuno-ileal strictures using strictureplasty technique. Nine stricturoplasties of Heineke-Mikulicz type and one Finney type were performed without immediate postoperative complication. The patient received Imurel(R) and remained in remission for 15 months. Peritonitis due to a perforation of the Finney strictureplasty required re-operation; an ileostomy was performed. Such a late complication of a strictureplasty has not previously been reported in the literature. Although this complication was severe, the indication for this procedure in the surgical management of Crohn's complications should not be modified.
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Affiliation(s)
- H Bedioui
- Service de Chirurgie A, Hôpital La Rabta - Tunis, Tunisie.
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41
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Bedioui H, Ayadi S, Nouira K, Bakhtri M, Jouini M, Ftériche E, Ksantini R, Chebbi F, Kacem M, Ben Safta Z. [Subcutaneous rupture of hydatid cyst of liver: dealing with a rare observation]. Med Trop (Mars) 2006; 66:488-90. [PMID: 17201297] [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: 05/13/2023]
Abstract
Hydatid cyst of liver is a parasitosis of endemic proportions in Tunisia. The purpose of this report is to describe a case involving subcutaneous rupture of a hydatid cyst of liver in a 41-year-old patient. Diagnosis was established by ultrasonography and CT-scan. The patient underwent surgical treatment and recovered uneventfully. Subcutaneous rupture remains an uncommon complication. This is only the second case reported in the literature up to now.
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Affiliation(s)
- H Bedioui
- Service de Chirurgie, Hôpital La Rabta, Tunis.
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42
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Ftériche FS, Chebbi F, Bedioui H, Kchir N, Ammous A, Ksantini R, Jouini M, Kacem M, Ben Safta Z. Tumeur intracanalaire papillaire mucineuse du pancréas dégénérée et fistulisée dans l'estomac, le duodénum, et le côlon. ACTA ACUST UNITED AC 2006; 131:118-20. [PMID: 16182226 DOI: 10.1016/j.anchir.2005.08.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [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: 04/11/2005] [Accepted: 08/08/2005] [Indexed: 11/25/2022]
Abstract
We report a case of intraductal papillary mucinous tumor of the pancreas (IPMT) degenerated and fistulized into the stomach, the duodenum and the colon. Diagnoses of malignancy and fistulization were proven preoperatively. Pancreaticoduodenectomy extended to the body was performed. Pathological examination revealed a malignant IPMT with an invasive component. Of the 3 fistulizations tracts, both gastric and duodenal ones were malignant. To our knowledge, this is the first reported case of IPMT with colonic fistulization. Twelve months later, the patient is alive without signs of recurrence.
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Affiliation(s)
- F S Ftériche
- AHU, Service de Chirurgie A, Hôpital La-Rabta, 1004 Jabbari, Tunis, Tunisie
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43
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Bedioui H, Chebbi F, Ayadi S, Ftériche F, Sassi K, Jouini M, Ksantini R, Ammous A, Kacem M, Ben Safta Z. [Gastric amyloidosis mimicking malignancy. A case report]. ACTA ACUST UNITED AC 2006; 131:455-8. [PMID: 16510115 DOI: 10.1016/j.anchir.2006.01.001] [Citation(s) in RCA: 5] [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: 06/06/2005] [Accepted: 01/02/2006] [Indexed: 01/26/2023]
Abstract
Amyloidosis is an abnormal extracellular deposition of insoluble proteins, which is associated with an involvement of the gastrointestinal tract in 50 to 70% of cases. In primary amyloidosis (light chain amyloidosis), localized gastric involvement is a rare finding which can mimic malignancy. We report the case of a 56-year-old man, admitted with upper digestive outlet obstruction. Linitis plastica with lymph node involvement was suspected by gastroscopy, barium meal and endoscopic ultrasonography but was not confirmed by gastric biopsies. The patient was treated with total gastrectomy with lymph node dissection. Pathological examination demonstrated gastric and lymph nodes amyloidosis and no malignant tumor was found. The patient died 9 months later from cardiac failure due to amyloidosis.
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Affiliation(s)
- H Bedioui
- Service de chirurgie A, hôpital La-Rabta, 1007 Jabbari, Tunis, Tunisie.
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44
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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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Jaballah N, Trad H, Majdoub M, Jouini M, Roussel J, Fave JL. Synthesis and characterization of new blue-photoluminescent copolymer derived from bisphenol A. J Appl Polym Sci 2006. [DOI: 10.1002/app.23022] [Citation(s) in RCA: 16] [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: 11/09/2022]
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46
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Bedioui H, Ksantini R, Sassi K, Nouira K, Chebbi F, Fteriche F, Jouini M, Haouet S, Ammous A, Kacem M, Ben Safta Z. [Undifferentiated carcinoma with osteoclast-like giant cells of the pancreas. A case report]. ACTA ACUST UNITED AC 2005; 129:526-9. [PMID: 15556585 DOI: 10.1016/j.anchir.2004.09.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Undifferentiated carcinoma with osteoclast-like giant cells is a rare pancreatic neoplasm, with a possible cystic pattern, includes an adenocarcinoma component and giant cell mimicking osteoclastic bone tumor. We report the case of a 72-year woman admitted for jaundice and epigastric pain. Abdominal ultrasound and computed tomography scan revealed a 6 x 5 cm cystic and solid tumor of the pancreatic head with both bile duct and pancreatic duct dilatation. A pancreaticoduodenectomy was performed and pathologic examination revealed an undifferentiated carcinoma with osteoclast-like giant cells of the pancreatic head. The patient was alive and disease-free with a 18-month follow-up.
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Affiliation(s)
- H Bedioui
- Services de chirurgie générale A et de radiologie, hôpital La Rabta, Tunis, Tunisia
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47
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Bedioui H, Jouini M, Nouira K, Bouzid T, Kacem M, Ben Safta Z. [Primary hydatid cyst of adrenal gland. Report of two cases]. ACTA ACUST UNITED AC 2004; 130:104-7. [PMID: 15737323 DOI: 10.1016/j.anchir.2004.11.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [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: 09/02/2004] [Accepted: 11/12/2004] [Indexed: 10/26/2022]
Abstract
Primary hydatid cyst of adrenal gland is still an exceptional localization. The adrenal gland is an uncommon site even in our country in which echinococcal disease is endemic. We report two cases of primary hydatid cyst of adrenal gland presented with isolated abdominal pain. The diagnosis was based on CT-scan, which showed a cystic mass of respectively the right and left adrenal gland with a calcified wall. The echinococcal immunologic test (Elisa) was positive in one case. The surgical treatment consisted on a total resection of the cyst, without rupture of the cystic wall and preserving the gland. The diagnosis was confirmed on the macroscopic examination of the resected pieces. In the first case the cyst was multilocular filled with daughter cysts and in the second case the cyst was unilocular filled with hydatid membrane and clear fluid. In the two cases, the postoperative course was uneventful. No recurrence had occurred respectively after 24 months and 36 months of follow up.
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Affiliation(s)
- H Bedioui
- Services de chirurgie générale A et de radiologie, hôpital La Rabta, 5, rue Ibn-Messaoud, El Menzeh 6, Ariana, 2091, Tunisie
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48
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Jouini M, Bedioui H, Nouira K, Menif E, Haouet S, Slim R. Kyste lymphoépithélial inhabituel du pancréas. À propos d'un cas. ACTA ACUST UNITED AC 2004; 129:293-6. [PMID: 15220105 DOI: 10.1016/j.anchir.2004.02.009] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [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: 09/27/2003] [Accepted: 02/20/2004] [Indexed: 11/29/2022]
Abstract
Lymphoepithelial cyst of the pancreas is a benign and rare pathology. Its histogenesis is still unknown. The diagnosis is difficult to establish before surgery. We report a new case of a 20-year-old woman admitted for abdominal pain and vomiting. Radiologic investigations described a multilocular cystic tumor of the tail of the pancreas. The patient underwent a left pancreatectomy with splenectomy. Histologic investigations revealed pancreatic cysts lined by squamous epithelium surrounded by dense lymphoid tissue. The diagnosis of lymphoepithelial cyst of the pancreas was done.
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Affiliation(s)
- M Jouini
- Service de chirurgie et service de radiologie, hôpital La Rabta, Tunis, Tunisie
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49
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Affiliation(s)
- M. Lazerges
- Interfaces, Traitements, Organisation et Dynamique des Systèmes (ITODYS) CNRS-UMR 7086, Université Paris 7-Denis Diderot, 1 rue Guy de la Brosse, 75005 Paris, France, Laboratoire d'Electrochimie, CNRS-UMR 6510, Synthèse et Electrosynthèse Organiques, Université de Rennes 1, bât. 10C, Campus de Beaulieu, 35042 Rennes Cedex, France, and Laboratoire d'Electrochimie Moléculaire, CNRS-UMR 7591, Université Paris 7-Denis Diderot, 2 place Jussieu, 75251 Paris Cedex 05, France
| | - M. Jouini
- Interfaces, Traitements, Organisation et Dynamique des Systèmes (ITODYS) CNRS-UMR 7086, Université Paris 7-Denis Diderot, 1 rue Guy de la Brosse, 75005 Paris, France, Laboratoire d'Electrochimie, CNRS-UMR 6510, Synthèse et Electrosynthèse Organiques, Université de Rennes 1, bât. 10C, Campus de Beaulieu, 35042 Rennes Cedex, France, and Laboratoire d'Electrochimie Moléculaire, CNRS-UMR 7591, Université Paris 7-Denis Diderot, 2 place Jussieu, 75251 Paris Cedex 05, France
| | - P. Hapiot
- Interfaces, Traitements, Organisation et Dynamique des Systèmes (ITODYS) CNRS-UMR 7086, Université Paris 7-Denis Diderot, 1 rue Guy de la Brosse, 75005 Paris, France, Laboratoire d'Electrochimie, CNRS-UMR 6510, Synthèse et Electrosynthèse Organiques, Université de Rennes 1, bât. 10C, Campus de Beaulieu, 35042 Rennes Cedex, France, and Laboratoire d'Electrochimie Moléculaire, CNRS-UMR 7591, Université Paris 7-Denis Diderot, 2 place Jussieu, 75251 Paris Cedex 05, France
| | - P. Guiriec
- Interfaces, Traitements, Organisation et Dynamique des Systèmes (ITODYS) CNRS-UMR 7086, Université Paris 7-Denis Diderot, 1 rue Guy de la Brosse, 75005 Paris, France, Laboratoire d'Electrochimie, CNRS-UMR 6510, Synthèse et Electrosynthèse Organiques, Université de Rennes 1, bât. 10C, Campus de Beaulieu, 35042 Rennes Cedex, France, and Laboratoire d'Electrochimie Moléculaire, CNRS-UMR 7591, Université Paris 7-Denis Diderot, 2 place Jussieu, 75251 Paris Cedex 05, France
| | - P.-C. Lacaze
- Interfaces, Traitements, Organisation et Dynamique des Systèmes (ITODYS) CNRS-UMR 7086, Université Paris 7-Denis Diderot, 1 rue Guy de la Brosse, 75005 Paris, France, Laboratoire d'Electrochimie, CNRS-UMR 6510, Synthèse et Electrosynthèse Organiques, Université de Rennes 1, bât. 10C, Campus de Beaulieu, 35042 Rennes Cedex, France, and Laboratoire d'Electrochimie Moléculaire, CNRS-UMR 7591, Université Paris 7-Denis Diderot, 2 place Jussieu, 75251 Paris Cedex 05, France
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Menif E, Ben Romdhane H, Douira W, Chelaïfa K, Gharbi R, Jouini M, Haouet S, Slim R. [Quid? Papillary and cystic tumor of the pancreas]. J Radiol 2003; 84:161-3. [PMID: 12717291] [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: 03/02/2023]
Affiliation(s)
- E Menif
- Service de Radiologie, Hôpital La Rabta, Tunis, Tunisie.
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