1
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Kouhen F, Mjabbar R, Alami R, El Gouach H, Cherkaoui Jaouad MR, Benslima N, Mahdi Y, El Khannoussi B, Fliyou F, Errafiy N, El Azhari A, Ismaili N. Unusual location of myxopapillary ependymoma in the sacrum: Case report and review of the literature. Radiol Case Rep 2024; 19:1489-1495. [PMID: 38312753 PMCID: PMC10835126 DOI: 10.1016/j.radcr.2023.12.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Revised: 11/30/2023] [Accepted: 12/06/2023] [Indexed: 02/06/2024] Open
Abstract
Myxopapillary ependymoma, a rare variant of ependymoma, commonly occurs in the conus medullaris or filum terminale. The rarity of these tumors can make their diagnosis and treatment challenging. This case report presents an atypical occurrence of myxopapillary ependymoma within the sacrum in a 68-year-old patient presented with a 3-month history of persistent left-sided low back pain radiating to the legs and fecal dysfunction. The patient underwent a sacral laminectomy and subtotal excision of the tumor, followed by adjuvant radiotherapy with favorable outcomes. This report highlights the significance of tailored approaches for unconventional tumor locations emphasizes the potential benefits of multimodal treatment strategies and provides insights from a comprehensive literature review on similar cases.
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Affiliation(s)
- Fadila Kouhen
- Radiotherapy Department, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS). Casablanca, Morocco
- Laboratory of Neurosciences and Oncogenetics, Neurooncology and Oncogenetic Team, Mohammed VI Center for Research & Innovation
| | - Reyzanne Mjabbar
- Radiotherapy Department, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS). Casablanca, Morocco
| | - Rim Alami
- Radiotherapy Department, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS). Casablanca, Morocco
| | - Hanae El Gouach
- Radiotherapy Department, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS). Casablanca, Morocco
- Laboratory of Neurosciences and Oncogenetics, Neurooncology and Oncogenetic Team, Mohammed VI Center for Research & Innovation
| | - Mohammed Reda Cherkaoui Jaouad
- Radiology Department, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
| | - Najwa Benslima
- Radiology Department, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
| | - Youssef Mahdi
- Pathology Department, National Institute of Oncology, Rabat, Morocco
| | | | - Fadwa Fliyou
- Neurosurgical Department, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
| | - Nadia Errafiy
- Laboratory of Neurosciences and Oncogenetics, Neurosciences and Cellular Physiology Team, Mohammed VI Center for Research & Innovation
| | - Abdessamad El Azhari
- Neurosurgical Department, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
| | - Nabil Ismaili
- Oncology Department, Cheikh Khalifa International University Hospital, Mohammed VI University of Sciences and Health (UM6SS), Casablanca, Morocco
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2
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Abdillahi Mahamoud C, Egueh Nour A, Bouknani N, Benslima N, Rami A. Diagnostic Challenges in Adult Intestinal Malrotation: A Case Report and Literature Review. Cureus 2024; 16:e52281. [PMID: 38357051 PMCID: PMC10865069 DOI: 10.7759/cureus.52281] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/14/2024] [Indexed: 02/16/2024] Open
Abstract
Adult intestinal malrotation is a rare anatomical anomaly that typically manifests during infancy but can also present in adulthood. Symptoms are mainly digestive, with a long history of intermittent abdominal pain and epigastralgia. It often presents a diagnostic challenge due to the varied and nonspecific nature of clinical symptoms. Radiological evaluations reveal diverse patterns of malrotation, including incomplete rotation, mesenteric base abnormalities, and associated malformations. Computed tomography (CT) scans consistently identify characteristic anatomical distortions, aiding in accurate diagnosis. In this context, we present a unique case in which contrast-enhanced CT of the abdomen, initially conducted to investigate a suspected episode of acute pancreatitis accompanied by epigastralgia, fortuitously revealed the presence of intestinal malrotation. Once the diagnosis has been made, the therapeutic approach is based on monitoring or managing complications such as intestinal obstruction. Early recognition and accurate radiological assessment of intestinal malrotation play an essential role in establishing the diagnosis and guiding appropriate management strategies. Increased awareness among clinicians and radiologists is essential to avoid delays in diagnosis and the potential complications associated with this entity.
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Affiliation(s)
- Chirwa Abdillahi Mahamoud
- Department of Radiology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences, Casablanca, MAR
| | - Abdoulrazak Egueh Nour
- Department of Radiology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences, Casablanca, MAR
| | - Nawal Bouknani
- Department of Radiology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences, Casablanca, MAR
| | - Najwa Benslima
- Department of Radiology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences, Casablanca, MAR
| | - Amal Rami
- Department of Radiology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences, Casablanca, MAR
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3
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Benslima N, Mniai EM, Kassimi M, Mahi M. Hallucal sesamoiditis on a bipartite sesamoid bone: An uncommon cause of chronic great toe pain. Radiol Case Rep 2023; 18:3357-3360. [PMID: 37502136 PMCID: PMC10371764 DOI: 10.1016/j.radcr.2023.05.045] [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: 04/17/2023] [Revised: 05/11/2023] [Accepted: 05/15/2023] [Indexed: 07/29/2023] Open
Abstract
The pathologies and lesions affecting the sesamoid bones of the hallux are uncommon and can be easily overlooked. Among them, sesamoiditis is a relatively rare condition known to cause severe great toe pain; lack of awareness of this particular entity leads to misdiagnosis, delayed treatment, and contributes to significant morbidity. Herein, we present a chronic sesamoiditis case occurring on a medial bipartite sesamoid bone, presenting as chronic great toe pain. The main purpose of this work is to discuss the role of magnetic resonance imaging and X-rays in the diagnosis process. To the best of our knowledge, no cases of great toe sesamoiditis occurring on a bipartite bone in no-athletic patients have yet been reported.
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Muacevic A, Adler JR, Coulibaly K, Benslima N, Youssefi H. Acute Myeloid Leukemia Revealed by a Palatal Necrosis: A Rare Case Report. Cureus 2022; 14:e32350. [PMID: 36628024 PMCID: PMC9826629 DOI: 10.7759/cureus.32350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/09/2022] [Indexed: 12/14/2022] Open
Abstract
Acute myeloid leukemia (AML) is an aggressive hematological malignancy due to genetic alterations characterized by an overproduction of neoplastic clonal myeloid stem cells in both the bone marrow and peripheral blood. We report a case of a 43-year-old man referred to the department of hematology with a three-week history of palatal pain and weakness. The physical examination revealed an ecchymosis on the left hard palatal mucosa and necrosis. The maxillofacial computerized tomography (CT) scan revealed large osteolysis of the left maxillary bone and a fistulated soft palate. The lesion's biopsy showed an acute polymorphic inflammation with no sign of malignancy. Laboratory findings revealed anemia, thrombocytopenia, elevated lactic dehydrogenase, and elevated serum ferritin. The diagnosis was subsequently confirmed by a peripheral-blood smear revealing 60% of circulating blasts and bone marrow aspiration with 80% of blast infiltration. The latter was further classified through cytogenetic studies as an AML with deletion of chromosome 7q. This case report aims to highlight the need for clinicians to be aware of palatal necrosis as an initial manifestation of the disease and to emphasize the role of multidisciplinary collaboration between dental surgeons, oral and maxillofacial surgeons, and hematologists for early detection and treatment.
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5
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Delsa H, Benslima N, Rahmouni I, Cherouaqi Y, Benfaida A, Maane LA, Jaouad MRC, Belabbes F, Nadi A, Rouibaa F. [Angiocholitis on hepatic hydatid cyst fistulised in the main bile duct: two case reports]. Pan Afr Med J 2022; 42:62. [PMID: 35949481 PMCID: PMC9338722 DOI: 10.11604/pamj.2022.42.62.30130] [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: 06/02/2021] [Accepted: 05/02/2022] [Indexed: 11/11/2022] Open
Abstract
Hydatid cyst is a zoonosis that frequently affects the liver, which is endemic in several countries such as Morocco. The hepatic hydatidosis can be complicated by angiocholitis, currently, the treatment of choice is endoscopic retrograde cholangio-pancreatography with sphincterotomy. We report two clinical cases of angiocholitis on hepatic hydatid cyst fistulised in the main bile duct which were treated endoscopically with a favourable outcome. Early diagnosis and adequate management can improve the prognosis of these patients.
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Affiliation(s)
- Hanane Delsa
- Service de Gastroentérologie, Hôpital Cheikh Khalifa, Casablanca, Maroc.,Faculté de Médecine, Université Mohammed VI des Sciences de la Santé (UM6SS), Casablanca, Maroc
| | - Najwa Benslima
- Faculté de Médecine, Université Mohammed VI des Sciences de la Santé (UM6SS), Casablanca, Maroc.,Service de Radiologie, Hôpital Cheikh Khalifa, Casablanca, Maroc
| | - Imane Rahmouni
- Service de Gastroentérologie, Hôpital Cheikh Khalifa, Casablanca, Maroc.,Faculté de Médecine, Université Mohammed VI des Sciences de la Santé (UM6SS), Casablanca, Maroc
| | - Yasmine Cherouaqi
- Service de Gastroentérologie, Hôpital Cheikh Khalifa, Casablanca, Maroc.,Faculté de Médecine, Université Mohammed VI des Sciences de la Santé (UM6SS), Casablanca, Maroc
| | - Amine Benfaida
- Service de Gastroentérologie, Hôpital Cheikh Khalifa, Casablanca, Maroc.,Faculté de Médecine, Université Mohammed VI des Sciences de la Santé (UM6SS), Casablanca, Maroc
| | - Leila Abdallaoui Maane
- Service de Gastroentérologie, Hôpital Cheikh Khalifa, Casablanca, Maroc.,Faculté de Médecine, Université Mohammed VI des Sciences de la Santé (UM6SS), Casablanca, Maroc
| | - Mohamed Reda Cherkaoui Jaouad
- Service de Gastroentérologie, Hôpital Cheikh Khalifa, Casablanca, Maroc.,Faculté de Médecine, Université Mohammed VI des Sciences de la Santé (UM6SS), Casablanca, Maroc
| | - Fatima Belabbes
- Service de Gastroentérologie, Hôpital Cheikh Khalifa, Casablanca, Maroc.,Faculté de Médecine, Université Mohammed VI des Sciences de la Santé (UM6SS), Casablanca, Maroc
| | - Anass Nadi
- Service de Gastroentérologie, Hôpital Cheikh Khalifa, Casablanca, Maroc.,Faculté de Médecine, Université Mohammed VI des Sciences de la Santé (UM6SS), Casablanca, Maroc
| | - Fedoua Rouibaa
- Service de Gastroentérologie, Hôpital Cheikh Khalifa, Casablanca, Maroc.,Faculté de Médecine, Université Mohammed VI des Sciences de la Santé (UM6SS), Casablanca, Maroc
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6
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Delsa H, Mounsif S, Benslima N, Mahi M, Rouibaa F. Cataclysmic Gastrointestinal Hemorrhage: Dreaded Complication of Metastatic Breast Cancer. Cureus 2022; 14:e25149. [PMID: 35733494 PMCID: PMC9205458 DOI: 10.7759/cureus.25149] [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] [Accepted: 05/18/2022] [Indexed: 11/05/2022] Open
Abstract
Upper gastrointestinal bleeding (UGIB) from variceal rupture is a serious condition that can be life-threatening in some cases. Usually, the main cause is portal hypertension in cirrhosis, but other etiologies like liver metastases can be also involved. We present the case of a 64-year-old woman, with a history of metastatic breast cancer, who was admitted for a massive UGIB due to ruptured esophageal varices related to portal hypertension.
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Affiliation(s)
- Hanane Delsa
- Gastroenterology and Hepatology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR
| | - Sara Mounsif
- Gastroenterology and Hepatology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR
| | - Najwa Benslima
- Radiology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR
| | - Mohamed Mahi
- Radiology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR
| | - Fedoua Rouibaa
- Gastroenterology and Hepatology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR
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7
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Belabbes F, Afandi O, Benslima N, Habi J, Monsif S, Faquir N, El Ochi MR, Allaoui M, Al Bouzidi A, Rouibaa F. Mediastinal bronchogenic cyst revealed by acute epigastralgia: a case report. PAMJ-CM 2022. [DOI: 10.11604/pamj-cm.2022.9.31.29102] [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: 11/11/2022] Open
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8
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El Harras M, El Ouarradi A, Abdeladim S, Bensahi I, Oualim S, Merzouk F, Benslima N, El Malki H, Makani S, Houssa MA, Kettani C, Sabry M. Co-existence of severe coarctation of the aorta and aortic valve stenosis in adulthood: a case report. Pan Afr Med J 2021; 39:46. [PMID: 34422169 PMCID: PMC8356934 DOI: 10.11604/pamj.2021.39.46.27782] [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: 01/10/2021] [Accepted: 05/10/2021] [Indexed: 11/11/2022] Open
Abstract
Aortic coarctation is a congenital heart disease that usually presents and is treated in the childhood. The aortic coarctation is often associated with concomitant cardiac pathologies, such as aortic stenosis and bicuspid aortic valve. We report the case of a 56-year-old man, admitted in our cardiologic unit, for sudden onset of chest pain, dyspnea and syncope. Aortic coarctation with aortic valve stenosis was diagnosed. The aortic valve was successfully replaced in the first stage; the coarctation had to be treated in a second time.
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Affiliation(s)
- Mahassine El Harras
- Department of Cardiology, Mohammed VI University of Health Sciences Cheikh Khalifa Hospital, Casablanca, Morocco
| | - Amal El Ouarradi
- Department of Cardiology, Mohammed VI University of Health Sciences Cheikh Khalifa Hospital, Casablanca, Morocco
| | - Salma Abdeladim
- Department of Cardiology, Mohammed VI University of Health Sciences Cheikh Khalifa Hospital, Casablanca, Morocco
| | - Ilham Bensahi
- Department of Cardiology, Mohammed VI University of Health Sciences Cheikh Khalifa Hospital, Casablanca, Morocco
| | - Sara Oualim
- Department of Cardiology, Mohammed VI University of Health Sciences Cheikh Khalifa Hospital, Casablanca, Morocco
| | - Fatimazahra Merzouk
- Department of Cardiology, Mohammed VI University of Health Sciences Cheikh Khalifa Hospital, Casablanca, Morocco
| | - Najwa Benslima
- Department of Radiology and Medical Imaging, Mohammed VI University of Health Sciences Cheikh Khalifa Hospital, Casablanca, Morocco
| | - Hicham El Malki
- Department of Cardiovascular Surgery, Mohammed First University, Faculty of Medicine and Pharmacy, Oujda, Morocco
| | - Said Makani
- Department of Cardiovascular Surgery, Mohammed VI University of Health Sciences Cheick Khalifa Hospital, Casablanca, Morocco
| | - Mahdi Ait Houssa
- Department of Cardiovascular Surgery, Mohammed VI University of Health Sciences Cheick Khalifa Hospital, Casablanca, Morocco
| | - Chafik Kettani
- Department of Cardiovascular Surgery, Mohammed VI University of Health Sciences Cheick Khalifa Hospital, Casablanca, Morocco
| | - Mohamed Sabry
- Department of Cardiology, Mohammed VI University of Health Sciences Cheikh Khalifa Hospital, Casablanca, Morocco
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El Jaddaoui I, Allali M, Raoui S, Sehli S, Habib N, Chaouni B, Al Idrissi N, Benslima N, Maher W, Benrahma H, Hamamouch N, El Bissati K, El Kasmi S, Hamdi S, Bakri Y, Nejjari C, Amzazi S, Ghazal H. A review on current diagnostic techniques for COVID-19. Expert Rev Mol Diagn 2021; 21:141-160. [PMID: 33593219 DOI: 10.1080/14737159.2021.1886927] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
INTRODUCTION SARS-Cov-2 first appeared in Wuhan, China, in December 2019 and spread all over the world soon after that. Given the infectious nature ofSARS-CoV-2, fast and accurate diagnosis tools are important to detect the virus. In this review, we discuss the different diagnostic tests that are currently being implemented in laboratories and provide a description of various COVID-19 kits. AREAS COVERED We summarize molecular techniques that target the viral load, serological methods used for SARS-CoV-2 specific antibodies detection as well as newly developed faster assays for the detection of SARS-COV 2 in various biological samples. EXPERT OPINION In the light of the widespread pandemic, the massive diagnosis of COVID-19, using various detection techniques, appears to be the most effective strategy for monitoring and containing its propagation.
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Affiliation(s)
- Islam El Jaddaoui
- Laboratory of Human Pathologies Biology, Department of Biology, Faculty of Sciences, and Genomic Center of Human Pathologies, Faculty of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco
| | - Malika Allali
- Laboratory of Human Pathologies Biology, Department of Biology, Faculty of Sciences, and Genomic Center of Human Pathologies, Faculty of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco.,Environmental Health Laboratory, Department of Research, Institut Pasteur Maroc, Casablanca, Morocco
| | - Sanae Raoui
- Laboratory of Human Pathologies Biology, Department of Biology, Faculty of Sciences, and Genomic Center of Human Pathologies, Faculty of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco
| | - Sofia Sehli
- Department of Fundamental Sciences, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco
| | - Nihal Habib
- Department of Fundamental Sciences, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco
| | - Bouchra Chaouni
- , Laboratory of Biotechnology and Plant Physiology, Center of Plant and Microbial Biotechnology, Biodiversity and Environment, Department of Biology, Faculty of Sciences, University Mohammed V, Rabat, Morocco
| | - Najib Al Idrissi
- , Department of Surgery, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco
| | - Najwa Benslima
- Department of Radiology, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco
| | - Wissal Maher
- Research Center, Abulcasis University of Health Sciences, Rabat, Morocco
| | - Houda Benrahma
- Department of Fundamental Sciences, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco
| | - Noureddine Hamamouch
- , Laboratory of Biotechnology and Plant Physiology, Center of Plant and Microbial Biotechnology, Biodiversity and Environment, Department of Biology, Faculty of Sciences, University Mohammed V, Rabat, Morocco
| | - Kamal El Bissati
- Coalition Center for Innovation and Prevention of Epidemies in Morocco (CIPEM), Mohammed VI Polytechnical University (UM6P), Ben Guerir, Morocco
| | - Sahar El Kasmi
- Faculty of Scineces, University Mohammed V, Rabat, Morocco
| | - Salsabil Hamdi
- Environmental Health Laboratory, Department of Research, Institut Pasteur Maroc, Casablanca, Morocco
| | - Youssef Bakri
- Laboratory of Human Pathologies Biology, Department of Biology, Faculty of Sciences, and Genomic Center of Human Pathologies, Faculty of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco
| | - Chakib Nejjari
- Department of Epidemiology and Biostatistics, International School of Public Health, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.,Department of Epidemiology and Public Health, Faculty of Medicine, University Sidi Mohammed Ben Abdellah, Fez, Morocco
| | - Saaïd Amzazi
- Laboratory of Human Pathologies Biology, Department of Biology, Faculty of Sciences, and Genomic Center of Human Pathologies, Faculty of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco
| | - Hassan Ghazal
- Department of Fundamental Sciences, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.,Scientific Department, National Center for Scientific and Technical Research (CNRST),Rabat, Morocco
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Benslima N, Khamlichi AE, Jiddane M, Hassani MRE, Dafiri R. Pseudo-anévrisme de l’artère utérine : cause atypique de métrorragies. Imagerie de la Femme 2017. [DOI: 10.1016/j.femme.2016.10.002] [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: 11/15/2022]
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