Pub Date : 2022-09-21DOI: 10.36346/sarjs.2022.v03i04.002
Mamaye Kouyate, T. D, K. M, M. Haidara
Introduction: Peritonitis is an acute inflammation of the peritoneum; it is a surgical emergency in children, as in adults. It is still common in underdeveloped countries because of the delay in diagnosis. There are primary and secondary peritonitis. The main symptom is violent and sudden abdominal pain in children. The objectives were to determine the hospital frequency of peritonitis, to describe the clinical and therapeutic aspects, to evaluate the mortality of peritonitis. This was a retrospective study that took place in the pediatric surgery department from January 2019 to December 2021; using patient records. All patients operated for peritonitis from 0 to 15 years old were included in this study. Results: During this study, we performed 650 surgeries, including 23 cases of peritonitis, or 3.53% of the surgeries. The ages were between 4 and 15 years old, the male sex was predominant, i.e. 65.21%: 15 cases. The average consultation time was 7 days. The clinical signs were dominated by abdominal pain in 100% of cases, asthenia and deterioration in general condition. All the patients had benefited from a biological assessment, the widal was positive in 12 cases. Abdominal X-ray without preparation and abdominopelvic ultrasound were performed in all patients. Abdominal X-ray without preparation objectified 6 cases of pneumoperitoneum, water levels in 10 patients. Ultrasound showed 16 cases of appendicular peritonitis, i.e. 69.56%. All patients underwent laparotomy and we found 16 cases of appendicular peritonitis 69.56%, 5 ileal perforations i.e. 21.73%, 1 perforation of the gallbladder i.e. 4.34% and tuberculous peritonitis confirmed by pathology 4.34%. The postoperative course was simple in 65.21%, parietal suppuration was observed in 21.73% of patients. We had recorded 3 cases of death or 13.04%.
{"title":"Study of Generalized Peritonitis in Children at the Hospital Fousseyni Daou of Kayes: Mali","authors":"Mamaye Kouyate, T. D, K. M, M. Haidara","doi":"10.36346/sarjs.2022.v03i04.002","DOIUrl":"https://doi.org/10.36346/sarjs.2022.v03i04.002","url":null,"abstract":"Introduction: Peritonitis is an acute inflammation of the peritoneum; it is a surgical emergency in children, as in adults. It is still common in underdeveloped countries because of the delay in diagnosis. There are primary and secondary peritonitis. The main symptom is violent and sudden abdominal pain in children. The objectives were to determine the hospital frequency of peritonitis, to describe the clinical and therapeutic aspects, to evaluate the mortality of peritonitis. This was a retrospective study that took place in the pediatric surgery department from January 2019 to December 2021; using patient records. All patients operated for peritonitis from 0 to 15 years old were included in this study. Results: During this study, we performed 650 surgeries, including 23 cases of peritonitis, or 3.53% of the surgeries. The ages were between 4 and 15 years old, the male sex was predominant, i.e. 65.21%: 15 cases. The average consultation time was 7 days. The clinical signs were dominated by abdominal pain in 100% of cases, asthenia and deterioration in general condition. All the patients had benefited from a biological assessment, the widal was positive in 12 cases. Abdominal X-ray without preparation and abdominopelvic ultrasound were performed in all patients. Abdominal X-ray without preparation objectified 6 cases of pneumoperitoneum, water levels in 10 patients. Ultrasound showed 16 cases of appendicular peritonitis, i.e. 69.56%. All patients underwent laparotomy and we found 16 cases of appendicular peritonitis 69.56%, 5 ileal perforations i.e. 21.73%, 1 perforation of the gallbladder i.e. 4.34% and tuberculous peritonitis confirmed by pathology 4.34%. The postoperative course was simple in 65.21%, parietal suppuration was observed in 21.73% of patients. We had recorded 3 cases of death or 13.04%.","PeriodicalId":105579,"journal":{"name":"SAR Journal of Surgery","volume":"554 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116238176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-22DOI: 10.36346/sarjs.2022.v03i03.003
C. Emeka, Eze Chikaodili, Anijunsi Livinus Patrick
Background: The surgical removal of the kidney, nephrectomy, is not a minor surgical procedure. It is a major endeavor. Indications for nephrectomy range from benign to malignant pathological conditions. Materials and Methods: This was a retrospective study of children aged 15 years and below who had nephrectomy between January 2016 and December 2020 at the pediatric surgery unit of a teaching hospital in Enugu, Nigeria. The information extracted included the age of the patient at presentation, gender, and predominant presenting symptom and the pathology (indication), duration of symptoms before presentation to the hospital, time interval between presentation and nephrectomy, operative procedure performed complications of treatment, duration of hospital stay and outcome of treatment. Results: Eighteen (18) pediatric nephrectomies were performed during the study period. There were 14 (77.8%) males and 4 (22.2%) females. The mean age of the patients was 6 years with a range of 3 years to 9 years. Nephroblastoma was the most common indication (pathology) for nephrectomy. Nephrectomies were performed more on the left side than on the right. Simple nephrectomy was performed in all the patients. However, children with nephroblastoma had nephroureterectomy. Surgical site infection was the most common post-operative complication. About one-quarter of the patients expired due to tumor metastasis. Conclusion: Nephrectomy is the optimal procedure for neoplasm of the kidney or non-functional kidney. Malignant kidney tumour (nephroblastoma) was the most common indication for nephrectomy in the present study.
{"title":"Nephrectomy in Children: A Single Center Experience","authors":"C. Emeka, Eze Chikaodili, Anijunsi Livinus Patrick","doi":"10.36346/sarjs.2022.v03i03.003","DOIUrl":"https://doi.org/10.36346/sarjs.2022.v03i03.003","url":null,"abstract":"Background: The surgical removal of the kidney, nephrectomy, is not a minor surgical procedure. It is a major endeavor. Indications for nephrectomy range from benign to malignant pathological conditions. Materials and Methods: This was a retrospective study of children aged 15 years and below who had nephrectomy between January 2016 and December 2020 at the pediatric surgery unit of a teaching hospital in Enugu, Nigeria. The information extracted included the age of the patient at presentation, gender, and predominant presenting symptom and the pathology (indication), duration of symptoms before presentation to the hospital, time interval between presentation and nephrectomy, operative procedure performed complications of treatment, duration of hospital stay and outcome of treatment. Results: Eighteen (18) pediatric nephrectomies were performed during the study period. There were 14 (77.8%) males and 4 (22.2%) females. The mean age of the patients was 6 years with a range of 3 years to 9 years. Nephroblastoma was the most common indication (pathology) for nephrectomy. Nephrectomies were performed more on the left side than on the right. Simple nephrectomy was performed in all the patients. However, children with nephroblastoma had nephroureterectomy. Surgical site infection was the most common post-operative complication. About one-quarter of the patients expired due to tumor metastasis. Conclusion: Nephrectomy is the optimal procedure for neoplasm of the kidney or non-functional kidney. Malignant kidney tumour (nephroblastoma) was the most common indication for nephrectomy in the present study.","PeriodicalId":105579,"journal":{"name":"SAR Journal of Surgery","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121437625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-10DOI: 10.36346/sarjs.2022.v03i03.001
Dani Bouchra, Dr. El Messaoudi Lina, Dr. Hamidi Olaya, P. Malik, Pr. Leila Essakalli Hossyni
We report a case of a 20-year-old female. The patient presented since the age of 10 years, left anterior purulent rhinorrhea, fetid and recurrent when antibiotic treatment was stopped. This rhinorrhea was associated with chronic ipsilateral nasal obstruction and cacosmia.
{"title":"A Reminder of a Rare Cause of Nasal Obstruction: Rhinolithiasis","authors":"Dani Bouchra, Dr. El Messaoudi Lina, Dr. Hamidi Olaya, P. Malik, Pr. Leila Essakalli Hossyni","doi":"10.36346/sarjs.2022.v03i03.001","DOIUrl":"https://doi.org/10.36346/sarjs.2022.v03i03.001","url":null,"abstract":"We report a case of a 20-year-old female. The patient presented since the age of 10 years, left anterior purulent rhinorrhea, fetid and recurrent when antibiotic treatment was stopped. This rhinorrhea was associated with chronic ipsilateral nasal obstruction and cacosmia.","PeriodicalId":105579,"journal":{"name":"SAR Journal of Surgery","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124014532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-10DOI: 10.36346/sarjs.2022.v03i03.002
Dani Bouchra, Dr. Oussalem Amine, Dr. Olaya Hamidi, P. Malik
Paranasal sinus osteoma is a rare benign tumor that evolves slowly and can be responsible for ophthalmologic, sinus and endocranial complications. Its treatment, when it is necessary, is only surgical. We report two cases of fronto-ethmoidal osteoma with orbital extension operated in our department, using a para-latero-nasal approach with supra-superciliary extension. Through these cases and in the light of the literature, we will discuss the interest of this approach in the management of ethmoidal fronto-orbital osteomas. Also, we will underline the advantages and inconveniences of other approaches.
{"title":"Fronto-Ethmoidal Osteoma with Orbital Extension: Which Approach?","authors":"Dani Bouchra, Dr. Oussalem Amine, Dr. Olaya Hamidi, P. Malik","doi":"10.36346/sarjs.2022.v03i03.002","DOIUrl":"https://doi.org/10.36346/sarjs.2022.v03i03.002","url":null,"abstract":"Paranasal sinus osteoma is a rare benign tumor that evolves slowly and can be responsible for ophthalmologic, sinus and endocranial complications. Its treatment, when it is necessary, is only surgical. We report two cases of fronto-ethmoidal osteoma with orbital extension operated in our department, using a para-latero-nasal approach with supra-superciliary extension. Through these cases and in the light of the literature, we will discuss the interest of this approach in the management of ethmoidal fronto-orbital osteomas. Also, we will underline the advantages and inconveniences of other approaches.","PeriodicalId":105579,"journal":{"name":"SAR Journal of Surgery","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132373214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-29DOI: 10.36346/sarjs.2022.v03i02.003
H. M. Al-Zaidi, H. Badr, S. Farhan
Background: Computerized tomography scan can show the detailed anatomy of the nose and paranasal sinuses. The sphenoid sinus is a very important corridor for the skull base because of its central position. This sinus has a great range of variation and can put structures around at risk during surgery. This study aims to examine the variation of the sphenoid sinus, and its relation to other structures around it, in this sample of Iraqi patients. Materials and Methods: CT scans of 122 patients, were obtained, and submitted for examination and measurements, during the period between September 2020 and September 2021. Observation of The sphenoid sinus pneumatization pattern, clival extension, Onodi cell, and lateral pneumatization of SS. As well as the SS measurements including the suprasellar depth, presellar depth, subsellar depth and sinus height. Exclusion was made for those with a previous history of sinus surgery and patients with tumours, sinonasal trauma or sinus fungal infection. Results: This study involved CT scans of 122 patients. The postsellar type of pneumatization was seen in 47.6%, sellar type 35.2% and presellar type 17.2%, while we did not see conchal type in this sample. Onodi cell was seen in 27.9%. The optic nerve, maxillary nerve, vidian nerve, and Carotid artery were protruding into the sinus in (35.2%), (14.8%), (46.8%) and (40.2%) respectively. We noticed that the full lateral type of lateral pneumatization is significantly associated with both vidian nerve protrusion and maxillary nerve protrusion; while right and left optic nerve protrusions were significantly associated with the corresponding side lesser wing type of lateral pneumatization, P - Value 0.001. Conclusion: Pneumatization of the sphenoid sinus has a great degree of variation in the population. Each patient has a different pneumatization pattern.
{"title":"Variation of Sphenoid Sinus Pneumatization on CT scan in A Sample of Iraqi Patients","authors":"H. M. Al-Zaidi, H. Badr, S. Farhan","doi":"10.36346/sarjs.2022.v03i02.003","DOIUrl":"https://doi.org/10.36346/sarjs.2022.v03i02.003","url":null,"abstract":"Background: Computerized tomography scan can show the detailed anatomy of the nose and paranasal sinuses. The sphenoid sinus is a very important corridor for the skull base because of its central position. This sinus has a great range of variation and can put structures around at risk during surgery. This study aims to examine the variation of the sphenoid sinus, and its relation to other structures around it, in this sample of Iraqi patients. Materials and Methods: CT scans of 122 patients, were obtained, and submitted for examination and measurements, during the period between September 2020 and September 2021. Observation of The sphenoid sinus pneumatization pattern, clival extension, Onodi cell, and lateral pneumatization of SS. As well as the SS measurements including the suprasellar depth, presellar depth, subsellar depth and sinus height. Exclusion was made for those with a previous history of sinus surgery and patients with tumours, sinonasal trauma or sinus fungal infection. Results: This study involved CT scans of 122 patients. The postsellar type of pneumatization was seen in 47.6%, sellar type 35.2% and presellar type 17.2%, while we did not see conchal type in this sample. Onodi cell was seen in 27.9%. The optic nerve, maxillary nerve, vidian nerve, and Carotid artery were protruding into the sinus in (35.2%), (14.8%), (46.8%) and (40.2%) respectively. We noticed that the full lateral type of lateral pneumatization is significantly associated with both vidian nerve protrusion and maxillary nerve protrusion; while right and left optic nerve protrusions were significantly associated with the corresponding side lesser wing type of lateral pneumatization, P - Value 0.001. Conclusion: Pneumatization of the sphenoid sinus has a great degree of variation in the population. Each patient has a different pneumatization pattern.","PeriodicalId":105579,"journal":{"name":"SAR Journal of Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129515854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-23DOI: 10.36346/sarjs.2022.v03i02.002
Dani Bouchra, P. Malik
We report a case of a 35 year old male, with no history, the patient presents flat angiomas all over the left half of the face since his childhood. 10 years ago the patient noticed the sudden appearance of tuberous angiomas, that were increasing in number. The patient consulted with our department and underwent surgical treatment. The result was extraordinary and the patient was very satisfied.
{"title":"Giant Tuberous Angiomas of the Face in an Adult: A Successful Management","authors":"Dani Bouchra, P. Malik","doi":"10.36346/sarjs.2022.v03i02.002","DOIUrl":"https://doi.org/10.36346/sarjs.2022.v03i02.002","url":null,"abstract":"We report a case of a 35 year old male, with no history, the patient presents flat angiomas all over the left half of the face since his childhood. 10 years ago the patient noticed the sudden appearance of tuberous angiomas, that were increasing in number. The patient consulted with our department and underwent surgical treatment. The result was extraordinary and the patient was very satisfied.","PeriodicalId":105579,"journal":{"name":"SAR Journal of Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131417879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-22DOI: 10.36346/sarjs.2022.v03i02.001
Dani Bouchra, Dr. El Messaoudi Lina, Dr. Alain Francois Habimana, Dr. Sarra Benwadih, P. Malik, Pr. Leila Essakalli Hossyni
Ossifying fibroma is a benign tumor that rarely affects the face bones and exclusively the maxilla. We report two cases of ossifying fibroma of the maxilla treated in our department of maxillofacial surgery and stomatology at IBN SINA university hospital in Rabat. The 1st case is a 38-year-old female, with no particular history, who presented a progressive swelling of the left face since 05 months. Extraoral examination demonstrated a grade I left exophthalmos, without diplopia or limitation of eye movements. Intraoral examination revealed a vestibular expression of the tumor. The 2nd case is also a 45-year-old female, who presented a progressive swelling of the left maxilla which gradually increased in size over a period of 04 months. Intra-orally, the buccal vestibule was completely obliterated with the mass. The two patients presented radiological images of similar density, made of a heterogeneous tissue of the maxillary containing calcifications but with different extension. Surgical excision was performed in both patients and the diagnosis was confirmed by histological study of the resected specimen. The evolution of the ossifying fibroma is insidious; this pathology has a clinical polymorphism and a good prognosis. The etiopathogenesis of this tumor is still unknown, it’s more likely to develop in the mandible and very rare in the maxilla. It differs from other types of fibroma by their clinical, radiological and histological aspects. However, only the pathological examination confirms the diagnosis.
{"title":"Ossifying Fibroma of the Maxilla in Two Cases and Review of the Literature","authors":"Dani Bouchra, Dr. El Messaoudi Lina, Dr. Alain Francois Habimana, Dr. Sarra Benwadih, P. Malik, Pr. Leila Essakalli Hossyni","doi":"10.36346/sarjs.2022.v03i02.001","DOIUrl":"https://doi.org/10.36346/sarjs.2022.v03i02.001","url":null,"abstract":"Ossifying fibroma is a benign tumor that rarely affects the face bones and exclusively the maxilla. We report two cases of ossifying fibroma of the maxilla treated in our department of maxillofacial surgery and stomatology at IBN SINA university hospital in Rabat. The 1st case is a 38-year-old female, with no particular history, who presented a progressive swelling of the left face since 05 months. Extraoral examination demonstrated a grade I left exophthalmos, without diplopia or limitation of eye movements. Intraoral examination revealed a vestibular expression of the tumor. The 2nd case is also a 45-year-old female, who presented a progressive swelling of the left maxilla which gradually increased in size over a period of 04 months. Intra-orally, the buccal vestibule was completely obliterated with the mass. The two patients presented radiological images of similar density, made of a heterogeneous tissue of the maxillary containing calcifications but with different extension. Surgical excision was performed in both patients and the diagnosis was confirmed by histological study of the resected specimen. The evolution of the ossifying fibroma is insidious; this pathology has a clinical polymorphism and a good prognosis. The etiopathogenesis of this tumor is still unknown, it’s more likely to develop in the mandible and very rare in the maxilla. It differs from other types of fibroma by their clinical, radiological and histological aspects. However, only the pathological examination confirms the diagnosis.","PeriodicalId":105579,"journal":{"name":"SAR Journal of Surgery","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126521717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-28DOI: 10.36346/sarjs.2022.v03i01.001
Dr. Bouchra Dani Dr. Bouchra Dani, Dr. Hamidi Olaya Dr. Hamidi Olaya, Dr. Rajaa El Azzouzi Dr. Rajaa El Azzouzi, Dr. Boukhlouf Oumaima Dr. Boukhlouf Oumaima, Pr. Malik Boulaadas Pr. Malik Boulaadas
Dermatofibrosarcoma protuberans (DFSP) is a slowly growing fibrous tumor of the skin with a very high risk of local recurrence, but with low metastatic potential. Its malignant sarcomatous transformation with metastasis is exceptional. We report a rare case, of a 30-year-old patient, who presents dermatofibrosarcoma protuberans in the left supraclavicular region. Through this case we will underline the clinical presentation as well as the management of this benign but aggressive tumor.
{"title":"A Reminder of a Rare Benign but Aggressive Tumor: Dermatofibrosarcoma Protuberans","authors":"Dr. Bouchra Dani Dr. Bouchra Dani, Dr. Hamidi Olaya Dr. Hamidi Olaya, Dr. Rajaa El Azzouzi Dr. Rajaa El Azzouzi, Dr. Boukhlouf Oumaima Dr. Boukhlouf Oumaima, Pr. Malik Boulaadas Pr. Malik Boulaadas","doi":"10.36346/sarjs.2022.v03i01.001","DOIUrl":"https://doi.org/10.36346/sarjs.2022.v03i01.001","url":null,"abstract":"Dermatofibrosarcoma protuberans (DFSP) is a slowly growing fibrous tumor of the skin with a very high risk of local recurrence, but with low metastatic potential. Its malignant sarcomatous transformation with metastasis is exceptional. We report a rare case, of a 30-year-old patient, who presents dermatofibrosarcoma protuberans in the left supraclavicular region. Through this case we will underline the clinical presentation as well as the management of this benign but aggressive tumor.","PeriodicalId":105579,"journal":{"name":"SAR Journal of Surgery","volume":"284 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116100684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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