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The Shrinking Lung Syndrome or Retracted Lung Syndrome During Systemic Lupus Erythematosus: About Two Cases 系统性红斑狼疮期间的缩肺综合征或缩肺综合征:关于两个病例
Pub Date : 2024-05-16 DOI: 10.36347/sjmcr.2024.v12i05.035
M. E. Hassnaoui, H. Loukili, Y. Bouktib, A. E. Hajjami, B. Boutakioute, M. Idrissi, N. C. I. Gannouni
The shrinking lung syndrome represents an uncommon complication associated with systemic autoimmune diseases, primarily systemic lupus ery the matosus, but also Sjögren's syndrome and polymyositis. It is a condition that should be considered in any patient with an autoimmune disease presenting unexplained dyspnea. This syndrome is characterized by reduced lung volumes, elevation of the diaphragm, and restrictive physiology without significant parenchymal involvement. The article emphasizes the crucial role of thoracic CT in the diagnosis of the shrinking lung syndrome. Thoracic CT plays an essential role in identifying characteristic radiological signs such as pulmonary atelectasis and elevation of the diaphragmatic domes. These specific radiological features significantly contribute to confirming the diagnosis by excluding other potential causes of dyspnea, notably pulmonary embolism.
肺萎缩综合征是与系统性自身免疫性疾病(主要是系统性红斑狼疮)相关的一种不常见的并发症,但也与斯约格伦综合征和多发性肌炎有关。任何患有自身免疫性疾病并出现不明原因呼吸困难的患者都应考虑到这种情况。该综合征的特点是肺容量减少、横膈膜抬高和限制性生理学,但没有明显的实质受累。文章强调了胸部 CT 在肺萎缩综合征诊断中的关键作用。胸部 CT 在识别肺不张和膈穹隆隆起等特征性放射学征象方面发挥着至关重要的作用。这些特殊的放射学特征可排除呼吸困难的其他潜在病因,尤其是肺栓塞,从而大大有助于确诊。
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引用次数: 0
Metaphyso-Diaphyseal Chondroblastoma of the Humerus: About Two Cases 肱骨软骨母细胞瘤:关于两个病例
Pub Date : 2024-05-14 DOI: 10.36347/sjmcr.2024.v12i05.023
A. Dinga, N. Allaoui, F. Niyongere, C. Riadi, A. Dendane, A. Amrani, Z. Alami, T. Madhi
Chondroblastoma accounts for less than 2% of all bone tumors, it is a tumor of benign cartilage origin, it is typically located at the level of the epiphysis or process of a long bone. Most often located in the proximal humerus, the distal femur, the proximal tibia, it more rarely affects the tarsal bones or the pelvis. We report 2 cases of young patients (aged 14 years and 15 years) with metaphysodiaphyseal chondroblastoma of the right humerus which was revealed by painful shoulder swelling and joint limitation. Our goal is to discuss the diagnostic difficulties and evolutionary aspects of this rare tumor as well as its treatment.
软骨母细胞瘤在所有骨肿瘤中所占比例不到 2%,是一种良性软骨肿瘤,通常位于长骨的骨骺或骨突处。多发于肱骨近端、股骨远端和胫骨近端,很少累及跗骨或骨盆。我们报告了两例患有右肱骨骺软骨母细胞瘤的年轻患者(年龄分别为 14 岁和 15 岁),他们因肩部肿胀疼痛和关节受限而被发现。我们的目的是讨论这种罕见肿瘤的诊断难点、演变方面以及治疗方法。
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引用次数: 0
Palliative Care at the University Hospital Center Mohammed VI of Marrakech: Activity Report 马拉喀什穆罕默德六世大学医院中心的姑息治疗:活动报告
Pub Date : 2024-05-14 DOI: 10.36347/sjmcr.2024.v12i05.024
Hadraoui Ghita, Iharti Rokkaya, Berkaoui Mohamed, Bounid Oumayma, Igarramen Tarik, S. Berkich, N. Oumghar, M. Darfaoui, A. Omrani, M. Khouchani
Palliative care is an active, continuous, evolving care, coordinated and practiced by a multidisciplinary team. Palliative care is aimed at people suffering from serious, progressive, life-threatening illnesses whose progression to the advanced and terminal stages exceeds current therapeutic resources. This study is an activity report of the palliative care department at the University Hospital Center Mohammed VI, its aim is to prepare the inventory, raise the main constraints and suggestions for management. They are multiple, varied and located at several levels of the supported. They mainly relate to the human and material resources made available to the service and organizational order. These constraints constitute real opportunities for improvement which must call on all those responsible involved or concerned by cancerous pathology in order to to improve service performance.
姑息关怀是一种积极的、持续的、不断发展的关怀,由一个多学科团队协调和实施。姑息关怀的对象是患有严重的、进展性的、危及生命的疾病的患者,他们的病情发展到晚期和临终阶段,超出了现有的治疗资源。这项研究是穆罕默德六世大学医院中心姑息治疗部的一项活动报告,其目的是编制清单,提出主要的制约因素和管理建议。这些制约因素是多方面的、多种多样的,而且分布在支持的多个层面。它们主要与服务和组织秩序可用的人力和物力资源有关。这些制约因素构成了真正的改进机会,必须呼吁所有与癌症病理有关或涉及癌症病理的负责人员加以改进,以提高服务绩效。
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引用次数: 0
Giant Congenital Lobar Emphysema: A Rare Cause of Persistent Respiratory Distress in Neonatal Intensive Care 巨大先天性肺叶气肿:新生儿重症监护中持续呼吸窘迫的罕见原因
Pub Date : 2024-05-14 DOI: 10.36347/sjmcr.2024.v12i05.028
N. Elhamdi, F. Bennaoui, A. Lalaoui, N. Slitine, F. Maoulainine
Congenital lobar emphysema (CLE) is a rare congenital anomaly of the lung causing excessive aeration of one or more lobes of a histologically normal lung. It manifests in the first weeks of life and rarely in the neonatal period, with respiratory distress due to compression atelectasis and often associated with mediastinal displacement. CLE poses a challenge in terms of diagnosis and positive pressure ventilation due to air trapping. We report the case of a newborn presenting with persistent respiratory distress. A thoracic CT scan was performed, confirming the diagnosis of CLE. The definitive diagnosis is provided by histology of the operative specimen, revealing emphysematous lesions. Treatment involves lobectomy after stabilization of respiratory function. Surgical abstention is possible for asymptomatic or paucisymptomatic lesions.
先天性肺叶气肿(CLE)是一种罕见的先天性肺部异常,会导致组织学正常的肺的一个或多个肺叶过度充气。这种病在婴儿出生后的头几周表现出来,在新生儿期很少见,由于压缩性肺不张导致呼吸困难,通常伴有纵隔移位。由于空气潴留,CLE 给诊断和正压通气带来了挑战。我们报告了一例出现持续呼吸困难的新生儿。经过胸部 CT 扫描,确诊为 CLE。手术标本的组织学检查显示存在气肿性病变,为最终诊断提供了依据。治疗包括在呼吸功能稳定后进行肺叶切除术。对于无症状或症状不明显的病变,可以放弃手术治疗。
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引用次数: 0
Acute Intoxication in Pregnant Women: Epidemiology and Management 孕妇急性中毒:流行病学与管理
Pub Date : 2024-05-14 DOI: 10.36347/sjmcr.2024.v12i05.026
Traoré Ibrim, D. Mamadou, Mohamed Lemein Taleb Maouloud, Kébé Fatoumata Binta, Cissé Mohamed Yaya, Fryse François Mve Okoue, M. Idrissi, N. Mamouni, S. Errarhay, C. Bouchikhi, Khalid Ait Tale
Intoxication is a frequent reason for consultation in the emergency department, and may be voluntary, with the aim of self-medication, or accidental. However, intoxication in pregnant women is poorly described in the literature, with the majority of reports concerning case histories. This study analyses the epidemiological data on intoxication in pregnant women in the mother and child intensive care unit, describes the various clinical and toxic aspects, describes the management methods and assesses the maternal-fetal prognosis of intoxication in pregnant women.
中毒是急诊科常见的就诊原因,可能是出于自我治疗的目的而自愿中毒,也可能是意外中毒。然而,文献中对孕妇中毒的描述很少,大多数报告都是病例。本研究分析了母婴重症监护室中孕妇中毒的流行病学数据,描述了各种临床和毒性问题,介绍了处理方法,并评估了孕妇中毒的母胎预后。
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引用次数: 0
(Babcock or Soave Baulieux) Procedure for Coloanal Anastomosis: 03 Cases (Babcock 或 Soave Baulieux)结肠吻合术:03 例
Pub Date : 2024-05-14 DOI: 10.36347/sjmcr.2024.v12i05.025
Mohamed Yaya Cissé, M. Diallo, Thierno Mamadou Foinké Bah, Mohamed Falilou Camara, H. Krimou, Fatoumata Binta Kébé, F. Sakit, Abdelkrim Choho, El Bachir Benjelloun, El Bouhaddouti
The Soave Baulieux procedure is a surgical technique for performing a coloanal anastomosis in cases of pathological colorectal conditions. A coloanal anastomosis is performed through a sleeve of rectal muscularis after a two-stage mucosectomy. In the first stage, the colonic tube is exteriorised through the anal canal, and a few days later a direct coloanal anastomosis is performed in the second stage. This is a salvage operation and its results are not well documented in the literature. This is a study of three (03) consecutive patients, hospitalised and operated on using the Babcock or Soave Baulieux technique at the Department of Visceral Surgery A of the Hassan II University Hospital in Fez, Morocco. The objectives of this study were to evaluate the indications, operative results, postoperative morbidity and mortality, and long-term functional results. Our study concerns three (03) patients with colorectal cancer. In 66.7% of cases, the decision to perform the Soave Baulieux technique was taken preoperatively to avoid other complications related to the low colorectal anastomosis. After the operation, 66.7% of patients had a simple post-operative course and only one patient (33.3%) was re-operated after a complication (necrosis of the anastomosis from the distal segment to the anus). Only one patient had a permanent stoma. Quality of life and functional results were satisfactory in 66.7% of our patients.
Soave Baulieux 手术是一种在病理结肠直肠情况下进行结肠肛门吻合术的外科技术。结肠肛门吻合术是在两阶段粘液切除术后,通过直肠肌肉套管进行的。在第一阶段,结肠管通过肛管外露,几天后在第二阶段直接进行结肠肛门吻合术。这是一种抢救性手术,其结果在文献中没有详细记载。这是一项对摩洛哥非斯哈桑二世大学医院内脏外科 A 部连续三(03)名住院患者进行的研究,患者均采用巴布科克或索阿弗-鲍里埃技术进行了手术。本研究的目的是评估手术适应症、手术效果、术后发病率和死亡率以及长期功能效果。我们的研究涉及三(03)名结直肠癌患者。在 66.7% 的病例中,术前已决定采用 Soave Baulieux 技术,以避免与低位结直肠吻合有关的其他并发症。手术后,66.7% 的患者术后恢复简单,只有一名患者(33.3%)因并发症(从远端到肛门的吻合口坏死)而再次手术。只有一名患者需要永久性造口。66.7%的患者生活质量和功能效果令人满意。
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引用次数: 0
Ewing's Sarcoma of the Scapula in an Infant: About a Case 婴儿肩胛骨尤文氏肉瘤:关于一个病例
Pub Date : 2024-05-13 DOI: 10.36347/sjmcr.2024.v12i05.020
A. Dinga, F. Niyongere, N. Allaoui, A. Dendane, A. Amrani, Alami Alami, T. Madhi
Ewing sarcoma (ES)/primary neuroectodermal tumor (PNET) is the second most common malignant bone tumor of childhood and adolescence. It can occur at central or peripheral sites, at skeletal or extraskeletal sites, and is more common at the femurs, ilium, and tibia. We report a rare case of Ewing's sarcoma of the scapula in a 2-year-old infant diagnosed with pain and swelling of the left shoulder. Histopathological confirmation of Ewing's sarcoma was possible following ultrasound-guided biopsy. Treatment consisted of initial chemotherapy, followed by surgical tumor resection after good initial response, followed by adjuvant therapy. The current post-treatment follow-up is 2 years without incident. This case is reported to highlight the rarity of localization and therapeutic modalities, particularly surgical.
尤文肉瘤(ES)/原发性神经外胚层瘤(PNET)是儿童和青少年时期第二常见的恶性骨肿瘤。它可发生在中央或周围部位,骨骼内或骨骼外部位,股骨、髂骨和胫骨更为常见。我们报告了一例罕见的肩胛骨尤文氏肉瘤病例,患者为一名两岁婴儿,因左肩部疼痛和肿胀而确诊。经超声引导活检后,组织病理学确诊为尤文氏肉瘤。治疗包括初始化疗,在初期反应良好后进行肿瘤手术切除,然后进行辅助治疗。目前,治疗后随访 2 年,未发生任何意外。本病例的报告旨在强调定位和治疗方式的罕见性,尤其是手术治疗。
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引用次数: 0
Simple Lateral Elbow Dislocation: A Case Report 简单的肘关节外侧脱位:病例报告
Pub Date : 2024-05-13 DOI: 10.36347/sjmcr.2024.v12i05.022
Aguenaou Omar, Y. Baidriss, Fekhaoui Mr, Bassir Ra, B. M, Mekaoui J, K. M, Lamrani Mo, Berrada Ms
Elbow dislocations, particularly posterior dislocations, are common injuries, while simple lateral dislocations are rare but can present with significant neurovascular complications, posing challenges to closed reduction. We present a case of a 52-year-old man with a lateral elbow dislocation following a fall, successfully managed with a nonoperative reduction technique and early physiotherapy to prevent joint stiffness. Initial examination revealed characteristic findings, confirmed by radiographs. Closed reduction under sedation was achieved using fluoroscopy guidance, with subsequent stability testing revealing ligamentous injuries. Immobilization and progressive physiotherapy led to satisfactory outcomes, with restored range of motion and resolution of symptoms. Literature review highlights the rarity of lateral elbow dislocations and the importance of prompt intervention and rehabilitation for optimal recovery, emphasizing the need for further understanding and management strategies in such cases.
肘关节脱位,尤其是后脱位,是一种常见的损伤,而单纯的外侧脱位则比较罕见,但会出现严重的神经血管并发症,给闭合复位带来挑战。我们介绍了一例 52 岁男子因摔倒导致肘关节外侧脱位的病例,该患者采用非手术复位技术和早期物理治疗防止关节僵硬,并获得了成功。初步检查发现了特征性结果,并经X光片证实。在透视引导下,患者在镇静状态下完成了闭合复位,随后的稳定性测试显示韧带受伤。固定和渐进式物理治疗取得了令人满意的效果,患者的活动范围得到恢复,症状也得到缓解。文献综述强调了肘关节外侧脱位的罕见性以及及时干预和康复对最佳恢复的重要性,并强调了进一步了解此类病例和管理策略的必要性。
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引用次数: 0
Primary Clear Cell Adenocarcinoma of the Uterine Cervix in a 13-Year-Old Virgin Girl: Case Report and Literature Review 13 岁处女子宫颈原发性透明细胞腺癌:病例报告和文献综述
Pub Date : 2024-05-11 DOI: 10.36347/sjmcr.2024.v12i05.018
Cervical cancer is rare in the pediatric population. In cases of cervical cancer, adeno-carcinoma is predominantly reported. Clear cell adenocarcinoma (CCAC) of the uterine cervix is a very rare tumor and accounts for only 4% of all adenocarcinomas of the uterine cervix. Risk factors and pathogenesis of this disease are not exactly revealed. The intra uterine exposure to diethylstilbestrol (DES) and associated non-steroidal estrogen during pregnancy before 18 weeks is the only known risk factor. This study reports the imaging finding of primary uterine cervical tumor in a 15-year-old girl, who was finally diagnosed with CCAC, with no maternal history of DES exposure in utero.
宫颈癌在儿童中很少见。在宫颈癌病例中,腺癌占绝大多数。子宫颈透明细胞腺癌(CCAC)是一种非常罕见的肿瘤,仅占子宫颈腺癌总数的 4%。这种疾病的风险因素和发病机制尚未完全揭示。唯一已知的危险因素是怀孕 18 周前子宫内暴露于己烯雌酚(DES)和相关的非类固醇雌激素。本研究报告了一名 15 岁女孩的原发性子宫颈肿瘤影像学检查结果,该女孩最终被确诊为 CCAC,其母体在子宫内无 DES 暴露史。
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引用次数: 0
Intracranial Aneurysm Revealing a Primary Open-Angle Glaucoma in Progression: A Case Report from the Albert ROYER National Children's Hospital 颅内动脉瘤揭示原发性开角型青光眼进展期:阿尔伯特-罗伊尔国立儿童医院的病例报告
Pub Date : 2024-05-11 DOI: 10.36347/sjmcr.2024.v12i05.013
Aloumba Gilius Bertla Primael, Mitéwu Mbombo Bijou, Kane Habsa, Katendé Thierry, BA El Hadj, Diatéwa Bénédicte Marèbe, Elongo Tania Josalhène
Glaucoma is the world's second leading cause of blindness. Steadily increasing, the population of those affected is estimated to reach 76 million; its aggravating factors are well known. Being able to be isolated or associated with other pathologies, the discovery of an intracranial aneurysm would not be impossible.
青光眼是全球第二大致盲眼病。受青光眼影响的人口持续增加,估计已达 7 600 万;其致病因素众所周知。颅内动脉瘤可能是孤立的,也可能与其他病症有关,因此发现颅内动脉瘤并非不可能。
{"title":"Intracranial Aneurysm Revealing a Primary Open-Angle Glaucoma in Progression: A Case Report from the Albert ROYER National Children's Hospital","authors":"Aloumba Gilius Bertla Primael, Mitéwu Mbombo Bijou, Kane Habsa, Katendé Thierry, BA El Hadj, Diatéwa Bénédicte Marèbe, Elongo Tania Josalhène","doi":"10.36347/sjmcr.2024.v12i05.013","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.013","url":null,"abstract":"Glaucoma is the world's second leading cause of blindness. Steadily increasing, the population of those affected is estimated to reach 76 million; its aggravating factors are well known. Being able to be isolated or associated with other pathologies, the discovery of an intracranial aneurysm would not be impossible.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":" 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141128726","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}
引用次数: 0
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Scholars Journal of Medical Case Reports
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