Hemangiomas are benign lesions that occur in any part of the body in newborns or in young patients, they are typically capillary or cavernous. Cavernous hemangioma of the penis is extremely rare; and its etiology is not completely understood. Treatment options (surgical excision, laser therapy or sclerotherapy…) are controversial and are required if pain, cosmetic defect and/or bleeding during intercourse. We report a case of a 26 years old man presented with a five years history of a painless lesion on his penis. Physical examination showed an ovoid, solid, 1 x 2 mm in size on the dorsum of penis (Panel A) and two elevated irregular lesions on the ventral side (Panel B). The lesions were compressive, nonpulsatile and bluish-red in color with strawberry like appearance. Biopsy and histopathological examination of the lesion revealed a gaping and communicating vessels proliferated in the superficial and medium dermis which is pathognomonic for cavernous hemangioma (Panel C and D). Given the small size, the large number of the lesions, the young age, and the ulceration risk during intercourse if skin graft after excision, Neodymium: YAG laser coagulation was recommended to get a good cosmetic results and sexual function satisfaction.
{"title":"Penile cavernous hemangioma","authors":"A. Echchaoui, H. Zaouri","doi":"10.15342/IJMS.V0I0.60","DOIUrl":"https://doi.org/10.15342/IJMS.V0I0.60","url":null,"abstract":"Hemangiomas are benign lesions that occur in any part of the body in newborns or in young patients, they are typically capillary or cavernous. Cavernous hemangioma of the penis is extremely rare; and its etiology is not completely understood. Treatment options (surgical excision, laser therapy or sclerotherapy…) are controversial and are required if pain, cosmetic defect and/or bleeding during intercourse. We report a case of a 26 years old man presented with a five years history of a painless lesion on his penis. Physical examination showed an ovoid, solid, 1 x 2 mm in size on the dorsum of penis (Panel A) and two elevated irregular lesions on the ventral side (Panel B). The lesions were compressive, nonpulsatile and bluish-red in color with strawberry like appearance. Biopsy and histopathological examination of the lesion revealed a gaping and communicating vessels proliferated in the superficial and medium dermis which is pathognomonic for cavernous hemangioma (Panel C and D). Given the small size, the large number of the lesions, the young age, and the ulceration risk during intercourse if skin graft after excision, Neodymium: YAG laser coagulation was recommended to get a good cosmetic results and sexual function satisfaction.","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116810583","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}
Dr Alami Fadoua, Imane Imdary, Pr Abdellah EL Hassan, Pr Moulay Cherif, Chefchaouni, Pr Amina Berraho
Introduction: Malignant tumors in children are rare but serious conditions as they can impair function and survival. Tumors in pediatric patients can originate from the orbit. Rarely, the tumor spreads to the adjacent areas and occasionally it may metastasize. Objectives: The objective of this study is to present the common symptoms and the clinical and radiological characteristics of most common malignant orbital tumors in children. Materials and methods : Through the discussion of 4 clinical cases of children presenting with exophthalmos due to a tumor, the authors highlight that clinical symptoms are usually less specific, and that imaging has an important role in diagnosis, determining location, and local and regional expansion of the tumor in order to find the adequate therapy. Results: Our patients' ages ranged from 2 to 5 years. The revealing sign in each case was a unilateral exophthalmos due to a tumor, which could only be reduced minimally or not at all. Its evolution has been rapidly progressive. Orbital imaging and histologic study, if biopsy was possible, allowed guiding the positive diagnosis of the malignant nature and its local and regional spreading, as well as the adequate treatment. Conclusion: Orbital tumors are rare in the pediatric population. However, due to recent remarkable progress obtained through both complimentary diagnostic tools and treatments, these malignancies deserve the attention of both the ophthalmologists and the pediatricians.
{"title":"Malignant Orbital Tumors in Children A Series of 4 Cases.","authors":"Dr Alami Fadoua, Imane Imdary, Pr Abdellah EL Hassan, Pr Moulay Cherif, Chefchaouni, Pr Amina Berraho","doi":"10.15342/IJMS.V1I2.6","DOIUrl":"https://doi.org/10.15342/IJMS.V1I2.6","url":null,"abstract":"Introduction: Malignant tumors in children are rare but serious conditions as they can impair function and survival. Tumors in pediatric patients can originate from the orbit. Rarely, the tumor spreads to the adjacent areas and occasionally it may metastasize. Objectives: The objective of this study is to present the common symptoms and the clinical and radiological characteristics of most common malignant orbital tumors in children. Materials and methods : Through the discussion of 4 clinical cases of children presenting with exophthalmos due to a tumor, the authors highlight that clinical symptoms are usually less specific, and that imaging has an important role in diagnosis, determining location, and local and regional expansion of the tumor in order to find the adequate therapy. Results: Our patients' ages ranged from 2 to 5 years. The revealing sign in each case was a unilateral exophthalmos due to a tumor, which could only be reduced minimally or not at all. Its evolution has been rapidly progressive. Orbital imaging and histologic study, if biopsy was possible, allowed guiding the positive diagnosis of the malignant nature and its local and regional spreading, as well as the adequate treatment. Conclusion: Orbital tumors are rare in the pediatric population. However, due to recent remarkable progress obtained through both complimentary diagnostic tools and treatments, these malignancies deserve the attention of both the ophthalmologists and the pediatricians.","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131203955","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}
H. Boussakri, A. Elibrahimi, I. Alassaf, M. Bachiri, A. Elayoubi, A. Elmrini
Terrible triad is a severe traumatic injury of the elbow. We report a new variety of this clinical entity originating from a rare combination of injuries, namely the fracture-dislocation of the right elbow. The symptoms are acute ischemia of the hand with neurological damage following a sport accident suffered by a professional rugby player. We treated him surgically after immediate reduction of the dislocation. The short-term monitoring was clinical, while in the medium-term it was radiological and electrophysiological. On the whole, our (clinical, electrophysiological and radiological) results obtained initially, and medium-term during the last consultation, were satisfactory. The objective of this study is to draw attention to this clinical and radiological variety, as well as to its neurovascular complications and to discuss its therapeutic treatment. During the vascular and neurologic exam we should pay attention to and systematically look for neurovascular complications when treating a similar clinical case.
{"title":"The false equivalent of terrible triad of elbow combined with neurovascular damage in a rugby player - A new case report.","authors":"H. Boussakri, A. Elibrahimi, I. Alassaf, M. Bachiri, A. Elayoubi, A. Elmrini","doi":"10.15342/IJMS.V1I2.47","DOIUrl":"https://doi.org/10.15342/IJMS.V1I2.47","url":null,"abstract":"Terrible triad is a severe traumatic injury of the elbow. We report a new variety of this clinical entity originating from a rare combination of injuries, namely the fracture-dislocation of the right elbow. The symptoms are acute ischemia of the hand with neurological damage following a sport accident suffered by a professional rugby player. We treated him surgically after immediate reduction of the dislocation. The short-term monitoring was clinical, while in the medium-term it was radiological and electrophysiological. On the whole, our (clinical, electrophysiological and radiological) results obtained initially, and medium-term during the last consultation, were satisfactory. The objective of this study is to draw attention to this clinical and radiological variety, as well as to its neurovascular complications and to discuss its therapeutic treatment. During the vascular and neurologic exam we should pay attention to and systematically look for neurovascular complications when treating a similar clinical case.","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116030365","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}
A. Echchaoui, Malika Benyachou, J. Hafidi, Imane Elaissaoui, H. Zaouri, S. Elmazouz, N. Gharib, A. Abbassi
Introduction The topical negative pressure therapy (TNP) is a non-invasive method to treat chronic and acute wounds locally, using a continuous or intermittent negative pressure. The objective of this study is to present the first experience of this type of treatment used in clinical cases in our department. By presenting these cases, we highlight indication and efficiency of this new technique applied in relatively complicated situations, at the same time it also allows a significant improvement in treating injuries and chronic wounds. Materials and methods In this study, we present the recent experience of the Department of Reconstructive and Plastic Surgery of the University Hospital Center of Avicenne in Rabat. This therapy was used for the first time this year (in 2014), in three young patients who presented with chronic wounds associated with local and general factors that are unfavorable for the healing process. Results In all three of our cases we obtained highly satisfactory clinical results. TNP allows wounds to bud in a shorter time, as well as a fast healing by second intention due to controlled wound healing or split-skin graft without using flaps. This enables to decrease the margin of error, the time and the number of dressing replacements, and to reduce the length of hospital stay. Conclusion This is an expensive and specific equipment. However, the cost-benefit ratio analysis shows that it is an essential method that should be part of our therapeutic strategies. Keywords : loss of substance, negative pressure, budding, healing.
{"title":"Topical negative pressure therapy Recent experience of the department of plastic surgery at Ibn Sina University Hospital, Rabat, Morocco","authors":"A. Echchaoui, Malika Benyachou, J. Hafidi, Imane Elaissaoui, H. Zaouri, S. Elmazouz, N. Gharib, A. Abbassi","doi":"10.15342/IJMS.V1I2.42","DOIUrl":"https://doi.org/10.15342/IJMS.V1I2.42","url":null,"abstract":"Introduction The topical negative pressure therapy (TNP) is a non-invasive method to treat chronic and acute wounds locally, using a continuous or intermittent negative pressure. The objective of this study is to present the first experience of this type of treatment used in clinical cases in our department. By presenting these cases, we highlight indication and efficiency of this new technique applied in relatively complicated situations, at the same time it also allows a significant improvement in treating injuries and chronic wounds. Materials and methods In this study, we present the recent experience of the Department of Reconstructive and Plastic Surgery of the University Hospital Center of Avicenne in Rabat. This therapy was used for the first time this year (in 2014), in three young patients who presented with chronic wounds associated with local and general factors that are unfavorable for the healing process. Results In all three of our cases we obtained highly satisfactory clinical results. TNP allows wounds to bud in a shorter time, as well as a fast healing by second intention due to controlled wound healing or split-skin graft without using flaps. This enables to decrease the margin of error, the time and the number of dressing replacements, and to reduce the length of hospital stay. Conclusion This is an expensive and specific equipment. However, the cost-benefit ratio analysis shows that it is an essential method that should be part of our therapeutic strategies. Keywords : loss of substance, negative pressure, budding, healing.","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"227 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133511393","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}
EXTRACT: During the Golden Age of Arabic-Islamic science (8th to 13th centuries C.E.), and due to the Islamic extension in the world, where a large part of the earth, from southern Europe throughout North Africa to Central Asia and on to India, was controlled by and/or influenced by the new Arabic-Muslim Empire, the Arabic science translations from Greek, Latin, and Chinese into Arabic were necessary, which made Arabic as the only language of science in Africa, Asia, and Europe during that age. Between the 15th and 17th centuries, Latin took this strategic role, ...
{"title":"English as a Lingua Franca of Science in Morocco","authors":"K. Bouti, Rajae Borki","doi":"10.15342/IJMS.V1I2.58","DOIUrl":"https://doi.org/10.15342/IJMS.V1I2.58","url":null,"abstract":"EXTRACT: During the Golden Age of Arabic-Islamic science (8th to 13th centuries C.E.), and due to the Islamic extension in the world, where a large part of the earth, from southern Europe throughout North Africa to Central Asia and on to India, was controlled by and/or influenced by the new Arabic-Muslim Empire, the Arabic science translations from Greek, Latin, and Chinese into Arabic were necessary, which made Arabic as the only language of science in Africa, Asia, and Europe during that age. Between the 15th and 17th centuries, Latin took this strategic role, ...","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128524421","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}
Rajae Borki, A. Elayoubi, R. Bencheikh, A. Oujilal, A. Benbouzid, L. Essakalli
Introduction: Cervical lymph node involvement has a major impact on prognosis and treatment decisions in patients with upper aerodigestive tract (UADT) cancer. Objective: The aim of this study was to assess the incidence and pattern of cervical lymph node (LN) metastases in cancers of the upper aerodigestive tract Methods: This prospective study was conducted by the Department of ENT and Maxillofacial Surgery at Specialities University Hospital of Rabat, collecting data between October 2009 and December 2011. Lymph nodes were counted, clinically and radiologically localized, excised, then studied histologically. Results: During this period, 106 patients have been treated surgically with a recent diagnosis of UADT cancer. The average age of our patients was 55±13.3 years, while male/female ratio was 3.5 to 1. More than half of our patients were operated with cancer of the larynx (58.5%, n=62); 27.4% (n=29) of patients suffered from oral cavity cancer and 14.2% (n=15) had cancer of the hypopharinx. Cervical lymph node invasion was estimated at 31.2% clinically, and 38.7% radiologically and histologically, distributed in different sites. Although the percentage of the invasion is almost similar clinically, radiologically and histologically, the high number of false positives and true negatives according to clinical and radiological exams confirms that specificity and sensitivity of these two exams is still poor compared to histology. Conclusion: Thus, cervical metastases have to be diagnosed histologically. Moreover, the low percentage of lymph node invasions in the case of a UADT cancer suggests that the use of sentinel lymph node technique could be important, as it has been validated for small T1T2N0 tumors in the oral cavity. Further studies are needed to confirm its validity in case of other UADT tumor types.
{"title":"Lymph Node Involvement In Upper Aerodigestive Tract Cancers - A Clinical Study at Specialities University Hospital of Rabat.","authors":"Rajae Borki, A. Elayoubi, R. Bencheikh, A. Oujilal, A. Benbouzid, L. Essakalli","doi":"10.15342/ijms.v1i2.56","DOIUrl":"https://doi.org/10.15342/ijms.v1i2.56","url":null,"abstract":"Introduction: Cervical lymph node involvement has a major impact on prognosis and treatment decisions in patients with upper aerodigestive tract (UADT) cancer. Objective: The aim of this study was to assess the incidence and pattern of cervical lymph node (LN) metastases in cancers of the upper aerodigestive tract Methods: This prospective study was conducted by the Department of ENT and Maxillofacial Surgery at Specialities University Hospital of Rabat, collecting data between October 2009 and December 2011. Lymph nodes were counted, clinically and radiologically localized, excised, then studied histologically. Results: During this period, 106 patients have been treated surgically with a recent diagnosis of UADT cancer. The average age of our patients was 55±13.3 years, while male/female ratio was 3.5 to 1. More than half of our patients were operated with cancer of the larynx (58.5%, n=62); 27.4% (n=29) of patients suffered from oral cavity cancer and 14.2% (n=15) had cancer of the hypopharinx. Cervical lymph node invasion was estimated at 31.2% clinically, and 38.7% radiologically and histologically, distributed in different sites. Although the percentage of the invasion is almost similar clinically, radiologically and histologically, the high number of false positives and true negatives according to clinical and radiological exams confirms that specificity and sensitivity of these two exams is still poor compared to histology. Conclusion: Thus, cervical metastases have to be diagnosed histologically. Moreover, the low percentage of lymph node invasions in the case of a UADT cancer suggests that the use of sentinel lymph node technique could be important, as it has been validated for small T1T2N0 tumors in the oral cavity. Further studies are needed to confirm its validity in case of other UADT tumor types.","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127104481","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}
Background: Cannabis is the illicit psychoactive substance the most consumed in the world. Little is known about the association between the use of cannabis and the risk of lung cancer. Objective: The objective of this meta-analysis is to determine whether use of cannabis is a risk factor for lung cancer. Methods: We conducted a systematic review and meta-analyses of all languages articles using relevant computerised databases. MEDLINE (online PubMed), Web of knowledge, Embase, EBSCO CINAHL, ScienceDirect, Scopus, Cochrane Library, and Directory of Open Access Journals were searched to September 2014 for cohorts and case-control studies that assessed the risk of lung cancer associated with cannabis smoking. The literature search was performed with a combination of medical subject headings terms, "cannabis" and "lung neoplasms". Data extraction: Two investigators independently analysed and extracted results from eligible studies. Our study's registration number on PROSPERO is CRD42014008872 . Results: The search strategy identified 2476 citations. 13 studies were eligible for inclusion: 2 pooled analysis of 9 case-control studies, one case-control study and 3 cohorts. The cumulative analysis for all the studies under a fixed-effects model showed that cannabis smoking determined an increased risk of developing lung cancer in the future (relative risk 1.22, 95% confidence interval 0.999–1.5; p=0.051), with no evidence of heterogeneity across the studies (I2: 34%; p¼0.01). Conclusions: The use of cannabis with or without tobacco smoking is associated with an increased risk for lung cancer.
背景:大麻是世界上消费量最大的非法精神活性物质。人们对大麻的使用与肺癌风险之间的关系知之甚少。目的:本荟萃分析的目的是确定使用大麻是否是肺癌的危险因素。方法:我们使用相关的计算机化数据库对所有语言的文章进行了系统回顾和荟萃分析。我们检索了MEDLINE(在线PubMed)、Web of knowledge、Embase、EBSCO CINAHL、ScienceDirect、Scopus、Cochrane Library和Open Access Journals Directory，检索了截止到2014年9月评估与大麻吸烟相关的肺癌风险的队列和病例对照研究。文献检索是用医学主题词“大麻”和“肺肿瘤”的组合进行的。数据提取:两名研究者独立分析并提取符合条件的研究结果。我们的研究在PROSPERO上的注册号是CRD42014008872。结果:检索策略识别出2476条引文。13项研究符合纳入条件:2项合并分析包括9项病例对照研究，1项病例对照研究和3个队列。在固定效应模型下对所有研究的累积分析表明，吸食大麻决定了未来患肺癌的风险增加(相对风险1.22,95%可信区间0.999-1.5;p=0.051)，没有证据表明研究之间存在异质性(I2: 34%;p¼0.01)。结论:使用大麻伴或不吸烟与肺癌风险增加有关。
{"title":"Cannabis Smoking and Risk of Lung Cancer - A Systematic Review and Meta-Analysis","authors":"K. Bouti, Rajae Borki, H. Fenane, L. Harrak","doi":"10.15342/IJMS.V1I2.57","DOIUrl":"https://doi.org/10.15342/IJMS.V1I2.57","url":null,"abstract":"Background: Cannabis is the illicit psychoactive substance the most consumed in the world. Little is known about the association between the use of cannabis and the risk of lung cancer. Objective: The objective of this meta-analysis is to determine whether use of cannabis is a risk factor for lung cancer. Methods: We conducted a systematic review and meta-analyses of all languages articles using relevant computerised databases. MEDLINE (online PubMed), Web of knowledge, Embase, EBSCO CINAHL, ScienceDirect, Scopus, Cochrane Library, and Directory of Open Access Journals were searched to September 2014 for cohorts and case-control studies that assessed the risk of lung cancer associated with cannabis smoking. The literature search was performed with a combination of medical subject headings terms, \"cannabis\" and \"lung neoplasms\". Data extraction: Two investigators independently analysed and extracted results from eligible studies. Our study's registration number on PROSPERO is CRD42014008872 . Results: The search strategy identified 2476 citations. 13 studies were eligible for inclusion: 2 pooled analysis of 9 case-control studies, one case-control study and 3 cohorts. The cumulative analysis for all the studies under a fixed-effects model showed that cannabis smoking determined an increased risk of developing lung cancer in the future (relative risk 1.22, 95% confidence interval 0.999–1.5; p=0.051), with no evidence of heterogeneity across the studies (I2: 34%; p¼0.01). Conclusions: The use of cannabis with or without tobacco smoking is associated with an increased risk for lung cancer.","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124634351","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}
Flecainide acetate is an antiarrhythmic drug used in the treatment of supraventricular arrhythmias. Flecainide causes very rare but often serious intoxications. These intoxications happen either due to a non-accidental overdose or because of a narrow therapeutic index in a patient who suffers from cardiomyopathy or has electrolyte abnormalities. We report an original case of a patient who had taken a high dose of flecainide with the aim of suicide. The patient suffered a cardiogenic shock with complications of lactic metabolic acidosis. Fast diagnosis is essential to reduce the high morbidity and mortality of this intoxication. The treatment plan is symptomatic. It aims at eliminating the poison and compensating cardiac function by treating the shock and the electrolyte imbalances. This allowed us to swiftly regain normal electrical and mechanical cardiac function in our patient. 3 weeks after the psychiatric consultation no sequelae were found. This case highlights that thorough history is essential in order to determine the diagnosis of a drug intoxication since the range of used products is wide. On the other hand, in case of any intoxication, while we apply a specific treatment, a well-managed, systematic, symptomatic treatment is essential to reduce morbidity and mortality.
{"title":"Non-Accidental Flecainide Overdose A Case Report.","authors":"A. Ghannam, A. Tazi, A. Kettani, M. Faroudy","doi":"10.15342/IJMS.V1I2.18","DOIUrl":"https://doi.org/10.15342/IJMS.V1I2.18","url":null,"abstract":"Flecainide acetate is an antiarrhythmic drug used in the treatment of supraventricular arrhythmias. Flecainide causes very rare but often serious intoxications. These intoxications happen either due to a non-accidental overdose or because of a narrow therapeutic index in a patient who suffers from cardiomyopathy or has electrolyte abnormalities. We report an original case of a patient who had taken a high dose of flecainide with the aim of suicide. The patient suffered a cardiogenic shock with complications of lactic metabolic acidosis. Fast diagnosis is essential to reduce the high morbidity and mortality of this intoxication. The treatment plan is symptomatic. It aims at eliminating the poison and compensating cardiac function by treating the shock and the electrolyte imbalances. This allowed us to swiftly regain normal electrical and mechanical cardiac function in our patient. 3 weeks after the psychiatric consultation no sequelae were found. This case highlights that thorough history is essential in order to determine the diagnosis of a drug intoxication since the range of used products is wide. On the other hand, in case of any intoxication, while we apply a specific treatment, a well-managed, systematic, symptomatic treatment is essential to reduce morbidity and mortality.","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116479539","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}
F. Alami, N. E. Berdaoui, I. Imdary, N. Benchekroun, Z. Hajji, A. Berraho
Introduction : Behcet’s disease is a systemic disorder linked to occlusive vasculitis and of a relatively unknown pathogenesis. Ocular manifestations of the disease mainly comprise uveitis in 60-80% of cases, followed by retinal vasculitis and then retinal vein occlusion.The aim of this study is to analyze ocular manifestations of patients with confirmed Behcet’s disease, their complications, treatment and evolution in our tertiary care unit of Morocco. Patients and methods : It is a retrospective study of patients with confirmed Behcet along with ocular manifestations, hospitalized in the department of ophthalmology at the teaching hospital of Rabat from Juin 2002 to June 2012. Results: A total of 133 patients were included in the study, being 29,5 years-old on average. Visual acuity is very low before treatment: 56% had less than 1/10. Ocular manifestations included mainly uveitis with 89.96%, followed by retinal vasculitis 73.6% and maculopathy 22%. The percentage of the eyes of which the VA was inferior to 1/10 became 35.9% after the treatment. Conclusion : The most frequent clinical presentation in our context is a total uveitis with a posterior predominance associated with a vasculitis. Pupillary seclusion is the most frequent complication. Corticotherapy and immunosuppressive drugs are the therapeutic methods used the most in our context.
{"title":"Ocular Manifestations of Behcet's Disease: An Analysis of 133 Moroccan Patients","authors":"F. Alami, N. E. Berdaoui, I. Imdary, N. Benchekroun, Z. Hajji, A. Berraho","doi":"10.15342/ijms.v1i1.9","DOIUrl":"https://doi.org/10.15342/ijms.v1i1.9","url":null,"abstract":"Introduction : Behcet’s disease is a systemic disorder linked to occlusive vasculitis and of a relatively unknown pathogenesis. Ocular manifestations of the disease mainly comprise uveitis in 60-80% of cases, followed by retinal vasculitis and then retinal vein occlusion.The aim of this study is to analyze ocular manifestations of patients with confirmed Behcet’s disease, their complications, treatment and evolution in our tertiary care unit of Morocco. Patients and methods : It is a retrospective study of patients with confirmed Behcet along with ocular manifestations, hospitalized in the department of ophthalmology at the teaching hospital of Rabat from Juin 2002 to June 2012. Results: A total of 133 patients were included in the study, being 29,5 years-old on average. Visual acuity is very low before treatment: 56% had less than 1/10. Ocular manifestations included mainly uveitis with 89.96%, followed by retinal vasculitis 73.6% and maculopathy 22%. The percentage of the eyes of which the VA was inferior to 1/10 became 35.9% after the treatment. Conclusion : The most frequent clinical presentation in our context is a total uveitis with a posterior predominance associated with a vasculitis. Pupillary seclusion is the most frequent complication. Corticotherapy and immunosuppressive drugs are the therapeutic methods used the most in our context.","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128951685","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}
Mostafa Elhajjam, M. Lahkim, Mohamed Al-Marzouqi, P. Lacombe
Pedunculated hemangioma is a rare and atypical hepatic angioma. We report the case of a pedunculated hepatic hemangioma presenting as an abdominal sub-hepatic mass incidentally discovered in a 66-year-old woman with anal cancer. The diagnosis was strongly suggested by the vascular features of the lesion on spiral computed tomography (CT) and magnetic resonance (MR) imaging. A surgical removal of the mass was decided to prevent potential risk of ischemic volvulus along the pedicle. Histo-pathological examination confirmed this diagnosis. Contrast enhanced thin sections and subsequent multiplanar reconstructions on CT and MR are very helpful to show the angioma features and the pedicle linking the lesion with the liver.
{"title":"Pedunculated Hepatic Hemangioma - A case report","authors":"Mostafa Elhajjam, M. Lahkim, Mohamed Al-Marzouqi, P. Lacombe","doi":"10.15342/IJMS.V1I1.11","DOIUrl":"https://doi.org/10.15342/IJMS.V1I1.11","url":null,"abstract":"Pedunculated hemangioma is a rare and atypical hepatic angioma. We report the case of a pedunculated hepatic hemangioma presenting as an abdominal sub-hepatic mass incidentally discovered in a 66-year-old woman with anal cancer. The diagnosis was strongly suggested by the vascular features of the lesion on spiral computed tomography (CT) and magnetic resonance (MR) imaging. A surgical removal of the mass was decided to prevent potential risk of ischemic volvulus along the pedicle. Histo-pathological examination confirmed this diagnosis. Contrast enhanced thin sections and subsequent multiplanar reconstructions on CT and MR are very helpful to show the angioma features and the pedicle linking the lesion with the liver.","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126483715","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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