Pub Date : 2024-06-11DOI: 10.36349/easjms.2024.v06i06.004
M. E. Mamoune, T. Boudriiya, K. Souly, M. Zouhdi
Nosocomial infections, particularly bacteremias, are a significant concern in intensive care units (ICUs) due to their invasive nature and the severity of patient’s conditions. This retrospective study aimed to investigate the epidemiological and resistance profile of bacteria isolated from blood cultures in patients admitted to the intensive care units of Ibn Sina University Hospital in Rabat. The study spanned over 24 months, from January 2021 to December 2022. Data from 725 positive blood cultures were analyzed, and 423 cases met the criteria for bacteremia. Gram-negative bacilli were more frequently isolated than gram-positive cocci, with Klebsiella pneumoniae and Acinetobacter baumannii being the most prevalent species. The resistance profile of the isolated bacteria was assessed using various techniques, including automated systems and disk diffusion. The findings underscore the importance of identifying the responsible bacterial species and their resistance patterns in ICU settings to guide appropriate treatment strategies and improve patient outcomes. Further research and interventions are needed to address the challenges posed by nosocomial infections in ICUs and reduce their associated morbidity and mortality rates.
{"title":"Bacteremias in Intensive Care Unit: A Two-Year Retrospective Study","authors":"M. E. Mamoune, T. Boudriiya, K. Souly, M. Zouhdi","doi":"10.36349/easjms.2024.v06i06.004","DOIUrl":"https://doi.org/10.36349/easjms.2024.v06i06.004","url":null,"abstract":"Nosocomial infections, particularly bacteremias, are a significant concern in intensive care units (ICUs) due to their invasive nature and the severity of patient’s conditions. This retrospective study aimed to investigate the epidemiological and resistance profile of bacteria isolated from blood cultures in patients admitted to the intensive care units of Ibn Sina University Hospital in Rabat. The study spanned over 24 months, from January 2021 to December 2022. Data from 725 positive blood cultures were analyzed, and 423 cases met the criteria for bacteremia. Gram-negative bacilli were more frequently isolated than gram-positive cocci, with Klebsiella pneumoniae and Acinetobacter baumannii being the most prevalent species. The resistance profile of the isolated bacteria was assessed using various techniques, including automated systems and disk diffusion. The findings underscore the importance of identifying the responsible bacterial species and their resistance patterns in ICU settings to guide appropriate treatment strategies and improve patient outcomes. Further research and interventions are needed to address the challenges posed by nosocomial infections in ICUs and reduce their associated morbidity and mortality rates.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141356848","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 : 2024-06-08DOI: 10.36349/easjms.2024.v06i06.003
Seth Jotham, Isabela Magesa, Fabian Mghanga, Geofrey C. Giiti
Sigmoid volvulus is the third most common cause of colonic obstruction. Men and women are not affected equally and some cases have been reported to occur during pregnancy [1, 2]. The current literatures are still devoid of the cases that occur soon after delivery in the early puerperal period. We present a 37 years’ old female who was brought to St. Francis Regional Referral Hospital (SFRRH) as a referral from nearby health Centre with absolute intestinal obstruction that had an acute onset just one day after her non-eventful spontaneous vertex delivery, she was brought to us on the second day course. On examination she was ill looking with a nasogastric tube insitu that was draining bilious fluid. Her abdomen was grossly distended, hyper-tympanic with an empty rectum on digital rectal examination. She had hypokalemia that was corrected prior surgery and the plane abdominal x-ray showed a gaseous distended colon with a typical coffee bean sign. Intraoperatively a mega distended and a gangrenous sigmoid colon was laying on the rest of the visceral – twisting in a 3600 clockwise direction. A whole of the sigmoid colon was gangrenous of which a total sigmoidectomy was done followed by closure of the rectal stamp and its attachment to the anterior abdominal wall. The lateral to medial descending colon mobilization was done that culminated into placement of the end colostomy. Though noticed and reported during pregnancy, an attention should also be paid to those patients presenting with such obstruction soon after delivery on the early puerperium, this will facilitate early diagnosis and intervention so as to prevent undesirable complications as in the case of this patient.
{"title":"Early Puerperium Gangrenous Sigmoid Volvulus: Case Report","authors":"Seth Jotham, Isabela Magesa, Fabian Mghanga, Geofrey C. Giiti","doi":"10.36349/easjms.2024.v06i06.003","DOIUrl":"https://doi.org/10.36349/easjms.2024.v06i06.003","url":null,"abstract":"Sigmoid volvulus is the third most common cause of colonic obstruction. Men and women are not affected equally and some cases have been reported to occur during pregnancy [1, 2]. The current literatures are still devoid of the cases that occur soon after delivery in the early puerperal period. We present a 37 years’ old female who was brought to St. Francis Regional Referral Hospital (SFRRH) as a referral from nearby health Centre with absolute intestinal obstruction that had an acute onset just one day after her non-eventful spontaneous vertex delivery, she was brought to us on the second day course. On examination she was ill looking with a nasogastric tube insitu that was draining bilious fluid. Her abdomen was grossly distended, hyper-tympanic with an empty rectum on digital rectal examination. She had hypokalemia that was corrected prior surgery and the plane abdominal x-ray showed a gaseous distended colon with a typical coffee bean sign. Intraoperatively a mega distended and a gangrenous sigmoid colon was laying on the rest of the visceral – twisting in a 3600 clockwise direction. A whole of the sigmoid colon was gangrenous of which a total sigmoidectomy was done followed by closure of the rectal stamp and its attachment to the anterior abdominal wall. The lateral to medial descending colon mobilization was done that culminated into placement of the end colostomy. Though noticed and reported during pregnancy, an attention should also be paid to those patients presenting with such obstruction soon after delivery on the early puerperium, this will facilitate early diagnosis and intervention so as to prevent undesirable complications as in the case of this patient.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":" 46","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141370414","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 : 2024-06-06DOI: 10.36349/easjms.2024.v06i06.002
K. M, T. Y, B. H, T. M, K. I, S. D, H. M, B. K, K. C, K. A, D. F, D. O, S. F, D. A, D. Aa, Traoré Fd
Introduction: Respiratory distress in children is a frequent emergency in daily practice. The aim was to describe the clinical and therapeutic characteristics of respiratory distress in young children aged 6 to 59 months admitted to the paediatric emergency department of CSREF CV. Methods: This was a prospective cross-sectional study conducted over a 12-month period from 01 August 2022 to 31 July 2023. Data were collected using an individual survey form. S0PSS 23.0 software was used for data entry and analysis. Results: During the study period, 881 hospital admissions were recorded, including 82 cases of respiratory distress, i.e. a frequency of 9.31%. Females were more prevalent (57.3%). The most common age group was 6-12 months (46.34%). The month with the highest number of admissions was September (15.85%). Dyspnoea was the most common reason for consultation (31.06%) and hospitalisation (68.29%). Intercostal indrawing was the most common sign of respiratory difficulty (49.02%). Pneumonia was the most common pulmonary cause (54.88%). The majority of patients were hospitalised for 1 to 5 days (47.56%). Almost a third of patients received antibiotic treatment (27.80%). Conclusion : Early management of respiratory distress can reduce the length of hospital stay and improve vital prognosis.
{"title":"Respiratory Distress in Children Aged 6 to 59 Months at the Pediatric Department of the Csref of Commune V of Bamako: Clinical and Therapeutic Aspects","authors":"K. M, T. Y, B. H, T. M, K. I, S. D, H. M, B. K, K. C, K. A, D. F, D. O, S. F, D. A, D. Aa, Traoré Fd","doi":"10.36349/easjms.2024.v06i06.002","DOIUrl":"https://doi.org/10.36349/easjms.2024.v06i06.002","url":null,"abstract":"Introduction: Respiratory distress in children is a frequent emergency in daily practice. The aim was to describe the clinical and therapeutic characteristics of respiratory distress in young children aged 6 to 59 months admitted to the paediatric emergency department of CSREF CV. Methods: This was a prospective cross-sectional study conducted over a 12-month period from 01 August 2022 to 31 July 2023. Data were collected using an individual survey form. S0PSS 23.0 software was used for data entry and analysis. Results: During the study period, 881 hospital admissions were recorded, including 82 cases of respiratory distress, i.e. a frequency of 9.31%. Females were more prevalent (57.3%). The most common age group was 6-12 months (46.34%). The month with the highest number of admissions was September (15.85%). Dyspnoea was the most common reason for consultation (31.06%) and hospitalisation (68.29%). Intercostal indrawing was the most common sign of respiratory difficulty (49.02%). Pneumonia was the most common pulmonary cause (54.88%). The majority of patients were hospitalised for 1 to 5 days (47.56%). Almost a third of patients received antibiotic treatment (27.80%). Conclusion : Early management of respiratory distress can reduce the length of hospital stay and improve vital prognosis.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"196 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141375978","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 : 2024-06-01DOI: 10.36349/easjms.2024.v06i06.001
Ahmad Fadhil Kombo, Xin-Ying Ji
Cancer is among the fatal diseases caused by abnormal cell growth from one organ that can invade and destroy adjacent organs. These abnormally growing cells are caused by defects in the gene sequence of the living organisms. These unregulated, proliferating cells exceed their normal boundaries to infiltrate adjacent bodily tissues and/or move to other organs. Cancer is the second leading cause of death globally, responsible for more than 10 million deaths in 2020 alone. Cancer is the second most common non-communicable disease to cause death. Currently, the health systems around the world are facing a huge challenge in finding a proper cure for cancer. Lung cancer is the leading cause of cancer deaths in China, followed by liver cancer, stomach cancer, esophageal cancer, and cardiovascular disorders, which together account for 43% of all deaths. Currently; the health system is facing huge challenge on the proper cure for cancer. This is because cancer is not one disease but many disorders that share a profound growth dysregulation of cells. The peculiar traits of cancer, including altered cellular metabolism, unlimited capacity for replication, sustained angiogenesis, the ability to invade and metastasize, the ability to evade apoptosis, self-sufficiency in growth signals, evasion of immune surveillance, and insensitivity to growth-inhibitory signals, are to chastise for this growth dysregulation. Due to their poor general health, concurrent illnesses, a systemic immunosuppressive condition brought on by cancer itself, and some drugs as conventional immune checkpoint inhibitors (ICIs) used to treat cancer, cancer patients are more vulnerable to different infectious diseases. Hence, cancer patients are more vulnerable to coronavirus infection. The main goal of this study was to conduct a meta-analysis of COVID-19 incidence, risk factors, and mortality among diverse cancer patients. We narrowed our attention to both inpatients and outpatients with Covid-19 symptoms du
{"title":"Incidence, Risk Factors and Mortality of COVID-19 among Cancer Patients: A Meta-Analysis","authors":"Ahmad Fadhil Kombo, Xin-Ying Ji","doi":"10.36349/easjms.2024.v06i06.001","DOIUrl":"https://doi.org/10.36349/easjms.2024.v06i06.001","url":null,"abstract":"Cancer is among the fatal diseases caused by abnormal cell growth from one organ that can invade and destroy adjacent organs. These abnormally growing cells are caused by defects in the gene sequence of the living organisms. These unregulated, proliferating cells exceed their normal boundaries to infiltrate adjacent bodily tissues and/or move to other organs. Cancer is the second leading cause of death globally, responsible for more than 10 million deaths in 2020 alone. Cancer is the second most common non-communicable disease to cause death. Currently, the health systems around the world are facing a huge challenge in finding a proper cure for cancer. Lung cancer is the leading cause of cancer deaths in China, followed by liver cancer, stomach cancer, esophageal cancer, and cardiovascular disorders, which together account for 43% of all deaths. Currently; the health system is facing huge challenge on the proper cure for cancer. This is because cancer is not one disease but many disorders that share a profound growth dysregulation of cells. The peculiar traits of cancer, including altered cellular metabolism, unlimited capacity for replication, sustained angiogenesis, the ability to invade and metastasize, the ability to evade apoptosis, self-sufficiency in growth signals, evasion of immune surveillance, and insensitivity to growth-inhibitory signals, are to chastise for this growth dysregulation. Due to their poor general health, concurrent illnesses, a systemic immunosuppressive condition brought on by cancer itself, and some drugs as conventional immune checkpoint inhibitors (ICIs) used to treat cancer, cancer patients are more vulnerable to different infectious diseases. Hence, cancer patients are more vulnerable to coronavirus infection. The main goal of this study was to conduct a meta-analysis of COVID-19 incidence, risk factors, and mortality among diverse cancer patients. We narrowed our attention to both inpatients and outpatients with Covid-19 symptoms du","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"45 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141395767","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 : 2024-02-18DOI: 10.36349/easjms.2024.v06i02.008
Sr. Juliet Macharia, A. Kihunrwa, R. Kiritta, D. Matovelo, Godfrey Kaizilege, Sr. Clotilda Chuma, Feredina John
Background: The inability to conceive is emotionally distressing and indeed a very painful struggle in which the pain stays with the individual every day. Hormonal disorders are the leading cause of infertility globally. They do not only include the hypothalamic pituitary ovarian axis but also the none-reproductive endocrine glands. Hormonal management helps promote ovum maturation, which triggers ovulation, increasing the likelihood of conception. Case presentation: We report a 36-year-old African lady who presented with an inability to conceive for six years since marriage and it was associated with an irregular menstruation cycle length of twenty-four to thirty-six days. She had anovulatory cycles for seven years, and high Prolactin levels. Her body mass index was 34.4kg/m2. She had visited several hospitals in and outside Tanzania without success in conceiving. At Bugando Medical Centre we managed her case by diet, fertility awareness, and medical management. She conceived after three months of treatment. Conclusion: Anovulatory cycles with abnormal bleeding patterns are a major cause of infertility in reproductive woman. Basic hormonal profiles are essential to confirm where the problem is. Prolactinemia and insulin resistance affects ovulation. Fertility awareness, lifestyle changes, and medical management will bring back happiness to most women with subfertility secondary to hormonal disorders.
{"title":"Heartache to Happiness: Managing a Six Year Hormonal Subfertility with a Successful Rate of Conception","authors":"Sr. Juliet Macharia, A. Kihunrwa, R. Kiritta, D. Matovelo, Godfrey Kaizilege, Sr. Clotilda Chuma, Feredina John","doi":"10.36349/easjms.2024.v06i02.008","DOIUrl":"https://doi.org/10.36349/easjms.2024.v06i02.008","url":null,"abstract":"Background: The inability to conceive is emotionally distressing and indeed a very painful struggle in which the pain stays with the individual every day. Hormonal disorders are the leading cause of infertility globally. They do not only include the hypothalamic pituitary ovarian axis but also the none-reproductive endocrine glands. Hormonal management helps promote ovum maturation, which triggers ovulation, increasing the likelihood of conception. Case presentation: We report a 36-year-old African lady who presented with an inability to conceive for six years since marriage and it was associated with an irregular menstruation cycle length of twenty-four to thirty-six days. She had anovulatory cycles for seven years, and high Prolactin levels. Her body mass index was 34.4kg/m2. She had visited several hospitals in and outside Tanzania without success in conceiving. At Bugando Medical Centre we managed her case by diet, fertility awareness, and medical management. She conceived after three months of treatment. Conclusion: Anovulatory cycles with abnormal bleeding patterns are a major cause of infertility in reproductive woman. Basic hormonal profiles are essential to confirm where the problem is. Prolactinemia and insulin resistance affects ovulation. Fertility awareness, lifestyle changes, and medical management will bring back happiness to most women with subfertility secondary to hormonal disorders.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"5 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139958987","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 : 2024-02-14DOI: 10.36349/easjms.2024.v06i02.007
B. Ballo, A. Berthé, Ousmane Koné, Ousmane Dembélé, Cheickna Badiaga, Youssouf D Sidibé, Amadou Dembé, Souleymane Kassogué, M. Diakité, Honoré JG Berthé
Goal: Raise awareness among the population to be consulted early in the event of penile cancer and to accept the treatment proposed by the clinician, based on three observations of penile cancer treated in the urology department of the center of reference health Koutiala. Material and methods: This was a prospective review of three cases of penile cancer diagnosed and treated in the urology department of the Koutiala reference health center over a period of two years from January 1, 2021. As of December 31, 2022. The first case was a squamous cell carcinoma of the penile in a 67-year-old patient who suffered amputation of the glans during circumcision, having undergone an adenomectomy in December 2020. The second patient was 63 years old and circumcised; having had urinary bilharzia in childhood and also presenting squamous cell carcinoma. The third case was a 74-year-old circumcised patient with ulcerated swelling of the glans. A review of the literature made it possible to identify the frequency and risk factors and/or precancerous lesions of this cancer on both sides in the world in general and more particularly in Africa. Results: Over a period of two years, three cases of penile cancer were recorded and treated in the urology department of the Koutiala reference health center. The three patients were aged 67, 63 and 74 years respectively. They were all farmers, circumcised and one had his glans amputated during the circumcision. A cystotomy was performed in one patient but all refused amputation of the penis. No patient received radiotherapy or chemotherapy because they were all lost to follow-up. The histological type encountered in our patients was squamous cell carcinoma. Conclusion: Penile cancer remains the least common urological cancer in our practice, behind testicular cancer. Patients are seen late, at stages requiring penile amputation, which few patients accept.
{"title":"Penile Cancer at the Urology Department of Koutiala Reference Health Center. About Three Cases and Literature Review","authors":"B. Ballo, A. Berthé, Ousmane Koné, Ousmane Dembélé, Cheickna Badiaga, Youssouf D Sidibé, Amadou Dembé, Souleymane Kassogué, M. Diakité, Honoré JG Berthé","doi":"10.36349/easjms.2024.v06i02.007","DOIUrl":"https://doi.org/10.36349/easjms.2024.v06i02.007","url":null,"abstract":"Goal: Raise awareness among the population to be consulted early in the event of penile cancer and to accept the treatment proposed by the clinician, based on three observations of penile cancer treated in the urology department of the center of reference health Koutiala. Material and methods: This was a prospective review of three cases of penile cancer diagnosed and treated in the urology department of the Koutiala reference health center over a period of two years from January 1, 2021. As of December 31, 2022. The first case was a squamous cell carcinoma of the penile in a 67-year-old patient who suffered amputation of the glans during circumcision, having undergone an adenomectomy in December 2020. The second patient was 63 years old and circumcised; having had urinary bilharzia in childhood and also presenting squamous cell carcinoma. The third case was a 74-year-old circumcised patient with ulcerated swelling of the glans. A review of the literature made it possible to identify the frequency and risk factors and/or precancerous lesions of this cancer on both sides in the world in general and more particularly in Africa. Results: Over a period of two years, three cases of penile cancer were recorded and treated in the urology department of the Koutiala reference health center. The three patients were aged 67, 63 and 74 years respectively. They were all farmers, circumcised and one had his glans amputated during the circumcision. A cystotomy was performed in one patient but all refused amputation of the penis. No patient received radiotherapy or chemotherapy because they were all lost to follow-up. The histological type encountered in our patients was squamous cell carcinoma. Conclusion: Penile cancer remains the least common urological cancer in our practice, behind testicular cancer. Patients are seen late, at stages requiring penile amputation, which few patients accept.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"183 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456640","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}
Introduction: The circular umbilical cord corresponds to a winding of it in one or more turns of the whorl around the fetal neck. Case observation: She is a 25-year-old primigeste, married, a nurse by profession with no known medical-surgical history, who consulted for painful uterine contractions on pregnancy of 38 weeks of amenorrhea (AS). This is a pregnancy well followed by a gynecological-obstetrician with 06 quality antenatal consultations. The clinical and biological monitoring parameters were well documented in the antenatal diary and show no abnormalities. Conclusion: Fetal death in utero is a common pathology but association with umbilical cord circulars is rare. When the umbilical cord circular is double and tightened around the neck like a knot of the cord. It could be the cause of unexplained fetal death. It is always a tragedy for the parents and a failure for the obstetrician. It is necessary to reassure the woman and her family about the prognosis of subsequent pregnancies.
{"title":"Fetal Death in Utero Associated with a Double Circular Umbilical Cord Tight on Full-Term Pregnancy about a Case at the Lac Tele De Bamako Clinic","authors":"Fané Seydou, Simpara Nouhoum, Sissoko Mahamadou, Bocoum Amadou, Sylla Cheickna, Sima M, Sanogo Amara Siaka, T. Youssouf, Téguété Ibrahima, Cisse Garba Hamadoun","doi":"10.36349/easjms.2024.v06i02.006","DOIUrl":"https://doi.org/10.36349/easjms.2024.v06i02.006","url":null,"abstract":"Introduction: The circular umbilical cord corresponds to a winding of it in one or more turns of the whorl around the fetal neck. Case observation: She is a 25-year-old primigeste, married, a nurse by profession with no known medical-surgical history, who consulted for painful uterine contractions on pregnancy of 38 weeks of amenorrhea (AS). This is a pregnancy well followed by a gynecological-obstetrician with 06 quality antenatal consultations. The clinical and biological monitoring parameters were well documented in the antenatal diary and show no abnormalities. Conclusion: Fetal death in utero is a common pathology but association with umbilical cord circulars is rare. When the umbilical cord circular is double and tightened around the neck like a knot of the cord. It could be the cause of unexplained fetal death. It is always a tragedy for the parents and a failure for the obstetrician. It is necessary to reassure the woman and her family about the prognosis of subsequent pregnancies.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"118 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456958","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 : 2024-02-10DOI: 10.36349/easjms.2024.v06i02.005
Khalil Ghebouli, Amina Moumen, Kenza Bendjoudi, Mohammed Ryad Isnasni, M-A Kecir, M. Belbekri, Amar Djender, Abdel nacer Haddam
Pulmonary aspergilloma is an infectious human disease caused by colonization of a pre-existing cavity in the lung by a fungus of the genus Aspergillus. The spores are transmitted through the air, without contagiousness between people and germinate in a cavity to form a “mycelial” ball. The disease can go unnoticed, especially in the early phases, but is often complicated by hemoptysis of variable abundance which can even be dramatic. Surgery is the treatment to stop the progression of the disease, but this surgery is burdened with significant morbidity and mortality. We report a study of 69 patients operated on for pulmonary aspergilloma. Our results in terms of better quality of life and prevention of complications are acceptable at the cost of reduced morbidity.
{"title":"Pulmonary Aspergilloma Surgery Analysis and Results of a Series of 69 Cases","authors":"Khalil Ghebouli, Amina Moumen, Kenza Bendjoudi, Mohammed Ryad Isnasni, M-A Kecir, M. Belbekri, Amar Djender, Abdel nacer Haddam","doi":"10.36349/easjms.2024.v06i02.005","DOIUrl":"https://doi.org/10.36349/easjms.2024.v06i02.005","url":null,"abstract":"Pulmonary aspergilloma is an infectious human disease caused by colonization of a pre-existing cavity in the lung by a fungus of the genus Aspergillus. The spores are transmitted through the air, without contagiousness between people and germinate in a cavity to form a “mycelial” ball. The disease can go unnoticed, especially in the early phases, but is often complicated by hemoptysis of variable abundance which can even be dramatic. Surgery is the treatment to stop the progression of the disease, but this surgery is burdened with significant morbidity and mortality. We report a study of 69 patients operated on for pulmonary aspergilloma. Our results in terms of better quality of life and prevention of complications are acceptable at the cost of reduced morbidity.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"52 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139964913","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 : 2024-02-10DOI: 10.36349/easjms.2024.v06i02.004
Khalil Ghebouli, Kenza Bendjoudi, M. Belbekri, Mohamed Amine Kecir, Ahmed Nekhla, Karima Achou
Objectives: Primary spontaneous pneumothorax is a public health problem because of its frequency and its occurrence in a population often young. It is a pathology which natural evolution is marked by the occurrence of recurrence. The purpose of the surgical treatment of PSP is to resect the apical bulla and bleb areas. In addition, various pleural adhesion procedures are recommended to prevent recurrence. Methods: Between 2015 and July 2021, the results of 289 operations performed patients with PSP were examined. The variables analyzed were age, sexe, risk factor, morbidity and mortality surgical results. The average patient follow-up rate is 26 months. Results: Recurrent PSP largely dominated the surgical indications with a rate of 73.8%. Complications were seen at a rate of 5.1%. These complications required revision surgery in 3 cases. The recurrence rate is around 1.7%. However, the residual postoperative pain is around 10.7%. The average length of stay is around 6.8 ±1.2. The mortality rate was nil. Conclusion: Surgery for primary spontaneous pneumothorax has shown encouraging results, during which it must be performed as soon as possible once the indication for surgery has been established.
{"title":"Surgery of Primary Spontaneous Pneumothorax about 289 Cases","authors":"Khalil Ghebouli, Kenza Bendjoudi, M. Belbekri, Mohamed Amine Kecir, Ahmed Nekhla, Karima Achou","doi":"10.36349/easjms.2024.v06i02.004","DOIUrl":"https://doi.org/10.36349/easjms.2024.v06i02.004","url":null,"abstract":"Objectives: Primary spontaneous pneumothorax is a public health problem because of its frequency and its occurrence in a population often young. It is a pathology which natural evolution is marked by the occurrence of recurrence. The purpose of the surgical treatment of PSP is to resect the apical bulla and bleb areas. In addition, various pleural adhesion procedures are recommended to prevent recurrence. Methods: Between 2015 and July 2021, the results of 289 operations performed patients with PSP were examined. The variables analyzed were age, sexe, risk factor, morbidity and mortality surgical results. The average patient follow-up rate is 26 months. Results: Recurrent PSP largely dominated the surgical indications with a rate of 73.8%. Complications were seen at a rate of 5.1%. These complications required revision surgery in 3 cases. The recurrence rate is around 1.7%. However, the residual postoperative pain is around 10.7%. The average length of stay is around 6.8 ±1.2. The mortality rate was nil. Conclusion: Surgery for primary spontaneous pneumothorax has shown encouraging results, during which it must be performed as soon as possible once the indication for surgery has been established.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"54 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139964859","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 : 2024-02-07DOI: 10.36349/easjms.2024.v06i02.003
K. Hail, Kafia Belhocine, Lounas Benghanem, Abderrazek Bouamra, Radia Benyahia, Zakia Batoul Benlahreche
Cutaneous metastases are phenomena typically more frequently observed in advanced stages of the disease. However, some cancers can remain clinically silent until the discovery of a cutaneous metastasis, often complicating the diagnosis of the primary tumor, especially if it's a rare tumor like breast cancer in men. It is in this context that we report a case of localized cutaneous metastasis on the scalp, without the presence of other associated clinical signs. Investigations revealed a metastatic breast carcinoma requiring extensive surgical intervention, complemented by adjuvant treatments.
{"title":"Cutaneous Metastasis Revealing Breast Cancer: A Case Report","authors":"K. Hail, Kafia Belhocine, Lounas Benghanem, Abderrazek Bouamra, Radia Benyahia, Zakia Batoul Benlahreche","doi":"10.36349/easjms.2024.v06i02.003","DOIUrl":"https://doi.org/10.36349/easjms.2024.v06i02.003","url":null,"abstract":"Cutaneous metastases are phenomena typically more frequently observed in advanced stages of the disease. However, some cancers can remain clinically silent until the discovery of a cutaneous metastasis, often complicating the diagnosis of the primary tumor, especially if it's a rare tumor like breast cancer in men. It is in this context that we report a case of localized cutaneous metastasis on the scalp, without the presence of other associated clinical signs. Investigations revealed a metastatic breast carcinoma requiring extensive surgical intervention, complemented by adjuvant treatments.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"131 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140460403","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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