H. Benjelloun, A. Rattal, A. Amir, H. Harraz, N. Zaghba, K. Chaanoun, N. Yassine
{"title":"Spontaneous Pneumomediastinum: A Case Report of 27 Patients","authors":"H. Benjelloun, A. Rattal, A. Amir, H. Harraz, N. Zaghba, K. Chaanoun, N. Yassine","doi":"10.36347/sjmcr.2024.v12i05.021","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.021","url":null,"abstract":"Spontaneous pneumomediastinum is defined as the presence of air in the mediastinum in the absence of traumatic or iatrogenic cause. Diagnosis is based on chest X-ray. Other paraclinical examinations, such as chest tomodensitometry or bronchial or gastrointestinal endoscopy, are sometimes necessary. Outcome is most often favorable. We report 27 cases of spontaneous pneumomediastinum whose data were collected in the Department of Respiratory Diseases at the Ibn Rochd University Hospital in Casablanca between 2008 and 2023. The study involved 19 men and eight women, with an average age of 37 years. Clinical symptomatology was dominated by retrosternal chest pain. The circumstances of onset of pneumomediastinum were coughing spell in 11 cases, hookah consumption in two cases and iterative vomiting in three cases, childbirth and exacerbation of chronic obstructive pulmonary disease (COPD) of bacterial origin in five cases. Outcome was favorable in all cases with spontaneous resorption of the pneumomediastinum with only one death. No recurrence occurred after a minimum follow-up period of 3 years.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":"65 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141116806","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}
K. O, O. Y, O. S, Sogoba, S, S. I, K. D, Diarra, S, D. T, C. S, F. D, S. B, K. M, Singuepiré, A, Yoroté, A, D. T, T. M, Diakite M. L
{"title":"Valve of the Posterior Urethra in Girls: A Case Report from the Gavardo Hospital in Mali","authors":"K. O, O. Y, O. S, Sogoba, S, S. I, K. D, Diarra, S, D. T, C. S, F. D, S. B, K. M, Singuepiré, A, Yoroté, A, D. T, T. M, Diakite M. L","doi":"10.36347/sjmcr.2024.v12i05.062","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.062","url":null,"abstract":"This is a prospective study of a single case of posterior urethral valve in a 2-year-old girl in the Gabriel Toure Urology Department. Posterior urethral valves (PUV) are congenital obstructive membranous folds that represent the main cause of congenital subvesical obstruction and dysuria in children and infants [1]. Their aetiology remains unknown, and is probably related to poor positioning of the orifices of the Wolffian ducts leading into the urethra [2]. Abdominal and pelvic ultrasound combined with Uroscanner revealed bilateral ureterohydronephrosis with repercussions on the upper urinary tract. Suprapubic cystography showed stenosis of the membranous urethra with dilatation of the posterior urethra upstream of the valve and diverticular bladder. The procedure consisted of ureterovesical reimplantation plus intubation via an external ureteral drain, which was removed at10 postoperatively, and stripping followed by ureterovesical catheterisation. The post-operative course was straightforward.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":"84 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141116447","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}
{"title":"Corneal Endothelial Changes Following Anterior Chamber Intraocular Lens Implantation in Extracapsular Cataract Surgery","authors":"Zainab Nadom Hamoodi Al- Khafaji","doi":"10.36347/sjmcr.2024.v12i05.066","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.066","url":null,"abstract":"Aim: To determine & quantify corneal endothelial changes after primary or secondary implantation of anterior chamber intraocular lenses (AC IOLs) in extracapsular cataract surgery complicated by loss of capsule support. Setting: Ibn Al- Heythem teaching eye hospital, Baghdad. Patients & Methods: This prospective study comprised 125 patients underwent extracapsular cataract surgery complicated by loss of capsular support. Of them 76 patients had primary implantation of open-loop AC IOLs. The other 49 patients were kept aphakic after similar complicated cataract surgery & had secondary AC IOL implantation (open-loop), this was performed 10 weeks to 2 years from initial cataract surgery. At least 2 weeks post AC IOL implantation, non-contact specular microscopy was performed at the center of the cornea for eyes with primary & secondary AC IOLs implantation, their fellow eyes (phakic or pseudophakic with posterior chamber PC IOL) taken as control. Results: The mean endothelial cell density (ECD) was significantly lower in eyes with primary or secondary AC IOL implantation than in unoperated phakic eyes. Patients with primary AC IOL implantation in 1 eye & PC IOL implantation in fellow eye had a difference in ECD that was not statistically significant. The ECD difference was significantly greater in eyes with secondary AC IOL implantation compared to fellow pseudophakic eyes (PC IOL). The coefficient of variation (CV) in cell size & percentages of hexagonality showed no significant changes in the various groups. Conclusion: AC IOL implantation didn't appear to alter corneal endothelial function. Results indicate that endothelial cell loss was related to surgical trauma rather than the presence of AC IOL.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":"142 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141114732","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}
K. Lemtouni, R. Essofi, Y. Bouktib, A. E. Hajjami, B. Boutakioute, M. Ouali, N. E. Idrissi
{"title":"Corpus Callosum Lymphoma in an Immunocompetent Patient: A Case Report","authors":"K. Lemtouni, R. Essofi, Y. Bouktib, A. E. Hajjami, B. Boutakioute, M. Ouali, N. E. Idrissi","doi":"10.36347/sjmcr.2024.v12i05.065","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.065","url":null,"abstract":"Primary central nervous system lymphoma (PCNSL) involving the corpus callosum is rare and diagnostically challenging. We report a 63-year-old female with cognitive impairment, and personality changes. MRI showed a hyperintense lesion in the corpus callosum, and biopsy confirmed diffuse large B-cell lymphoma (DLBCL). This case highlights the importance of considering PCNSL in differential diagnoses of corpus callosum lesions and underscores the necessity for prompt, aggressive treatment despite a guarded prognosis.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":"73 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141116761","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}
{"title":"Takayasu Arteritis Associated with Ulcerative Colitis: Literature Review of HLA Profile","authors":"Youssef Ikejder, M. Zahlane, Lamia Essaadouni","doi":"10.36347/sjmcr.2024.v12i05.069","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.069","url":null,"abstract":"Takayasu arteritis and ulcerative colitis are two chronic inflammatory diseases of unknown etiology and their coexistence is very rare. In this report, we describe a case of 51 years-old Moroccan man with a 4 years history of ulcerative colitis confirmed with pathologic examination who developed Takayasu arteritis. The patient was admitted several times for recurrent arterial and venous thrombosis; during the etiologic investigation, Takayasu's arteritis was diagnosed. The coexistence of these two pathologies is a rare entity, reported accidentally in the world especially in Southeast Asia. This association supposed common pathophysiological mechanisms. Different assumptions, genetic factors and environmental agents that contribute to the pathogenesis of these diseases, have to be validated by others studies to clarify these mechanisms.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":"111 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141115662","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}
O. Y, O. S, S. I, Sogoba, S, K. O, K. D, Diarra, S, D. T, C. S, M. K, F. D, S. B, K. M, Singuepiré, A, Yoroté, A, D. T, T. M, D. L
{"title":"Discovery of a Case of Left Transverse Testicular Ectopia during a General Surgery Campaigna Diagala","authors":"O. Y, O. S, S. I, Sogoba, S, K. O, K. D, Diarra, S, D. T, C. S, M. K, F. D, S. B, K. M, Singuepiré, A, Yoroté, A, D. T, T. M, D. L","doi":"10.36347/sjmcr.2024.v12i05.064","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.064","url":null,"abstract":"We report the observation of a 9-month-old male child who consulted us for a left inguino-scrotal swelling, and the right testicle was not palpable. The operative exploration found a large hernial sac, the opening of which revealed two testicles of normal size and appearance with partial epididymo-testicular independence. We performed in-dartos orchidopexy on both sides intraoperatively. The patient was seen again at the age of 24 months, with both testicles in place and of normal size and consistency. A follow-up abdominal ultrasound was performed which was unremarkable.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":"116 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141115890","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}
O. S, S. I, O. Y, Sogoba, S, K. O, K. D, Diarra, S, D. T, C. S, M. K, F. D, Samake, B, Singuepiré, A, Yoroté, A, D. T, T. M, D. L
{"title":"Study of Erectile Dysfunction in the Urology Department of the Gavardo Hospital","authors":"O. S, S. I, O. Y, Sogoba, S, K. O, K. D, Diarra, S, D. T, C. S, M. K, F. D, Samake, B, Singuepiré, A, Yoroté, A, D. T, T. M, D. L","doi":"10.36347/sjmcr.2024.v12i05.063","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.063","url":null,"abstract":"We report the results of a prospective descriptive study of erectile dysfunction in the Gavardo urology department. Over a 2-year period from 02 January 2021 to 31 December 2022 in the Gavardo urology department. We enrolled 7,230 patients, 113 of whom had erectile dysfunction, with a prevalence of 1.7%. The most common age group was 36-50 years. The mean age was 42.92 years with extremes of 20 and 73 years. Twenty-nine (29) patients (26.4%); 26 patients (23.3%) and 18 patients (16.4%) had a history of diabetes or hypertension and smoking respectively.22 patients (19.5%) presented with erectile dysfunction after adenomectomy. Farmers were the most affected compared with other occupations with a rate of 29.2% followed by civil servants with a rate of 20.4%. In our study, 83 patients (73.2%) were satisfied with IPDE5-based treatment.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":"12 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141114110","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}
Reda Tariqi, Ilyas Soufiani, Hamza EL Abidi, Imad Boualaoui, Ahmed Ibrahimi, Hachem El Sayegh, Yassine Nouini
{"title":"Invasive Urothelial Carcinoma of the Bladder with Inverted Growth Pattern: A Case Report","authors":"Reda Tariqi, Ilyas Soufiani, Hamza EL Abidi, Imad Boualaoui, Ahmed Ibrahimi, Hachem El Sayegh, Yassine Nouini","doi":"10.36347/sjmcr.2024.v12i05.067","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.067","url":null,"abstract":"Most urothelial neoplasms of the bladder present in an exophytic papillary form, but some present in an inverted growth form, in which case the invasive feature can be difficult to identify. We present a case of invasive urothelial carcinoma of the bladder associated with an inverted growth pattern, in which the patient underwent total cystoprostatectomy with ilio-obturator lymph node dissection and a Briker-type urinary diversion.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":"121 48","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141115389","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}
Adil Zegmout, Ayman Farouki, Hanane Asri, Rachid Seddiki
{"title":"Intralobar Pulmonary Sequestration: A Case Report","authors":"Adil Zegmout, Ayman Farouki, Hanane Asri, Rachid Seddiki","doi":"10.36347/sjmcr.2024.v12i05.061","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.061","url":null,"abstract":"Pulmonary sequestration is a rare malformation. It is characterised by a territory of non-functional bronchopulmonary tissue vascularised by one or more aberrant systemic arteries. We report the case of a 51-year-old man admitted to hospital with recurrent haemoptysis, a thoracic angioscan revealed left lower lobar sequestration by two systemic vessels. The patient was treated with a left lower lobectomy. Pulmonary sequestration remains a diagnostic and therapeutic challenge.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":"86 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141122863","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}
R. Iharti, G. Hadraoui, M. Darfaoui, S. Berkich, N. Oumghar, A. Elomrani, M. Khouchani
{"title":"Double Localization of a Cerebral Germinoma: Case Report","authors":"R. Iharti, G. Hadraoui, M. Darfaoui, S. Berkich, N. Oumghar, A. Elomrani, M. Khouchani","doi":"10.36347/sjmcr.2024.v12i05.058","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.058","url":null,"abstract":"Germinal cell tumors are embryonic tumors located mainly in the gonads, and their cerebral localization is rare, representing less than 1% of intracranial neoplasia. Clinical expression can be polymorphous, while imaging provides a highly suggestive radiological semiology. We report the case of a 31-year-old patient presenting with diabetes insipidus evolving for one year and associated with decreased visual acuity. Cerebro-medullary MRI revealed a tumoral process in the pineal region associated with thickening of the pituitary region. Tumor markers (β HCG and AFP) in plasma and CSF were negative, confirming the diagnosis of pure germinoma without the need for biopsy. Treatment is mostly based on radiotherapy, and sometimes on a combination of radiotherapy and chemotherapy. The latter was our therapeutic choice, with a good clinical and biological evolution.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":"15 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141121350","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}