International Journal of Medicine and Surgery最新文献

{"title":"Neglected Giant Schwannoma of the Sciatic Nerve – A Case Report","authors":"T. Awad, M. Mahmoud","doi":"10.15342/IJMS.V5IR.212","DOIUrl":"https://doi.org/10.15342/IJMS.V5IR.212","url":null,"abstract":"Background :  Schwannomas originating from the sciatic nerve are extremely rare and usually present as a pathological mass in palpable examination or pain located in the thigh. Motor and sensory deficits are observed more often when the size of the tumor is more than 40 mm. Case Description :  A 19-years- old female patient was referred to Suez Canal University Hospital after 6 years of pain and 2 years of improper management. Neurological examination and MRI of the right thigh was done and revealed huge mass attached to the right sciatic nerve. Surgical excision was undertaken, carefully dissecting the lesion from the sciatic nerve. Histopathological examination revealed the tumor to be a schwannoma. The patient had marked postoperative recovery with marked pain reduction and improved neurological deficits. Conclusions :  Schwannomas of the sciatic nerve are rare tumors eccentrically located on the nerve. Although rare, schwannoma of the sciatic nerve should be systematically suspected if thigh mass or persistent sciatica is reported. Surgical excision has good prognosis.","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"92 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124943887","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":"Breast cancer skin recurrence: a comprehensive review on pathogenesis, treatment, and prognosis","authors":"G. Pechlivanides, V. Kalles, G. Boutsikos, L. Papadopoulos","doi":"10.15342/IJMS.V6IR.299","DOIUrl":"https://doi.org/10.15342/IJMS.V6IR.299","url":null,"abstract":"The manifestation of breast cancer recurrence in the form of skin lesions has always been a frustration for both the oncologist and the breast surgeon. Surgeons are asked to treat a recurrent disease that is yet unclear whether it represents disseminated or local disease. Cancer cells are found both in the lymphatics as well as the blood vessels, but, on the other hand, skin recurrence usually does not respond well to the current forms of systemic treatment, and it often needs some form of local treatment for symptom control.","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125477506","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":"FACTEURS ASSOCIÉS AUX MANIFESTATIONS EXTRA ARTICULAIRES AU COURS DE LA POLYARTHRITE RHUMATOÏDE","authors":"Salma Ksir, N. Akasbi, Krystel Efemba, A. E. Aissaoui, El Kinany Khaoula, T. Harzy","doi":"10.15342/IJMS.V6IR.277","DOIUrl":"https://doi.org/10.15342/IJMS.V6IR.277","url":null,"abstract":"Introduction :  Rheumatoid arthritis is a chronic, systemic and inflammatory joint disease that primarily affects the joints and can be associated with a variety of extra-articular manifestations. The aim of this study is to determinate the frequency and the factors associared with those extra-articular manifestations. Materials and methods:  Cross-sectional study of hospitalized cases of rheumatoid arthritis  in our department between January 2012 and January 2018.  We studied the prevalence of the extra-articular manifestations and associated factors. The analysis was done by the software EPI INFO 3.5.4. Results :  294 cases of rheumatoid arthritis included. The average age was 53.2 years +/- 12.3 with female predominance F / M = 6.1. The diagnosis lag time was 10.7 +/- 6.9 years. Half of our patients (50.7%) had systemic manifestations. In order of frequency, we distinguish: Osteoporosis (39.6%), Sjogren's syndrome (22.1%), pulmonary involvement (16.1%), dermatological manifestations (8.8%), cardiac involvement (8.8%), ocular involvement (3.1%)  carpal tunnel syndrom (1.3%) and vasculitis (1.3%). The extra-articular manifestations were associated with several factors on bivariate analysis : advanced age (p = 0.014), longer duration of disease (p = 0.006), deformities (p = 0.000), seropositivity (p = 0.02), high titers of rheumatoid factor (p = 0.03), destruction (p = 0.02), bone erosions (p = 0.012) and non-use of biotherapy (p = 0.04). Factors whose association was statistically significant, after multivariate logistic regression analysis, were: advanced age (p = 0.04, OR = 1.02 [1.001-1.043], and longer duration of disease (p = 0.02 OR = 1.04 [1.005-1.082]). Conclusion :  In our Moroccan context, half of patients with rheumatoid arthritis  had extra-articular manifestations. Older patients with longer disease evolution are the most involved.","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123466439","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":"Unusual Presentation of a Rare Chest Wall Tumor: Giant Cell Tumor of Bone","authors":"Y. Baiz, O. Afandi, H. Fennane, Y. Msougar","doi":"10.15342/10.15342/IJMS.V6IR.263","DOIUrl":"https://doi.org/10.15342/10.15342/IJMS.V6IR.263","url":null,"abstract":"Introduction: Giant cell tumours account 5% of all bone tumours. However, the anterior chest wall is rarely involved .\u0000Clinical case: This is a 68-year-old housewife who has been thyroidectomized, for 11 years and is under hormone replacement therapy, and hysterectomized for 6 years after a uterine tumor. She is present for the onset of a 5 month old hard submammary mass on the left associated with left anterior chest pain under mammals. The clinical examination had found an irregular hard mass under left mammary which is fixed to the anterior arch of the 4th left rib. A thoracic x-ray showed a limited left hilo-axillary with an homogenously dense opacity. The thoracic CT scan showed the presence of a thoracic parietal mass of osteolytic tissue density centered on the anterior arch of the 4th left rib; without contrast agent, the surgical exploration through thoracotomy revealed a thoracic parietal tumoral process at the expense of the anterior arch of the 4th limb pushing the corresponding lung inwards. Surgical excision allowed ablation of the whole tumor in monobloc towards a healthy zone. The anatomopathological study of the operative specimen showed a morphological and histopathological aspect compatible with a costal tumor with giant cells. The postoperative recovery was marked by a good clinical and radiological improvement. The last check up after the surgery revealed that the patient was still asymptomatic. Good clinical, biological and radiological improvement was noted with a decline of 8 months.\u0000Conclusion: Giant cell tumors are aggressive bone tumors, yet histologically benign. The chosen examination is a thoracic CT scan with surgical treatment. A clinical and radiological monitoring is necessary. The recurrence is rare, but it usually necessitates a second surgery. The objective of this clinical observation is to highlight the possibility, although rare, of a giant cell tumor in case of the swelling of the soft parts, and a lytic lesion of the anterior part of a rib. Therefore, this tumor must be added to the list of diagnoses to be mentioned in this situation.","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129171262","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":"MANIFESTATIONS THORACIQUES DE L’ANGIOBEHÇET","authors":"L. Senhaji, B. Alami, B. Amara, M. Biaze, M. Benjelloun, M. Serraj","doi":"10.15342/IJMS.V6I0.247","DOIUrl":"https://doi.org/10.15342/IJMS.V6I0.247","url":null,"abstract":"Introduction : L’atteinte vasculaire dans la maladie de Behcet touche 5 a 40% des patients. Tous les vaisseaux quel que soit leur type, taille ou localisation peuvent etre concernes. Cette atteinte est grave pouvant engager le pronostic vital. Observations : On a collige 12 cas de Janvier 2010 a Janvier 2017. Il s’agit de 11 hommes et 1 femme avec un âge moyen de 32,5ans. L’atteinte veineuse concernait 11 malades avec une thrombose de la veine cave superieure (VCS) chez 6 malades, thrombophlebite des membres inferieurs chez 5 malades et une thrombose de la veine cave inferieure et des veines sus hepatiques chez 1 malade. L’atteinte arterielle touchait 9 malades (75%) avec anevrysme des arteres pulmonaires chez 5 malades et une embolie pulmonaire chez 5 autres. L’atteinte cardiaque concernait la moitie des patients a type de pericardite chez 3 malades et de thrombus intra cardiaque chez 4 malades. Conclusion : L’atteinte thoracique de l’angiobehcet est frequente et grave necessitant un diagnostic rapide et une therapeutique specifique intense pour ameliorer son pronostic.","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131383320","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":"TUBERCULOSE MULTIFOCALE VERTEBRO-MEDULLAIRE ETAGEE NON CONTIGUË ET MULTI-VISCERALE CHEZ UN SUJET IMMUNOCOMPETENT","authors":"Amina Mounir, Meryeme Karhate Andalousi, N. Akasbi, Mohammed Chakib Benjelloune, T. Harzy","doi":"10.15342/IJMS.V5IR.226","DOIUrl":"https://doi.org/10.15342/IJMS.V5IR.226","url":null,"abstract":"La tuberculose est une maladie infectieuse due au bacille de Koch (BK). La forme multifocale s’associe habituellement a une immunodepression notamment du VIH. A ce propos, nous rapportons un cas inhabituel de tuberculose multifocale associant des foyers visceraux a une atteinte vertebro-medullaire etagee, cervicale dorsale et lombaire non contigue, chez un sujet immunocompetent. Le patient a eu un traitement medico-chirurgical. Il s’agit d’une maladie a diagnostic difficile. Nous discuterons, a travers ce cas, les particularites cliniques, diagnostiques et therapeutiques de cette entite clinique.","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129578500","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":"ACQUIRED TRACHEO-ESOPHAGEAL FISTULA: A RARE CASE REPORT OF THE NEGLECTED DENTURE","authors":"Sharir Asrul Bin Asnawi, M. Doi, A. Shaker, M. Azman","doi":"10.15342/IJMS.V5IR.245","DOIUrl":"https://doi.org/10.15342/IJMS.V5IR.245","url":null,"abstract":"Introduction: Dentures are common accidental ingested foreign body (FB) especially among elderly. It is frequent to have foreign body impacted at esophagus in adults however it is very unsual to have Tracheo-esophageal fistula (TEF) caused by denture. The diagnosis of TEF is challenging due to two reasons. Firstly, most of the dental prosthesis is radiolucent and not visible in routine radiological investigation. Secondly, patient with history of swallowed dentures prosthesis may be asymptomatic initially and develops symptoms over time. In contrary, prolonged history of FB in esophagus with TEF has higher risk to develop serious complication such as pneumonia and lung abscess. Case Presentation: We report a case of 62 year old gentleman with background history of hypertension and temporal lobe epilepsy presented with history of choking on taking solid and liquid associated with significant weight loss past 2 months. He had lost his denture for almost 1 year during sleep. Endoscopic examination of the larynx showed normal anatomy but pooling of saliva. CT thorax showed foreign body within a tracheoesophgeal fistula. OGDS showed denture within a well formed tracheoesophageal fistula. He had acquired TEF secondary to the dentures. Conclusion: Symptomatic elderly who lose their denture during sleep should not be neglected. They need immediate medical assessment thus will reduce further debilitating complication. Failing to identify and treat this condition urgently, patient will suffer acquired trachea-oesophageal fistula on which the treatment is challenging and the morbidity and mortality is high.","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133733897","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":"COMMENT RÉDIGER UN CAS CLINIQUE","authors":"K. Bouti","doi":"10.15342/IJMS.V5IR.259","DOIUrl":"https://doi.org/10.15342/IJMS.V5IR.259","url":null,"abstract":"En medecine, un cas clinique peut etre defini comme un rapport detaille des caracteristiques anthropometriques, symptomes, signes physiques, explorations, diagnostics, traitements, suivi et evolution d’un patient. Le fait de rapporter un cas clinique n’est pas de la recherche scientifique, c’est plutot de la communication scientifique ecrite, et c’est donc l’affaire de la grande communaute des cliniciens qui comprend egalement les chercheurs. Rediger un cas clinique est important pour le developpement professionnel continu des auteurs et aussi important pour la formation medicale continue des lecteurs. Un cas clinique est une source inestimable d’informations, il peut donner l’idee d’un projet de recherche, et c’est une experience d’apprentissage tres riche car il permet l’introduction a la recherche bibliographique, a la redaction scientifique, et a la procedure de publication.  ...","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134346506","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":"EPIDEMIOLOGICAL AND BIOLOGICAL PROFILING OF BREAST CANCER IN SOUTHERN MOROCCO","authors":"Fatima zahra Aznag, Ezohra Elouilamine, Mohammed Amine Basselam, S. Chadli, M. Cadi, E. Izaabel","doi":"10.15342/IJMS.V5IR.240","DOIUrl":"https://doi.org/10.15342/IJMS.V5IR.240","url":null,"abstract":"Breast cancer is one of the most frequent cancers that affect women. Risk factors include a combination of multiple factors such heredity, age and environment. The frequency of breast cancer in Morocco increased significantly in recent years, and it is now a major public health concern. A retrospective epidemiological study was produced for a cohort of 1559 patients attending the regional center of oncology and radiotherapy in Agadir, during a period comprised between January 2010 and December 2015. Our data shows that the average age of the patients is 48 years, the majority of them present grade II tumors 66.38%. The immunohistochemical analysis of tumors revealed that 64% of them are positive for hormone receptors. With 67.07% is positive for ER and 61.01% positive for RP, while 29.17% of tumors overexpress HER2 protein. The distribution of molecular subtypes of breast cancer shows that luminal A has the highest percentage 50.96% followed by basal-like 20.26%. To clarify the young epidemiological profile and the etiology of breast cancer a regional cancer registry is required. Furthermore, the awareness campaigns are crucial to avoid having patients with aggressive form of the disease. Therefore, to improve survival and reduce morbidity of breast cancer’s patients.","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122215965","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":"EVALUATION OF THE QUALITY OF CARE SECURITY PRODUCED BY THE ROOM THEATER OF THE REGIONAL HOPITAL OF NGAOUNDERE","authors":"Ngaroua, Abomo Meva, Dah’ngwa Dieudonne, Djibrilla Yaouba, E. N. Joseph","doi":"10.15342/IJMS.V5IR.224","DOIUrl":"https://doi.org/10.15342/IJMS.V5IR.224","url":null,"abstract":"The mission of the operating room is to provide an efficient framework for surgical interventions, programmed or emergency cases because patients increasingly claim the right to the best possible quality of care. The objective of this study was to improve the quality of care service produced in the operating room of the Regional Hospital of Ngaoundere. It concerned and observational descriptive study going from August 1 st to September 30 th , 2016.  Data collection was carried out through direct observation and interview. Results reveals from this study that, 46.66% of the operating room infrastructures were not up to the required international standards. Skin cleaning was carried out in 31 % of the cases by standard products but the different steps were not respected. Concerning hand washing and preliminaries to surgical scrub, it was a forgotten practice or non-applied practice in the regional hospital of Ngaoundere. The surgical disinfection of hands by friction in its two stages were not observed normally in 75.70 % and 97.10 % respectively. We realized that only 34.4 % of observations regarding the required time allowed for surgical friction was equal to or a little greater to the standards","PeriodicalId":259657,"journal":{"name":"International Journal of Medicine and Surgery","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125986936","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}