PAMJ Clinical Medicine最新文献

Tumeurs neuroendocrines à cellules claires du pancréas : A propos de deux cas et revue de la littérature 胰腺清除细胞神经内分泌肿瘤:约2例及文献综述

PAMJ Clinical Medicine Pub Date : 2021-08-18 DOI: 10.11604/pamj-cm.2021.6.40.30402

Z. Samlani, Yassine Lemfadli, A. A. Errami, S. Oubaha, Abderrachid Hamdaoui, K. Krati

引用次数: 0

Bilateral exudative retinal detachment in HELLP syndrome, first description in North Africa: a case report 双侧渗出性视网膜脱离HELLP综合征，首次描述在北非:一个病例报告

PAMJ Clinical Medicine Pub Date : 2021-08-04 DOI: 10.11604/pamj-cm.2021.6.39.25913

A. Khallouli, R. Choura, R. Saidane, D. Gouider, A. Maalej, R. Rannen

引用次数: 1

One successful intrauterine device into a uterus, didelphys: a case report and literature review 宫内节育器成功植入子宫一例，didelphys: 1例报告及文献复习

PAMJ Clinical Medicine Pub Date : 2021-08-03 DOI: 10.11604/pamj-cm.2021.6.38.29179

Kasereka Muteke John, Kaboko Mbilika Kevin

{"title":"One successful intrauterine device into a uterus, didelphys: a case report and literature review","authors":"Kasereka Muteke John, Kaboko Mbilika Kevin","doi":"10.11604/pamj-cm.2021.6.38.29179","DOIUrl":"https://doi.org/10.11604/pamj-cm.2021.6.38.29179","url":null,"abstract":"Uterus didelphys represents a uterus malformation where the uterus is present as a double organ due to embryonic fusion failure of the mullerian ducts. As a result, there is a double uterus with separated cervices. This congenital malformation used to be a controversial contraindication of an intrauterine device (IUD) insertion. It is a category 4 WHO medical eligibility criteria: not being used because of its association with a high risk of IUD expulsion, malposition into the uterus, uterine perforation and its migration into the abdominal cavity and viscera. We present and discuss the case of a 35-year-old woman, P4+6, known with uterus didelphys who came to our outpatient clinic for family planning. She was counselled about all available methods and opted for a levonorgestrel IUD (LNG-IUD). We inserted the device into one of her double uterus and she is fully satisfied with the method now one year and three months ago. Levonorgestrel IUD is a long acting, highly effective and reversible form of contraception that works mainly by thickening of the cervical mucus and also by thinning the endometrial lining. Considering its effect on the endometrium and the cervical mucus; and its high level of progesterone pelvic release, we think one LNG-IUD contraception into one of the double uterus is enough and effective in individualized and known women with such condition instead of two IUDs, one being into each uterus, such published in all articles we read through. The purpose of this case report is to demonstrate that only one LNG-IUD contraception can be sufficient and effective method in known and selective women with uterus didelphys. However a case-series study is needed for more evidence.","PeriodicalId":397112,"journal":{"name":"PAMJ Clinical Medicine","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133469901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bilateral cataract in a teenage girl with type 1 diabetes (T1D): case report 少女合并1型糖尿病(T1D)双侧白内障1例

PAMJ Clinical Medicine Pub Date : 2021-07-29 DOI: 10.11604/pamj-cm.2021.6.35.30477

D. Boiro, Lamine Thiam, I. Basse, M. Ndiaye, A. A. Ndongo, N. Seck, A. Sow, B. Niang, D. Diédhiou, M. Guéye, O. Ndiaye

引用次数: 0

Panniculite mésentérique, une cause inhabituelle de douleur abdominale : à propos de 2 cas diagnostiqués à la tomodensitométrie 肠系膜Panniculite，腹痛的不寻常原因:约2例ct诊断

PAMJ Clinical Medicine Pub Date : 2021-07-28 DOI: 10.11604/pamj-cm.2021.6.34.30415

P. Gbande, M. Tchaou, A. Amadou, L. Sonhaye, K. Adjenou

引用次数: 0

Dystrophie des cônes 锥体营养不良

PAMJ Clinical Medicine Pub Date : 2021-07-27 DOI: 10.11604/pamj-cm.2021.6.33.24149

Souhaila Karmoun, A. Berraho

{"title":"Dystrophie des cônes","authors":"Souhaila Karmoun, A. Berraho","doi":"10.11604/pamj-cm.2021.6.33.24149","DOIUrl":"https://doi.org/10.11604/pamj-cm.2021.6.33.24149","url":null,"abstract":"Nous rapportons le cas d´une jeune femme âgee de 30 ans, sans antecedents notables, qui se plaint d´une baisse d´acuite visuelle progressive depuis l´âge de 20 ans. L´acuite visuelle est chiffree a 1/10 non ameliorable en œil droit et gauche. L´examen du segment anterieur des deux yeux est sans particularites. L´examen du fond d´œil a revele l´existence d´une lesion maculaire jaunâtre arrondie avec une atrophie maculaire majeure au niveau des deux yeux (A, B). Le vitre est transparent, l´examen de la peripherie retinienne est normal. Les cliches en auto fluorescences decrivent un aspect granulaire des maculas avec une alternance de points hypo-autofluorescents (alteration de l´epithelium pigmentaire) et hyper-autofluorescents (depots de lipofuscine) (C, D). L´angiographie a la fluoresceine montre la presence d´une atrophie maculaire accompagnee d´un remaniement de l´epithelium pigmentaire. Il existe aussi un effet fenetre realisant l´aspect d´œil de bœuf au niveau maculaire (E, F). Une electro-retinographie a ete realisee confirmant le diagnostic de la dystrophie des cones. Sur le plan histologique, la dystrophie progressive des cones correspond a une atteinte selective des cones et il a longtemps ete debattu de l´origine du processus degeneratif, entre une atteinte primaire de l´EP et une atteinte primaire des cones, plus probable. La dystrophie progressive des cones concerne le plus souvent des adultes jeunes qui consultent pour une baisse de l´acuite visuelle centrale bilaterale et frequemment asymetrique. L´affection evolue rapidement vers une acuite comprise entre 3/10 et 1/20, puis vers un scotome central.","PeriodicalId":397112,"journal":{"name":"PAMJ Clinical Medicine","volume":"148 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121766007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Suspended morgagnian nucleus 悬浮摩根核

PAMJ Clinical Medicine Pub Date : 2021-07-26 DOI: 10.11604/pamj-cm.2021.6.30.30845

K. Madbouhi, L. O. Cherkaoui

引用次数: 0

Challenging case of anal carcinoma with baseline chronic neutropenia - the importance of a multi-disciplinary team effort in the prevailing COVID-19 pandemic 肛门癌伴基线慢性中性粒细胞减少的挑战性病例——在当前的COVID-19大流行中，多学科团队努力的重要性

PAMJ Clinical Medicine Pub Date : 2021-07-26 DOI: 10.11604/pamj-cm.2021.6.31.30533

N. Shanbhag, H. Medina, J. Philip, S. Cordner, A. Duncan, Vonetta George, Raghunandan Gangappa, Preston Goodwin, Sekeena Goodwin, Lestor Simon, H. Agrawal, Mohammed Syed Ali, R. Hodge

引用次数: 0

Hémangiome caverneux du jéjunum mimant un corps étranger Hémangiome caverneux你jéjunum mimant联合国陆战队étranger

PAMJ Clinical Medicine Pub Date : 2021-07-26 DOI: 10.11604/pamj-cm.2021.6.32.27566

Khalil Maamar, M. Bouziane

引用次数: 0

Volvulus du caecum sur mésentère commun complet au cours de la grossesse: à propos d’un cas 妊娠期完全普通肠系膜上的盲肠卷:约1例

PAMJ Clinical Medicine Pub Date : 2021-07-23 DOI: 10.11604/pamj-cm.2021.6.29.30231

F. Khanfir, Amine Zouari, F. Chaker, A. Masmoudi, Hend Tebourbi, M. Abdelmoula, Taher Labidi, Houcen Harbi, Bassem Abid, Mohamed Derbel, R. Mzali, K. Chaabane

{"title":"Volvulus du caecum sur mésentère commun complet au cours de la grossesse: à propos d’un cas","authors":"F. Khanfir, Amine Zouari, F. Chaker, A. Masmoudi, Hend Tebourbi, M. Abdelmoula, Taher Labidi, Houcen Harbi, Bassem Abid, Mohamed Derbel, R. Mzali, K. Chaabane","doi":"10.11604/pamj-cm.2021.6.29.30231","DOIUrl":"https://doi.org/10.11604/pamj-cm.2021.6.29.30231","url":null,"abstract":"Un accident occlusif aigu pendant la grossesse est une complication rare mais potentiellement grave qui peut poser des difficultes diagnostiques et mettre en jeu le pronostic maternel et fœtal. Nous rapportons le cas d´une patiente âgee de 22 ans, sans antecedents, admise pour des contractions uterines au terme de 37 semaines d´amenorrhees. L´examen a l´admission etait sans anomalies. La patiente a presente 7 heures apres l´admission des vomissements repetitifs avec polypnee et fievre. Une cesarienne a ete decidee en urgence devant l´apparition d´une bradycardie fœtale a l´enregistrement du rythme cardiaque fœtal ERCF. Le diagnostic de volvulus du colon droit sur un mesentere commun complet a ete pose en per-operatoire apres l´extraction fœtale. Le colon droit etait distendu et necrose avec trois tours de spire. La decision etait de realiser une colectomie droite avec anastomose ileo-colique termino laterale. L´evolution de la patiente en post operatoire etait favorable. A travers cette observation ainsi qu´une revue de litterature nous essaierons de discuter les modalites diagnostiques et therapeutiques de cette pathologie.","PeriodicalId":397112,"journal":{"name":"PAMJ Clinical Medicine","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125773427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0