Salah Ben Elhend, H. Doulhousne, R. Rokhssi, Abdelilah Mouhsine
{"title":"Fistule carotido-caverneuse: à propos d’un cas","authors":"Salah Ben Elhend, H. Doulhousne, R. Rokhssi, Abdelilah Mouhsine","doi":"10.11604/pamj-cm.2020.2.124.21121","DOIUrl":"https://doi.org/10.11604/pamj-cm.2020.2.124.21121","url":null,"abstract":"Les auteurs apportent l’attitude diagnostique de notre service dans la prise en charge d’une fistule carotido-caverneuse, apparue un an apres un accident de la voie publique avec traumatisme crâni-facial chez un jeune de 21 ans. Un scanner cerebral et une IRM encephalique ont ete realise affin de rattache une exophtalmie pulsatile unilaterale a une Fistule Carotido- Caverneuse suspectee cliniquement.","PeriodicalId":397112,"journal":{"name":"PAMJ Clinical Medicine","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127365655","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}
Abderrahim Siati, N. Zeraidi, M. Azami, A. Lakhdar, Abdelaziz Baidada, A. Kharbach
{"title":"Nécrobiose septique d´un myome compliquant une péritonite: un cas rare","authors":"Abderrahim Siati, N. Zeraidi, M. Azami, A. Lakhdar, Abdelaziz Baidada, A. Kharbach","doi":"10.11604/pamj-cm.2020.2.117.21860","DOIUrl":"https://doi.org/10.11604/pamj-cm.2020.2.117.21860","url":null,"abstract":"Les leiomyomes infectes ou suppuratifs, est une complication rare mais grave des leiomyomes benins. On rapporte un cas rare d´une femme menopausee de 47 ans, G4P4, suivie pour une connectivite mixte avec une notion d´une corticotherapie au long cours, a ete admise au service des urgences gynecologiques pour une douleur abdominale aigue. L´examen physique et les etudes d´imagerie ont revele une masse pelvienne avec peritonite. Une laparotomie d´urgence a revele un uterus polymyomateux avec un grand myome spontanement perfore qui fuit un materiel purulent abondant directement dans la cavite peritoneale. Une hysterectomie totale et une salpingo-ovariectomie bilaterale ont ete realisees. L´histopathologie a confirme une necrobiose septique, avec des foyers de necroses associes a des infiltrats inflammatoires et n´a revele aucune malignite. Les etudes bacteriologiques ont montre la presence d´une infection par Enterococcus faecalis. La patiente s´est retablie apres une antibiotherapie combinee et declaree sortante apres 7 jours d´hospitalisation. Les gynecologues doivent etre conscients de cette rare situation d´urgence, en particulier lors de la presence des antecedents de leiomyome uterin et si des signes d´infection ou meme de septicemie sont presents.","PeriodicalId":397112,"journal":{"name":"PAMJ Clinical Medicine","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134178072","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":"Diabète endocrine: mise au point à propos d'un cas de maladie de Cushing","authors":"A. Dia, D. Dia, M. Mbaye, A. Léye","doi":"10.11604/pamj-cm.2020.2.10.20591","DOIUrl":"https://doi.org/10.11604/pamj-cm.2020.2.10.20591","url":null,"abstract":"Le diabete sucre peut survenir au cours de nombreuses endocrinopathies. Il resulte d´un effet direct ou indirect de l´hormone presente en exces sur le metabolisme glucidique. Nous rapportons un cas de diabete secondaire a une maladie de Cushing. Il s´agit d´une femme de 46 ans sans antecedents personnels et familiaux particuliers, qui consulte pour la prise en charge d´un diabete sucre de decouverte recente dans un contexte de syndrome polyuro-polydipsique. Le tableau clinique evoluait depuis environ 12 mois marque une de depigmentation cutanee diffuse et progressive sans usage de produits depigmentant, un virilisme pilaire, une prise de poids de 13 kg, et une amenorrhee sans signes sympathiques de grossesse. L´examen physique retrouvait un syndrome de Cushing typique avec des signes cataboliques cutanes et musculaires et une hypertension arterielle moderee a 160/90 mmHg. Le bilan biologique notait une glycemie a jeun a 2,5 g/l; une HbA1c a 13%, un hemogramme normal, les fonctions renale et hepatique normales. Le cortisol libre urinaire etait a 902 ug/l (10-50), l´ACTH a 46,9 ng/l (5-60). Le bilan de retentissement du diabete etait normal. Le dosage des autres stimulines hypophysaires etait normal. L´RM hypophysaire avait mis en evidence un macroadenome hypophysaire de 16 mm de diametre sans envahissement des tissus environnants. L´exploration ophtalmologique etait normale. Le traitement avait consiste en une adenomectomie par voie transphenoidale apres une bonne preparation medicale. L´evolution clinique et biologique en post-operatoire immediat a ete favorable. Cette observation illustre l´interet de rechercher une cause secondaire de diabete devant tout patient sans antecedent familial de diabete et ayant ou non un morphotype particulier.","PeriodicalId":397112,"journal":{"name":"PAMJ Clinical Medicine","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122273472","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":"Sigmoid volvulus in pictures: from the exam table to the operating table","authors":"A. Mejri, M. Ayadi","doi":"10.11604/pamj-cm.2019.1.70.20941","DOIUrl":"https://doi.org/10.11604/pamj-cm.2019.1.70.20941","url":null,"abstract":"Sigmoid volvulus is a frequent cause of large bowl obstruction. If it is not recognized in time, it can be hazardous with a high risk of mortality. Otherwise, simple exams could help to reach the correct diagnosis in time, which may completely change the prognosis and even avoid surgery in some cases. A 58-year-old man presented to the emergency room with acute abdominal pain associated with distal intestinal obstruction syndrome. The physical examination revealed a remarkable distention of the abdomen and the sigmoid colon whose limits could be discerned under the skin since the patient was thin (A) as well as a depression at the left iliac fossa (B). The plain abdominal radiography showed the « Coffee bean » sign (C). A CT-scan was performed showing a « Whirl sign » (D,E). The patient underwent emergency surgery. Intraoperatively, the sigmoid colon was markedly dilated and volvulated (F). We performed a resection of the sigmoid colon and primary anastomosis with simple outcomes. Through this case, we can conclude the multiple sings of sigmoid volvulus like the pathognomonic triad of Von Wahl, present in 68.84% of cases. The CT scan permits to confirm the diagnosis by showing the whirl sign: twisting of the mesenteric vessels and search for complications. Regarding the risk of recurrence of 18-90% for the endoscopic decompression, the most considered treatment is sigmoid non-surgical decompression followed by an elective sigmoid resection.","PeriodicalId":397112,"journal":{"name":"PAMJ Clinical Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131156367","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":"Syndrome douloureux atypique de la cheville chez le sportif: syndrome de l´os trigone","authors":"A. Benabbouha, Y. Jalal, A. Jaafar","doi":"10.11604/pamj-cm.2019.1.68.21084","DOIUrl":"https://doi.org/10.11604/pamj-cm.2019.1.68.21084","url":null,"abstract":"Le syndrome de l’os trigone est une pathologie rare, en rapport avec la presence d’un os accessoire a la partie posterieure du talus.il concerne habituellement une population d’adultes jeunes sportifs. Le traitement peut etre medical dans un premier temps, en cas d’echec, une resection chirurgicale permet d’obtenir des resultats satisfaisants. Les auteurs rapportent une serie de 10 patients sportifs traites chirurgicalement. Au recul moyen de 2 ans, les resultats etaient bons, avec une reprise des activites sportives chez tous nos patients.","PeriodicalId":397112,"journal":{"name":"PAMJ Clinical Medicine","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115612123","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}
Saad Andaloussi, Abdelhalim Mahmoudi, K. Khattala, Y. Bouabdallah
{"title":"Le syndrome de la pince aorto-mésentérique: une cause rare d’obstruction duodénale","authors":"Saad Andaloussi, Abdelhalim Mahmoudi, K. Khattala, Y. Bouabdallah","doi":"10.11604/pamj-cm.2019.1.66.20988","DOIUrl":"https://doi.org/10.11604/pamj-cm.2019.1.66.20988","url":null,"abstract":"Le syndrome de la pince aorto-mesenterique ou syndrome de Wilkie est une cause rare d´occlusion intestinale haute resultant de la compression de la troisieme portion du duodenum lors du passage entre l´artere mesenterique superieure et l´aorte. Cliniquement, il se caracterise par des vomissements, des nausees et des douleurs abdominales intermittents lies au degre de la compression duodenale. Le diagnostic est base sur la tomodensitometrie abdominale. Une prise en charge medicale avec decompression a l´aide d´une sonde nasogastrique et un soutien nutritionnel adequat sont initialement recommandes. Le traitement chirurgical est indique en cas d´echec de la gestion conservatrice. Nous rapportons un cas de syndrome de la pince aorto-mesenterique survenu chez une patiente âge de 17 ans ayant beneficiee d´une gastro-jejunostomie par voie laparoscopique avec une bonne evolution post-operatoire.","PeriodicalId":397112,"journal":{"name":"PAMJ Clinical Medicine","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115703567","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}
Soukaina Belaaroussi, G. Berrada, Fatima-Ezzahrae Badi, S. Salam, K. Chbani, D. Laoudiyi, L. Ouzidane
{"title":"Apport de l´IRM dans le diagnostic des malformations corticales","authors":"Soukaina Belaaroussi, G. Berrada, Fatima-Ezzahrae Badi, S. Salam, K. Chbani, D. Laoudiyi, L. Ouzidane","doi":"10.11604/pamj-cm.2019.1.67.20987","DOIUrl":"https://doi.org/10.11604/pamj-cm.2019.1.67.20987","url":null,"abstract":"Cause importante de retard psychomoteur et de convulsions de l´enfant, les malformations corticales cerebrales sont mal connues par les equipes non specialisees. Leur reconnaissance et leur identification reviennent en grande partie a l´imagerie qui conditionne le conseil genetique. L´objectif de ce travail est de montrer l´importance de l´imagerie dans le diagnostic de ces malformations ainsi que la semiologie radiologique (TDM et IRM) des malformations les plus frequentes. Il s´agit d´une etude retrospective portant sur une serie de 43 patients pris en charge au service de neurologie de l´hopital d´enfants Abderrahim Harrouchi de Casablanca, pour dysgenesies corticales. Tous les patients ont beneficie d´une imagerie cerebrale en coupe TDM ou IRM au sein du service de radiologie pediatrique. 35 de nos patients ont ete suivis pour epilepsie, 4 enfants pour anomalie de developpement psychomoteur et 4 cas de retard mental. Dans notre serie, les anomalies corticales etaient reparties comme suit: 8 cas de pachygyrie, 7 cas de polymicrogyrie et 2 cas d´heterotopie de la substance grise dont une etait nodulaire et l´autre en bande, 2 cas d´hemimegalencephalie. Les dysplasies corticales focales retrouvees dans 2 cas, 13 cas de schizencephalie a fente ouverte dans 10 cas et fermee dans les 3 autres cas, 3 cas de lissencephalie et 6 cas de sclerose tubereuse de Bourneville. L´IRM, par la qualite de son etude multiplanaire et la meilleure differenciation substance blanche-substance grise (SB-SG), permet un diagnostic plus precis des dysgenesies corticales, necessaire pour planifier le traitement et pour donner un conseil genetique.","PeriodicalId":397112,"journal":{"name":"PAMJ Clinical Medicine","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133566710","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":"Scapular winging in athletes: a rare clinical entity","authors":"A. Benabbouha, H. Sallahi","doi":"10.11604/pamj-cm.2019.1.54.21074","DOIUrl":"https://doi.org/10.11604/pamj-cm.2019.1.54.21074","url":null,"abstract":"Scapular winging is extremely rare clinical entity. It is definided as protrusion of the scapula from the thoracic wall. Here, we report a 21 year-old handball player presented with pain in the right shoulder with weakness and discomfort during playing handball for three months. Clinical examination revealed medial scapular winging. Electromyography found neurapraxic of the long thoracic nerve. Hence, the diagnosis of the SW due to serratus anterior palsy was retained. The patient was treated with rehabilitation and physiotherapy for range of motion of the right shoulder. At 14 month follow-up, the patient was asymptomatic and was returned to sport activities.","PeriodicalId":397112,"journal":{"name":"PAMJ Clinical Medicine","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126206001","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. Doulhousne, S. B. Elhend, N. Hammoune, A. Fikri
{"title":"Fibromatosis colli: about 02 cases","authors":"H. Doulhousne, S. B. Elhend, N. Hammoune, A. Fikri","doi":"10.11604/pamj-cm.2019.1.51.21042","DOIUrl":"https://doi.org/10.11604/pamj-cm.2019.1.51.21042","url":null,"abstract":"Fibromatosis colli or congenital torticollis is a rare pseudotumor of the sternocleidomastoid muscle of the newborn and infant which the mechanism of occurrence is controversial. The diagnosis is clinical. Ultrasounds make the diagnosis and eliminate other causes of torticollis. The evolution is towards spontaneous regression in a few months or with physiotherapy. We report the collected observations of two infants aged 8 and 12 weeks, respectively presenting a right and left lateral cervical mass. The clinical and ultrasound appearance strongly evoked the diagnosis. The follow-up was ultrasonographic with good clinical evolution and spontaneous regression in a few months.","PeriodicalId":397112,"journal":{"name":"PAMJ Clinical Medicine","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127477784","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":"Snare polypectomy in pedunculated colonic polyp","authors":"Fouad Nejjari, A. Aourarh","doi":"10.11604/pamj-cm.2019.1.48.21055","DOIUrl":"https://doi.org/10.11604/pamj-cm.2019.1.48.21055","url":null,"abstract":"A 55-year-old man with a familial history of colonic neoplasm presented for screening colonoscopy, he had no specific symptomatology, physical examination finding and biological exams were normal.","PeriodicalId":397112,"journal":{"name":"PAMJ Clinical Medicine","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128434829","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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