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[Malignant mesothelioma of the vaginal testis: diagnostic and therapeutic considerations]. [阴道睾丸恶性间皮瘤：诊断和治疗注意事项]。
Revue medicale de Liege Pub Date : 2024-07-01
Orlane Paridans, Antoine Lurquin, Jean-Francois Wilmart
{"title":"[Malignant mesothelioma of the vaginal testis: diagnostic and therapeutic considerations].","authors":"Orlane Paridans, Antoine Lurquin, Jean-Francois Wilmart","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Mesothelioma of the testicular vagina is a rare malignant tumour, most often discovered by chance. The rarity of this type of tumour has not led to the development of specific guidelines. Median survival is estimated at 30 months. The lack of data and official recommendations makes surgical and medical management and follow-up difficult. Men who have not undergone radical orchiectomy die very rapidly after diagnosis. The remission rate at 1 year post-orchidectomy is 47 %, the recurrence rate at 1 year is 53 % and 92 % of relapses occur within 5 years post-operatively. The treatment option of hemiscrotectomy in the first instance has rarely been used; a second-look resection with negative margins may be proposed. The usefulness of adjuvant chemotherapy and/or radiotherapy has not been clearly demonstrated. Local recurrence is accompanied by metastasis in 85 % of cases. In the case of metastatic cancer (15 %), the retro-peritoneal, inguinal and iliac lymph nodes may be invaded. Follow-up by injected thoraco-abdomino-pelvic CT scan is recommended every 3 months for 2 years, then once a year for 3 years, for a total of 5 years of close follow-up. The long-term recurrence rate is 3 %.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 7-8","pages":"511-515"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918458","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
[Erionite, an exposure factor linked to pleural mesothelioma]. [与胸膜间皮瘤有关的接触因素--鄂里翁石]。
Revue medicale de Liege Pub Date : 2024-07-01
Jérôme Delhaise, Michel Gustin
{"title":"[Erionite, an exposure factor linked to pleural mesothelioma].","authors":"Jérôme Delhaise, Michel Gustin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Mesotheliomas are neoplasia developed from the mesothelium, a layer covering the viscera (visceral layer) and the cavity where the organs are (parietal layer). The best known, and the most frequently encountered is the pleural mesothelioma. This disease has a close link with exposure to asbestos, a mineral fibre now banned in several countries. However, other exposure factors have also been incriminated, including another one recognised as a certain carcinogenic agent for several years now : erionite. We present the case of a patient with pleural mesothelioma whose exposure to erionite could be demonstrated. The presentation of this clinical case will be complemented by a literature review on this less known and mostly environmental exposure, contrary to asbestos which is mostly professional.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 7-8","pages":"478-484"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918455","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
[Thrombosis of portal cavernoma]. [门海绵瘤血栓形成]。
Revue medicale de Liege Pub Date : 2024-07-01
Julia Tebache, Alexis Daenen, Romain Gillard
{"title":"[Thrombosis of portal cavernoma].","authors":"Julia Tebache, Alexis Daenen, Romain Gillard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Portal cavernoma thrombosis is a complication of portal cavernoma. We describe the case of a 74-year-old patient who presented to the emergency department with abdominal pain. The computed tomography scan showed a mass from the head of the pancreas to the hepatic hilum not enhanced after injection of iodinated contrast. There was no dilatation of the bile ducts. Abdominal magnetic resonance ruled out a tumour and confirmed a portal cavernoma thrombosis. In 50 % of cases the etiology of the portal cavernoma is unknown. It is often asymptomatic. It may be discovered in case of complications of portal hypertension. In rare cases the portal cavernoma can compress the bile ducts. To our knowledge, portal cavernoma thrombosis has only been described in one article. It is important to search for a thrombophilic disorder when such a complication is found. We share this case report in order to raise awareness in the medical community about this rare complication.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 7-8","pages":"532-534"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918465","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
[Infectious mononucleosis : an atypical cause of acute alithiasic cholecystitis]. [传染性单核细胞增多症：急性胆囊炎的非典型病因]。
Revue medicale de Liege Pub Date : 2024-07-01
Coumba Diop, Marie Pironet, Julie Descy, Virginie Mistretta, Pierre Perugini
{"title":"[Infectious mononucleosis : an atypical cause of acute alithiasic cholecystitis].","authors":"Coumba Diop, Marie Pironet, Julie Descy, Virginie Mistretta, Pierre Perugini","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Epstein-Barr virus (also known as EBV), responsible for infectious mononucleosis, is a virus that infects the majority of the world's population. Infection occurs in several forms, most often asymptomatic, or as a fever accompanied by pharyngitis and lymphadenopathies. A rare complication of infectious mononucleosis is acute acalculous cholecystitis, an inflammation of the gallbladder characterized by ischaemia and severe cholestasis. The diagnosis of this pathology is made by imaging, but determining the cause may be tricky. We present here the case of acute acalculous cholecystitis in a 21-year-old woman. This case highlights a rare complication of EBV infection that is probably under-diagnosed, and demonstrates the usefulness of interpreting liver tests and leukocyte count in association with imaging findings.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 7-8","pages":"485-488"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918457","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
[Mispositioned central line with catheterization of partial anomalous pulmonary venous return]. [部分异常肺静脉回流导管插入中心管位置错误]。
Revue medicale de Liege Pub Date : 2024-07-01
Pauline Peeters, Raphaëlle Lopez, Sophie Dheur, Laura Silversmet, Alexandre Ghuysen
{"title":"[Mispositioned central line with catheterization of partial anomalous pulmonary venous return].","authors":"Pauline Peeters, Raphaëlle Lopez, Sophie Dheur, Laura Silversmet, Alexandre Ghuysen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Central venous access is common practice in intensive care, anesthesia and emergency departments. It is, however, a delicate technical procedure, prone to complications. We present a case report on the placement of a left jugular central venous line in the emergency room, which was thought to be a routine procedure. However, the operator observed arterial blood during sampling, and the central line was described as poorly positioned on the control X-ray. After verification and other examinations, the existence of a vertical vein was discovered in this patient, connecting the left superior pulmonary vein to the brachiocephalic trunk. A poorly positioned central venous line can therefore lead to the discovery of asympomatic congenital vascular anomalies, unrelated to the clinical context. This case study illustrates the various tools available to ensure the correct position of a central venous line, and their clinical implications.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 7-8","pages":"516-520"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918459","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
[Neurodevelopmental impact of a mutation in the RHOBTB2 gene]. [RHOBTB2基因突变对神经发育的影响]。
Revue medicale de Liege Pub Date : 2024-07-01
Martin Beckers, René Stevens, François-Guillaume Debray, Patricia Leroy
{"title":"[Neurodevelopmental impact of a mutation in the RHOBTB2 gene].","authors":"Martin Beckers, René Stevens, François-Guillaume Debray, Patricia Leroy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>RHOBTB2 was first described as epileptogenic when it presents a missense variant in 2016 and studied more specifically in 2018. It is a gene that causes rare, but potentially severe childhood epileptic encephalopathy. In 2021, research confirmed that heterozygous mutations of RHOBTB2 included other clinical signs besides these encephalopathies. Thus, these infantile epilepsies are mainly associated with highly variable phenotypes, with developmental delay, post-traumatic encephalitis, paroxysmal movement disorders and iconographic brain damage. In this work, after presenting a clinical case, we will recall the role of RhoGTPases on neuronal development. We will then discuss a study which highlighted the neurodevelopmental impact of mutations on the RHOBTB2 gene by carrying out work on Drosophila melanogaster flies. Finally, we will compare the presented clinical case with a literature review.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 7-8","pages":"467-470"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918460","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
[Perforated duodenal ulcer in patient with prior gastric bypass]. [曾做过胃旁路手术的患者十二指肠溃疡穿孔]。
Revue medicale de Liege Pub Date : 2024-07-01
Antoine Dumont, Ali Deeba
{"title":"[Perforated duodenal ulcer in patient with prior gastric bypass].","authors":"Antoine Dumont, Ali Deeba","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Duodenal ulcer perforation in patients undergoing gastric bypass surgery is a rare late complication, occurring in less than 1% of cases. It carries a high mortality risk, particularly in cases of delayed diagnosis. The challenge lies in an unspecific clinical presentation and laboratory findings, as well as a CT scan not very helpful in almost half of cases. These features may lead to the consideration of other differential diagnoses, such as pancreatitis or cholecystitis. A multidisciplinary approach in collaboration with digestive surgeons is essential to enable rapid exploratory laparoscopy in presence of diagnostic uncertainty, and appropriate therapeutic management.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 7-8","pages":"489-491"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918461","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
[Grisel's syndrome : about two cases of a atlantoaxial (C1-C2) subluxation]. [格里斯尔综合征：关于两例寰枢椎（C1-C2）脱位的病例]。
Revue medicale de Liege Pub Date : 2024-07-01
Mathieu Czajkowski, Philippe Lefèbvre, Olivier Bouchain, Nicolas Peigneux, Gilles Reuter
{"title":"[Grisel's syndrome : about two cases of a atlantoaxial (C1-C2) subluxation].","authors":"Mathieu Czajkowski, Philippe Lefèbvre, Olivier Bouchain, Nicolas Peigneux, Gilles Reuter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Grisel's syndrome is a non-traumatic atlantoaxial (C1-C2) subluxation and one of the causes of torticollis in children. The subluxation occurs in the context of an infection in the ENT (\"Ear Nose and Throat\") region or following surgery. Diagnosis is based on clinical examination and radiological assessment. Treatment is typically medical and conservative, with surgical interventions reserved for recurrences and late presentations. We discuss here two cases of C1-C2 subluxation. The first case involves a 10-year-old child with subluxation following a rhinopharyngitis. This presentation is the classical manifestation of Grisel's syndrome. Prompt management led to correction of the subluxation using medical treatment and a soft Philadelphia collar. The second case involves a 34-year-old adult who developed posterior headaches after sphenoidotomy surgery. Grisel's syndrome is less common in adults, leading to clinical challenges and delayed diagnosis (> 1 month). Reduction combined with a halo vest treatment failed, and the patient required cervical arthrodesis.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 7-8","pages":"471-477"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918456","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
[Pericardial cyst, a rare, minimally symptomatic lesion easy to treat]. [心包囊肿，一种罕见、症状轻微、易于治疗的病变]。
Revue medicale de Liege Pub Date : 2024-07-01
Noman Bajwa, Elie Minga Lowampa, Natacha Mawait, César Vazquez
{"title":"[Pericardial cyst, a rare, minimally symptomatic lesion easy to treat].","authors":"Noman Bajwa, Elie Minga Lowampa, Natacha Mawait, César Vazquez","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A pericardial cyst is a rare and benign lesion, most commonly of congenital origin. A female patient of 35 years old was admitted to the emergency department of our institution, for non-irradiating thoracic pain associated with a dyspnea. A CT-Scan was performed, and a pericardial cyst of a large size was found. A surgical procedure through thoracoscopy was performed to enhance the symptomatology of the patient and to eradicate the cyst. The diagnosis of these lesions is most commonly sporadic after a radiography performed for other causes. Most of the time these lesions are asymptomatic (although thoracic pains, chronic cough and dyspnea amongst others may be observed). In case of suspicion (related to radiography or an eventual symptomatology) a thoracic scan is performed with a contrasting product for the confirmation and localization of the cyst. In addition to the diagnosis and the localization, it is best to perform a transthoracic ultrasound which enables a differential diagnosis with other lesions (lipoma, aortic aneurysm, solid tumour, and a left ventricle aneurysm etc.). A surgical treatment is recommended in symptomatic cases. In non-symptomatic cases, a transthoracic ultrasound is recommended.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 7-8","pages":"463-466"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918462","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
[Pyoderma gangrenosum after orthopedic conservative treatment]. [骨科保守治疗后的脓皮病]。
Revue medicale de Liege Pub Date : 2024-07-01
Morgane Pottier, Jean-Marie Servier, Vincent Migliore, Thierry Thirion, Arjen Nikkels
{"title":"[Pyoderma gangrenosum after orthopedic conservative treatment].","authors":"Morgane Pottier, Jean-Marie Servier, Vincent Migliore, Thierry Thirion, Arjen Nikkels","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis. Half of the cases are associated with an immune dysfunction and are frequently triggered by pathergy such as a tissular aggression via surgery or burn wounds. A patient with ulcerative colitis presented a PG at the site of an iontophoresis patch for tendinopathy. Treatment in a specialized burn center, corticosteroid therapy and adapted local care contributed to a favourable evolution. PG remains a diagnosis of exclusion and inflammatory phenomena must be differentiated from infectious causes such as necrotizing fasciitis to initiate immunosuppressive treatment. Being rare and difficult to diagnose and to treat as well as associated with potentially severe sequelae, a multidisciplinary team is required for the management of PG.</p>","PeriodicalId":94201,"journal":{"name":"Revue medicale de Liege","volume":"79 7-8","pages":"521-526"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918464","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
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