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A Rare Cause of Abdominal Pain: Mucocele of Appendix

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International Journal of Clinical Medicine 2014年第6期5卷 305-308页

作者： Mountassir Moujahid Issam Ennafaa El ghari Mohamed Issam Serghini Moulay El Hassan Tahiri Department of General Surgery 5th Miltary Hospital Guelmim Morocco Department of Radiology 5th Miltary Hospital Guel-mim Morocco Department of Reanimation 5th Miltary Hospital Guelmim Morocco

The mucocele of appendix or mucosecreting tumor is a rare affection defined as a cystic dilatation of the light of the appendix following the intra luminal accumulation of mucinous, translucent, gelatinous, secretion which may reach either the entire organ or a segment more often distal. The pathogenesisis is discussed;the diagnosis is more often preoperative. The therapeutic depends on the histological nature. This goes from the simple appendicectomy, whose shapes are benign to the right hemicolectomy in the malignant mucocele. We report a case collaged in the general surgical service of the 5th Military Hospital.

关键词： Appendix Mucocele Peritoneal Pseudomyxoma Diagnosis Surgical Treatment

Hepato Splenic Tuberculosis in Acute Cholecystitis

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International Journal of Clinical Medicine 2014年第14期5卷 871-874页

作者： Mountassir Moujahid Hicham Iraqui Mohamed ghari Issam Serghini Khalid Chekoura Moulay Hassan Tahiri Departement of Radiology 5th Military Hospital Guelmim Morroco Departement of Reanimation 5th Military Hospital Guelmim Morroco Departement of Surgery 5th Military Hospital Guelmim Morroco

Background: The tuberculosis is an endemic disease in our country;it remains a major public health problem. Liver and splenic tuberculosis is a classic disease which represents 1.5% of all gastrointestinal tuberculosis. Patients and Methods: We reported the case of a fifty-six years old patient admitted in the department of surgery for acute cholecystitis, and the biological balance showed a hyperleukocytosis at 16,000 elements/mm3 and a CRP at 25 with a light cholestasis. The abdominal scanner showed a micronodular splenomegaly with coelio mesenteric ganglions. We discovered a tuberculosis location in the liver and the spleen and we realized a cholecystectomy with a hepatic biopsy and a splenectomy. Results: A gallbladder ablation associated with an enlarged spleen and liver biopsy was diagnosed with liver and splenic tuberculosis. The patient was put under anti tubercular treatment with the good clinical and radiological evolution. Conclusion: The diagnosis of tuberculosis should always be considered especially in endemic countries.

关键词： Tuberculosis Endemic Liver Spleen Diagnosis Treatment

Mediastinal Hydatid Cyst: Exceptional Location

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Open Journal of Thoracic Surgery 2014年第1期4卷 9-12页

作者： Mountassir Moujahid Issam Ennafaa Ahmed ghari Issam Raissouni Karim Nadour Moulay Hassan Tahiri Departement of Radiology 5th Military Hospital Guelmim Morocco Departement of Reanimation 5th Military Hospital Guelmim Morocco Departement of Surgery 5th Military Hospital Guelmim Morocco

The hydatid disease establishes a real problem of public health in our country. The hydatid cyst is preferentially located at the level of the liver and the lungs. Its mediastinal location is extremely rare, representing 0à 4% of all the hydatic locations. The imaging plays an important role in the diagnosis of this affection and in the balance sheet of extension in search of another location. The hydatid cyst also raises a diagnostic problem with the cystic hurts of the mediastinum. We report a case of mediastinal hydatid cyst colliged in the service of general surgery at the 5th military hospital.

关键词： Hydatid Cyst Mediastinal Diagnosis and Treatment

Jejunal Stromal Tumor Revealed by a Digestive Hemorrhage

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International Journal of Clinical Medicine 2013年第11期4卷 485-487页

作者： Mountassir Moujahid Issam Ennafae Mohamed ghari Khalid Chekoura Youness Issaoui My Hassan Tahiri Department of Radiology 5th Military Hospital Guelmim Morocco Department of Reanimation 5th Military Hospital Guelmim Morocco Dpartment of General Surgery 5th Military Hospital Guelmim Morocco

Introduction: Gastro intestinal stromal tumors are rare which can arise at any age, mostly between 50 and 60 years old. They are characterized by the expression on the surface of their cells, a specific gene c-kit. They can be located in any segment of the digestive tract, with a preference for the stomach (60%). The jejunum location is found in 200% to 30% of the cases. The originality of our observation is the revelation of a stromal jejunum tumor by a digestive bleeding. Case Report: A 71-year-old man was admitted in emergencies for a low digestive plentiful bleeding with state of hypovolemia shock. Result: The operation was performed after stabilization of his dynamic state and blood transfusion and we discovered a jejunal stromal tumor in operation. The follow-up was simple with a good evolution under treatment by Imatinib. Conclusion: Stromal digestive tumors are rare which can interest all the segments of the digestive tract and their diagnosis must be often evoked in front of any digestive bleeding.

关键词： Gastro Intestinal Stromal Tumor Jejunum Location Digestive Haemorrhage Diagnostic and Treatment

Shape Misleading of Hydatic Cyst

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International Journal of Clinical Medicine 2013年第8期4卷 347-349页

作者： M. Moujahid K. Chakoura Y. Issaoui I. Ennafae M. ghari My. H. Tahiri Department of General Surgery 5th Military Hospital Guelmim Morocco

The hydatidosis is a problem of public health in the zones of rising of the developing countries. It is an anthropozoonose due to the development at the man of the larva of Echinococcus *** localizations at the man are varied, unique or multiple, isolated or associated of which the chief of thread is represented by the liver and the lung. We report a misleading revelation of the hydatic cyst of the psoas.

关键词： Muscular Hydatic Cyst Psoas Unaccustomed Localizations Diagnosis and Treatment