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Cerebral Abscesses Revealing Pulmonary Arteriovenous Malformations

Chinese Medical Journal 2016年第18期129卷 2253-2255页

作者： Issoufou Ibrahim Sani Rabiou Belliraj Laila Ammor Fatima Zahra ghalimi jamal Lakranbi Marouane Serraj Mounia Ouadnouni Yassine Smahi Mohamed Department of Thoracic Surgery Teaching Hospital Hassan II Fez 30000 Morocco Department of Pneumology Teaching Hospital Hassan II Fez 30000 Morocco

Pulmonary arteriovenous malformations （AVM） lung is defined by an abnormal communication between pulmonary artery（ies） and vein（s） responsible for a right-left shunt. Congenital forms are most common and usually associated with Rendu-Osler disease （ROD）. Inversely, 15-45% of patients with ROD present lung AVM Nowadays, embolization is preferred to surgical resection in the majority of cases. Except for certain cases where surgery is indicated. This paper shows the role of surgery in AVMs.

关键词： Brain Abscess Lobectomy Osler-Rendu Disease Pulmonary Arteriovenous Malformation Thoracotomy

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Posterior Mediastinal Mature Teratoma: A Case Report and Literature Review

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Case Reports in Clinical Medicine 2014年第3期3卷 122-124页

作者： Sani Rabiou jamal ghalimi Marwane Lakranbi Yassine Ouadnouni Mohamed Smahi Department of Thoracic Surgery University Hos-pital Hassan II Fez Morocco Department of Thoracic Surgery University Hospital Hassan II Fez Morocco Faculty of Medicine and Pharmacy Sidi Mohamed Benabdellah University Fez Morocco

Mediastinal mature teratoma is the most common form of germ cell tumors, often located in the anterior mediastinum. A posterior mediastinum location has rarely been described. We report a case of a posterior mediastinal mature teratoma in a 37-year-old patient and a literature review, through which we describe the diagnostic and therapeutic difficulties inherent in this particular location of these tumors.

关键词： Posterior Mediastinal Mature Teratoma Computed Tomography Surgery

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Tuberculous Pleuro-Cutaneous Fistula

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International Journal of Clinical Medicine 2015年第7期6卷 506-511页

作者： jamal ghalimi Sani Rabiou Marwane Lakranbi Nadia Anoun Yassine Ouadnouni Mohamed Smahi Department of Thoracic Surgery Hassan II University Hospital Fez Morocco Faculty of Medicine and Pharmacy Sidi Mohamed Benabdellah University Fez Morocco

Introduction: The pleural fistulas are defined by a fistula communicating the pleural cavity to the chest wall. They often occur in the immunocompromised individuals with pyogenic infections, much more rarely in immunocompetent patients with tuberculosis. Materials and Methods: Between February 2010 and August 2012, five patients were followed up and operated for tuberculous pleuro-cutaneous fistula in the thoracic surgery department of University Hospital Hassan II of Fez. Results: These were 2 female and 3 male patients, with the average age of 39 years, and the age ranging from 18 years to 60 years. One patient was operated on for tuberculous empyema;there are 20 years and another 15 years ago drained for tuberculous empyema. All patients had a fistula necessitated operating on an average of three years, with extremes ranging from 15 days to 6 years. The radiological assessment had objectified chronic pleural pocket in one case, a costal osteitis in 2 cases, multiple cystic lesions in one case and apseudotumor appearance and endo exothoracique in another. Patients had benefited from draining the abscess with fistula resection associated with a rib resection in 2 cases and thoracostomy with lung prosthesis in one case. Conclusion: Tuberculous pleuro-cutaneous fistula is a rare pathological entity, occurring most often in an array of multifocal tuberculosis, or as a complication of surgery for tuberculous empyema.

关键词： Pleuro-Cutaneous Fistula Abscess Tuberculosis Chest Wall Surgery

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Intrathymic Parathyroid Adenoma

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Case Reports in Clinical Medicine 2015年第8期4卷 297-301页

作者： Ibrahim Issoufou Laila Belliraj Sani Rabiou jamal ghalimi Meryem Rchachi Marouane Lakranbi Farida Ajdi Yassine Ouadnouni Mohamed Smahi Thoracic Surgery University Hospital Hassan II Fez Morocco Endocrinology Diabetology Metabolic and Nutritional Desease Department University Hospital Hassan II Fez Morocco

Introduction: Mediastinal parathyroid adenoma localization is a rare entity. We report a case of excision by manubriotomy of intrathymic parathyroid adenoma detected by Computed Tomography scan of the chest and neck and confirmed by Technetium-99 m-sestamibi scan (99 mTc-MIBI). Case Presentation: A 68 years old woman with history of hypercalcaemia, PTH elevation and operation for pathological fracture of the left femur 7 days before was presented to our service. The patient underwent manubriotomy and the adenoma was found within the right lobe of the thymus gland. Conclusion: The Technetium-99 m-sestamibi scan evaluation can be useful in the preoperative localization of ectopic parathyroid adenomas. The surgical approach by manubriotomy is privileged when the ectopic adenoma is in the upper part of anterior mediastinum.

关键词： Intrathymic Parathyroid Adenoma Technetium-99 m-Sestamibi Scan Manubriotomy

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