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Surgical Science 2018年第3期9卷 115-121页

作者： Moussa Sylla Pierlesky Elion Ossibi Somuah Tenkorang ismael dandakoye KarimIbn Majdoub Imane Toughrai Said Ait Laalim Khalid Mazaz Department of Visceral Surgery B Hassan II University Hospital Fez Morocco Departement of Urology Hassan II University Hospital Fez Morocco

Objective: To report the experience of our department on adenocarcinoma of the appendix through a series of six (6) cases. Materials and Methods: This is a retrospective study carried out from January 2010 to June 2015 collating all cases of adenocarcinoma of the appendix diagnosed at the department of visceral surgery B in Hassan II University Hospital in Fez. Results: Six cases of adenocarcinoma of the appendix were recorded during the determined period of study. The mean age was 54.67 ± 16.99 years with the extreme ages ranging from 28 to 78 years. There was a female predominance with a sex ratio of 2. All patients had no specific medical history. The revealing symptoms were the following: appendicitis syndrome (1 case), bowel obstruction (1 case), psoas abscess (1 case) and fortuitous discovery during laparotomy for another problem (3 cases). The following histological types found were: colloid adenocarcinoma (3 cases), mucinous adenocarcinoma (2 case), mucinous cystadenocarcinoma associated with a moderately differentiated adenocarcinoma of the appendix (1 case). The surgical procedure consisted of a right hemicolectomy in 3 patients. Appendectomy followed by a right hemicolectomy and drainage of psoas abscess was performed in two patients. Palliative ileocecal resection and Bouilly-Volkmann ileocolostomy was performed in one patent who had carcinosis. All patients received adjuvant chemotherapy. The following occurred during follow-up: carcinosis (2 patients), a locoregional recurrence (2 patients). Two patients never returned for follow-up. Conclusion: Tumor of the appendix is a rare and exceptional pathology. These tumors are generally discovered fortuitously or during histology of appendectomy specimens. The treatment is usually surgical.

关键词： Adenocarcinoma Appendix

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Chilaiditi Syndrome

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Open Journal of Radiology 2017年第3期7卷 164-169页

作者： Jean Marie Ovungu Pierlesky Elion Ossibi Franck Mvumbi ismael dandakoye Soumana Badre Alami Meryem Boubbou Mustapha Maaroufi Khalid Mazaz Khalid Ait Taleb Youssef Lamrani Department of Radiology Hassan II University Hospital Fez Morocco Department of Visceral Surgery Hassan II University Hospital Fez Morocco

The interposition of the colon or the small intestine between the liver and the diaphragm otherwise called Chilaiditi syndrome remains a rare condition. Its incidence varies between 0.025% and 0.28% according to recent literature and is only found incidentally on diagnostic imaging. Hence, it constitutes a classic pitfall in the diagnosis of false right pneumoperitoneum. We deem interesting to report a case of Chilaiditi syndrome in a 44-year-old patient with no significant history who was admitted at emergency department for abdominal trauma following a road accident.

关键词： Chilaiditi Interposition Colon Small Intestine Diaphragm Liver Imaging

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