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Giant Hydatid Cyst of the Liver: A Case Report

International Journal of Clinical Medicine 2014年第1期5卷 1-3页

作者： Mountassir Moujahid Issam Enna-Faa mohamed ghari Issam Raissouni Moulay Hassan Tahiri Department of General Surgery 5th Military Hospital Guelmim Morocco Department of Radiology 5th Military Hospital Guelmim Morocco Department of Reanimation 5th Military Hospital Guelmim Morocco

It is a cosmopolitan disease due to the embryonic shape of taenia of the dog echinococcosis granulosis. It is the disease which puts a real problem of public health in our country. We report a case of giant hydatid cy... 详细信息

关键词： Hydatic Disease Liver Hydatic Echinococcosis Granulosis Diagnostic and Treatment

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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

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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

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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

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