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Textiloma: A Case Report of Rectal Expulsion

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Surgical Science 2017年第2期8卷 82-85页

作者： Issam Yazough Jean Marie Ovungu pierlesky elion ossibi Franck Mvumbi Said AitLaalim Youssef Lamrani Imane Toughrai Karim Ibn Majdoub Khalid Mazaz Department of Visceral Surgery Hassan II University Hospital Fez Morocco Department of Radiology Hassan II Teaching Hospital Fez Morocco

Textiloma is a rare pathological entity which can possibly complicate any surgery. Its incidence, reported in literature, is estimated between 1/1000 and 1/15,000. Abdominal and gynecological surgeries are responsible for the vast of majority of intra abdominal textiloma. Very few cases of spontaneous rectal expulsion of textiloma have been reported. We report the case of rectal expulsion of textiloma in a 26-year-old female who had undergone a C section for dynamic dystocia a year prior to her admission.

关键词： Textilome Rectal Expulsion Colonoscopy

Spontaneous Cholecystocutaneous Fistula of Anterior Abdominal Wall with Subcutaneous Gallstones: About a Rare Case and Review of the Literature

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Surgical Science 2014年第2期5卷 43-45页

作者： Khalid El Haoudi pierlesky elion ossibi Salima Rezzouk Mourad Oussaid Karim Ibn Majdoub Hassani Said Ait Laalim Imane Toughrai Khalid Mazaz Visceral Surgery Department HASSAN II University Hospital Fez Morocco

Spontaneous cholecystocutaneous fistula is a rare complication of chronic calculous cholecystitis, because currently gallstones are diagnosed and treated at an early stage. This occurrence is possible even if it seems actually to be rare. We report a case of spontaneous cholecystocutaneous fistula of Anterior Abdominal Wall with subcutaneous gallstones admitted in the medical oncology unit of HASSAN II University Hospital. An 64-year-old woman, presented with a large subcutaneous abscess in the right subcostal area with swelling. An abdominal computed tomography scan showed a subcutaneous gallstone and communication between the abscess and the gallbladder. Cholecystectomy was performed and the abdominal wall abscess was drained externally. This case report demonstrates that maintaining a high degree of suspicion of this rare entity is helpful in achieving correct preoperative diagnosis, and that computed tomography scan should be performed in all cases of unexplained abdominal wall suppuration.

关键词： Gallbladder Fistula Gallstones Abscess

Cystic Enlargement of the Bile Duct: Case Report and Review of Literature

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Open Journal of Radiology 2017年第3期7卷 170-176页

作者： Jean Marie Ovungu Franck Mvumbi pierlesky elion ossibi Moussa Sylla Somuah Tenkorang Badre Alami Meryem Boubbou Mustapha Maaroufi Khalid Mazaz Youssef Lamrani Department of Radiology Hassan II University Hospital Fez Morocco Department of Visceral Surgery Hassan II University Hospital Fez Morocco Department of Urology Hassan II University Hospital Fez Morocco

Congenital cystic dilatations of the bile duct are rare malformations representing 1 per 13,000 births with a female predominance. Diagnosis of this pathology is based on radiological imaging especially radiological investigations conducted on an ultrasound coupled with Computed tomography (CT) scan and especially a bili-MRI which allows the analysis of the bile duct malformations and the anomalies of the pancreaticobiliary junction. We will discuss in this clinical case the various radiological aspects of cystic dilatations of the biliary duct.

关键词： Cystic Dilation Bile Duct Radiology Malformation

Hydatid Cyst of the Psoas: A Rare Location

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Surgical Science 2015年第3期6卷 123-125页

作者： pierlesky elion ossibi Issam Yazough Saeed Abdul-Razak Abdoul Aliou Zabeirou Oudou Karim Ibn Majdoub Imane Toughrai Said Ait Laalim Khalid Mazaz Visceral Surgery Department Hassan II University Hospital Fez Morocco

Hydatid cyst of the psoas is rare even in countries endemic to hydatidosis. We hereby report a case of hydatid cyst of the psoas in a 69 years old patient with a history of hypertension and had received left nephrecto... 详细信息

关键词： Cyst Hydatid Psoas

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Chilaiditi Syndrome

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

A Special Case of Renal Duplication Diagnosed on CT Imaging

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Open Journal of Radiology 2015年第1期5卷 39-43页

作者： Zacharia Traore pierlesky elion ossibi Ababacar Traore Saeed Abdul Razak Youssef Lamrani Meryem Boubbou Moustapha Maaroufi Khalid Mazaz Siham Tizniti Imane Kamaoui Radiology Department Hassan II Teaching hospital Fes Morocco Visceral Surgery Department Hassan II Teaching Hospital Fes Morocco

Renal duplication or supernumerary kidney (SK) is a rare anomaly, poorly documented. It is often discovered fortuitously or after complications. Its preoperative diagnosis is difficult. We hereby report the case of a left supernumerary kidney discovered upon thoracic-abdominal pelvic CT staging in a 50-year-old woman monitored for squamous cell carcinoma of the cervix.

关键词： Renal Duplication Supernumerary Kidney

A Case Study of Mesenteric Ischemia by Low Flow CT Imaging

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Open Journal of Radiology 2015年第1期5卷 34-38页

作者： Zacharia Traore pierlesky elion ossibi Asmae Zeroual Seydou Ly Imane Kamaoui Youssef Lamrani Meryem Boubbou Moustapha Maaroufi Khalid Mazaz Siham Tizniti Department of Radiology Hassan II Teaching Hospital Fes Morocco Department of Visceral Surgery Hassan II Teaching Hospital Fes Morocco

Acute mesenteric ischemia is a serious disease whose prognosis depends on early diagnosis and therapeutic management. Recent imaging technics play a fundamental role in its diagnosis. There are many forms of mesenteric ischemia including the non-occlusive form which is rare among others. We report the case of a non-occlusive mesenteric ischemia by low flow in a patient with terminal renal disease placed on hemodialysis.

关键词： Mesenteric Ischemia Low Flow

Squamous Cell Carcinoma of the Pancreas

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Surgical Science 2014年第10期5卷 487-489页

作者： pierlesky elion ossibi Issam Yazough Amal Bennani KarimIbn Majdoub Imane Toughrai Said Ait Laalim Abdelmalek Ousadden Laila Chbani Khalid Mazaz Khalid Ait Taleb Visceral Surgery Department Hassan II University Hospital Fez Morocco Anatomy and Pathological Cytology Department Hassan II University Hospital Fez Morocco

Exocrine pancreatic tumors are dominated by adenocarcinomas that have a poor prognosis. Squamous Cell Carcinoma of the pancreas is rare. We report a case of squamous cell carcinoma of the pancreas in a 75-year-old pat... 详细信息

关键词： Carcinoma Squamous Cell Pancreas

Lymphadenectomy for Colorectal Cancer: Experience of the Brazzaville Teaching Hospital

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Surgical Science 2022年第3期13卷 79-90页

作者： pierlesky elion ossibi Murielle Etiennette Julie Note Madzele Noé Hensnel Motoula Latou Didace Massamba Miabaou Prude Pertinie Avala Jile Florient Mimiesse-Monamou Arnaud Mongo-Onkouo Rody Stéphane Ngami Fabien Gael Mouamba Eliane Ndounga Alexis Fortuné Bolenga Liboko Régis Franck Moyikoua Freznel Ngoma Mabonzo Apendi Philestine Clausina Ahoui Gilbert Fabrice Otiobanda Blaise Irénée Atipo Ibara Department of Digestive Surgery Brazzaville Teaching Hospital Brazzaville Congo Department of Gastroenterology Brazzaville Teaching Hospital Brazzaville Congo Anatomy and Pathological Cytology Department Brazzaville Teaching Hospital Brazzaville Congo Department of Oncology Brazzaville Teaching Hospital Brazzaville Congo Department of Radiology Brazzaville Teaching Hospital Brazzaville Congo Department of Intensive Care Brazzaville Teaching Hospital Brazzaville Congo

Introduction: Lymph node (LN) metastasis are important biomarkers in the resection of colorectal cancer translating into accurate disease staging. It is therefore obvious that lymph node dissection in the curative treatment of colorectal cancer is a prognostic factor that influences survival and guides management strategy. This study aims to evaluate lymph node dissection in colorectal cancers (CRC) managed at the Teaching Hospital, Brazzaville, Congo. Patients and Method: We carried out a descriptive prospective study during a period of 18 months from October 2020 to March 2021 involving patients who underwent curative treatment for colorectal cancer at the visceral surgery department of the Brazzaville Teaching Hospital. Results: Thirty (30) cases of CRC were recorded out of 738 hospitalizations in the visceral surgery departments, which constitute 4.06% of the in-patient activity of the department during the period under study. Mean age was 55.13 years and a male predominance was observed with a sex ratio of 1.14. Colonic involvement was predominant in our series and was found in 22 of the patients. 25 patients underwent surgical resection while 5 patients could not undergo operative treatment. 17 out of the 25 patients underwent curative treatment, 6 were offered palliative care, whereas surgical abstention was decided in 2 patients. The average number of lymphadenectomies per patient was 16.43. Lymphadenectomy was greater than or equal to 12 in 88% of patients. Nine patients had vascular emboli whereas 10 patients had perineural invasion. The tumor was staged as T3 in 15 patients;six patients had a negative lymph node and 11 patients had at least one lymph node invasion. Distant metastasis status could not be determined in 10 patients. Conclusion: Lymphadenectomy is a hallmark in the curative treatment of colorectal cancer as it allows for optimal staging. This represents a strong prognostic factor that defines adjuvant therapy and overall patient outcome.

关键词： Lymphadenectomy Surgery Cancer Colorectal