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Mandibular Reconstruction in Cervical Desmoid Tumors

Open Journal of Pediatrics 2021年第3期11卷 398-405页

作者： Ayoub Boutahar Imane Oualili Abdelhalim Mahmoudi khalid khattala Youssef Bouabdallah Department of Pediatric Surgery Faculty of Medicine and Pharmacy of Fez University Hospital Center Hassan II Fes Morocco

Introduction: Desmoid tumors are benign soft tissue tumors, but their infiltration character is responsible for big morbidity, especially in the cervicofacial location. Their management, therefore, represents a real challenge. Clinical case: Reporting a case of a 4-year-old girl presenting a desmoid tumor at the expense of the mandibular corpus and the right ascending ramus, with loco-regional infiltration, and whose treatment consisted of surgical resection of the tumor with Hemi-mandibulectomy and reconstruction according to the Masquelet technique. Conclusion: The traditional treatment consists of a large local excision with negative surgical margins. Head and neck fibromatosis, while rare, present a complex problem as they are often aggressive, and invade local bone, nerve and muscles, and can leave patients with a cosmetic deformity. In our case, it was a mandibular reconstruction after a large resection of a desmoid tumor with a location on the head and neck. With good consolidation, absence of recurrence, and without aesthetic sequelae at the control.

关键词： Desmoid Tumor Fibromatosis Surgery Masquelet

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The Pre-Diagnosis History of Gynecologic Tumors in Children

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Open Journal of Pediatrics 2023年第2期13卷 207-213页

作者： Othmane Alaoui Fatoumata Binta Baldé Abdelhalim Mahmoudi khalid khattala Bouabdallah Youssef Department of Pediatric Surgery Hassan II University Hospital of Faz Fez Morocco Faculty of Medicine and Pharmacy Sidi Mohamed Ben Abdallah University Fez Morocco

Introduction: Gynecologic tumors represent less than 5% of all solid tumors in children. Patients and Method: Through a prospective and descriptive study over 4-years, we included girls aged less than 15 years admitted for a gynecologic tumor. We collected and analyzed the medical data, and paid particular attention to the pre-diagnosis history. Results: Eleven girls met our criteria with a mean age of 8.5 years (2 - 13 years). Abdominal pain, abdominal distension or protrusion of a vaginal mass was the main symptoms. The patients were seen at least by one doctor outside the surgical structure [1] [2] [3]. Four of eleven were received by two different doctors before carrying out the evocative radiological assessment. The average consultation delay was 7-months (24 hours to 18 months). There were nine ovarian tumors and two vaginal tumors. The histological study revealed five of eleven (45%) malignant tumors. Conclusion: Gynecological tumors in children are rare. However, there is a significant proportion of malignant tumors. All doctors can be confronted with it and should not delay the radiological assessment.

关键词： Gynecologic Tumor Diagnostic Children

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Appendicular Abscess: Unusual Clinico-Radiological Appearance

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Open Journal of Pediatrics 2022年第4期12卷 647-651页

作者： Ayoub Boutahar Imane Oualili Abderrahim Kamli Othman El Alaoui Abdelhalim Mahmoudi khalid khattala Youssef Bouabdallah Department of Pediatric Surgery Faculty of Medicine and Pharmacy of Fez University Hospital Center Hassan II Fes Morocco

Introduction: Appendicitis is the most common surgical emergency in childhood. It’s a common surgical disease that can be presented with a wide variety of atypical clinical features. Clinical Case: We report a case of a 7-year-old female patient admitted for abdominal pain dating back 20 days, radiological exploration suggested a right ovarian teratoma, while laparoscopic exploration has objective an appendicular abscess. Conclusion: This case has allowed us to clarify an atypical case of complicated appendicitis, and also to show the contribution of laparoscopy.

关键词： Appendicular Abscess Ovarian Teratoma Laparoscopic Exploration

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Corticosurrenaloma: About a Pediatric Case

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Open Journal of Pediatrics 2022年第2期12卷 449-452页

作者： Thierry Mukenge Wa Mukengeshay Fatoumata Binta Balde Zineb Benmassaoud Priscilla Kinsala Othmane Allaoui Abdelhalim Mahmoudi khalid khattala Sara Benmilloud Youssef Bouabdallah Service de Chirurgie Pédiatrique Centre Hospitalier et Universitaire Hassan II de Fès Fès Morocco Service de Pédiatrie Unité d’Oncologie Centre Hospitalier et Universitaire Hassan II de Fès Fès Morocco Faculté de Médecine et de Pharmacie Université Sidi Mohamed Ben Abdallah de Fès Fès Morocco

Introduction: This study aims to describe the outcome of adrenocortical cancer in children through observation. Observation: A 10-year-old girl with no previous pathological history. She presented headaches and severe hypertension with clinical and biological signs of hyperandrogenism for 6 months. An abdominal CT scan showed an encapsulated left adrenal mass without local or regional invasion or secondary location. A pheochromocytoma or adrenal neuroblastoma was first suspected. The blood pressure was stable at 130/65 mmHg under antihypertensive drugs. She underwent a complete tumor resection without any intraoperative incident. The pathologic study confirmed the adrenocortical carcinoma scored Weiss 7. The severe high blood pressure reappeared 2-year later despite antihypertensive drugs. The thoracic abdominal and pelvic CT scan showed a locally advanced tumor recurrence in the left adrenal gland with parenchymal nodes in the lungs and liver. The outcome was fatal despite medical and surgical management. Conclusion: Adrenocortical cancer is a rare tumor. It is important to hormonal testing in the presence of Cushing’s syndrome in children. It can give a strong indication of the diagnostic possibilities. Histology confirms the diagnosis. The evolution is covered by complications, in particular recurrence with life-threatening metastases.

关键词： Adrenal Tumor Adrenal Cortex Hyperandrogenism Child

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