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Biomedical subjects

R Kadiri

Publications and source records attributed to R Kadiri.

At least 55 records · Page 3Linked to original sources

[Splenic tuberculosis. Apropos of 12 cases].

Tuberculosis of the spleen is not exceptional. The authors report ten cases which occurred with a predominance in young male adults. All patients had at least one other site of tuberculosis, without any HIV infection. All patients had focal splenic lesions in the form of scattered hypoechogenic and hypodense nodules. These nodules had a pseudo-tumor appearance in one case. CT-guided puncture was performed in one case. Splenic tuberculosis is not as rare as is sometimes thought. The CT-guided splenic puncture is now performed routinely and remains the ideal diagnostic approach.

Adolescent↗

[Aneurysmal cyst of the sacrum. Apropos of a case].

The authors report a case of aneurysmal bone cyst in a female, revealed by a pelvic mass. Ultrasonography visualised the pelvic mass, its fluid content, internal septations and fluid level and displacement of surrounding structures. Sacral plain radiographs and computed tomography images showed trabeculated osteolysis involving the sacrum, sacro-iliac joint and adjacent iliac wing. The endopelvic component had a liquid-density varying between 15 and 30 HU, with contrast enhancement of its wall and internal septations.

Adult↗

[Ultrasonography in the diagnosis and treatment of psoas abscess. Apropos of a study with 30 patients].

The abscess of psoas are more often secondary to a loco-regional cause. The authors report a series of 42 abscess of psoas in 30 patients during 3 years. It concerns 16 men and 14 women witch a mean age of 35 years. The abscess was secondary to a spondylodiscis in 25 patients and primary in 5 patients. The size of the abscess was upper 5 cm with a variable ultrasound structure: liquid in 33 cases, hypoechogenic in 9 cases. All patients underwent a percutaneous treatment guided by ultrasonography. A single or multiple evacuation puncture with 16 Gauge needle were performed for 40 abscess. Complementary percutaneous drainage with 14 french drain was used in 3 cases. In 2 other cases, the percutaneous drainage was used firstly. The bacteriological study of puncture liquid isolated the germ in 8 cases. Evaluation has been assessed in only 29 cases. The recovery was reached in 12 abscess on 15 which were treated by a single puncture. In 10 abscess on 13 treated by multiple puncture; and in 4 abscess an 5 managed by drainage. The results demonstrate the accuracy of single or multiple drainage puncture associated with adapted antibiotherapy in the management of abscess.

Adult↗

[Contribution of ultrasonography in focal lesions of the spleen. Apropos of 38 cases].

Focal lesions of the spleen are due to multiple causes dominated by malignant lymphoma. The authors study the contribution of sonography in the diagnosis and etiology of these lesions based on a retrospective study of 38 cases, over an eight-year period. Hematological malignancies splenic metastases and splenic hydatid disease are the commonest lesions in this series. Sonography provides an etiologic diagnosis in the presence of highly suggestive features (hydatic cyst, hematomas) without requiring other investigations. The needle biopsy is necessary for any hypoechoic lesion, suggestive of a malignant etiology. CT is essential when a hemangioma is suspected.

Echinococcosis↗

[Complete evacuation of a hydatid cyst of the liver into the common bile duct].

The authors report an exceptional case of hydatid cyst of the liver totally evacuated into the common bile duct. This rare complication of hydatid cyst of the liver was suspected clinically in a context of cholangitis, in a patient with hydatid cyst of the liver. The diagnosis of the cysto-biliary communication was based on several radiological examination, especially ultrasound examination which, when a large window setting is used, reveals the presence of hydatid material inside the dilated bile-ducts, and biliary opacification which locates the obstacle in the bile-duct and visualizes the cysto-biliary communication.

Adult↗

[Radiological aspects of vertebro-medullary hydatid cysts. Apropos of 12 cases].

Twelve cases of vertebro-spinal hydatidosis were reviewed, over nine years period, to specify its clinical and histological characters. This localization, although rare, is the most common of the bone hydatidosis (44%). The authors develop the imaging methods contribution in positive and differential diagnosis, and underline the modern methods interest (CT scan, MR imaging) notably in spreading assessment and medical supervision.

Adolescent↗

[Ultrasonography in the diagnosis of liver abscesses. Apropos of 32 cases].

A retrospective series of 32 cases of hepatic abscess was collected in the radiology department of Ibn Roch University Hospital (Casablanca), over a period of 43 months (May 1989-September 1992). Among these 32 cases, 16 were amebic (based on the dysenteric syndrome and especially positive amebic serology) and 16 had pyogenic causes. All patients underwent ultrasound examinations. Only two cases had CT scan. The confirmation of the hepatic abscess was made by ultrasound guided percutaneous aspiration in 30 cases and laparotomy in 2 cases. The right lobe was concerned in all cases. The pyogenic abscesses were multiple in 62.5% cases, while the amebic abscesses were double in only one case. The amebic abscesses were larger than the pyogenic ones. The average volume was respectively 10.5 cm and 7 cm. Three ultrasound aspects were found. Hypoechogenic aspect was the most frequent (76% of amebic abscesses and 61% of pyogenic abscesses). The heterogenic aspect was found in 21% of amebic abscesses and in 36% of pyogenic abscesses. The anechogenic aspect was found in only one case of pyogenic abscess. A light and regular wall was found in 70% of amebic abscesses and in 51% of pyogenic abscesses. Referring to the literature, the various ultrasound signs of orientation towards an amebic or pyogenic etiology were found in this series, but we emphasize the very important role of ultrasound-guided percutaneous aspiration and amebic serology for the etiological diagnosis of hepatic abscess.

Adolescent↗

[Superior vena cava thrombosis. Radiological aspects. Apropos of 28 cases].

The authors report twenty-eight cases of superior vena cava thrombosis. They try to establish a correlation between the radiological features of thrombosis and the etiology. The etiology was Behçet's disease in 64% of cases, lung cancers in 14%, the mediastinal tuberculosis in 14%, systemic lupus erythematosus in 3.5% and undetermined origin in 7%. A normal meiastinal appearance slight widening of the superior mediastinum is noted in Behçet's disease, systemic lupus erythematosus and tuberculous mediastinal fibrosis. Superior vena cava thrombosis is extensive in Behçet's disease involving the subclavian vein and the azygos vein. An obvious widening of the mediastin is noted in lung cancers and tuberculous mediastinal lymphadenopathy.

Adult↗

[Unusual sites of Pott's disease. Apropos of fourteen cases].

The diagnosis of Pott's disease is generally easy exception unusual sites whose diagnosis is requires cross-section imaging and needle biopsy. The authors report 14 cases of atypical forms of Pott's disease: 7 cases of centro-somatic forms 4 cases of sub-occipital Pott's disease, 2 cases of posterior arch and one case of sub-ligamentous vertebral tuberculosis. The radiological diagnosis of Pott's disease is suggested by the presence of a paravertebral abscess noted in 12 cases tuberculous spondylitis associated in 3 cases and multifocal involvement in 9 cases.

Adult↗

[Radiological aspects of ileocecal tuberculosis. Apropos of 31 cases].

The radiological diagnosis of ileo-cecal tuberculosis is based on the analysis of various and polymorph semiological signs. The authors report a series of 31 cases of ileo-cecal tuberculosis. The concomitant involvement of the ileum and the cecum il up to 61.2% of all cases. The associated peritoneal involvement is observed in 35.4% of the cases. The hypertrophic form is the most common (57%) and the ulcero-hypertrophic form in 43% cases. The observation of ileum short stenosis, valve attempt, cecum retraction, and associated peritoneal involvement is in favour of the ileo-cecal tuberculosis origin.

Adolescent↗

[Left coronary artery arising from the pulmonary artery : a report on two cases of this anomaly in adults (author's transl)].

The presence of an abnormal origin of the left coronary artery from the pulmonary artery was observed in two adults. The clinical, radiological, and hemodynamic characteristics of this disorder are described. The author emphasizes the value of exploring these malformations by means of a strict technique, including the injection of a large quantity of contrast medium.

Adult↗

[Thrombosis of the superior vena cava in Behçet's disease. Apropos of 13 cases].

The author reports 13 cases of Behçet's disease with thrombosis of superior vena cava. The thrombosis of superior vena cava achieve to superior cava syndrome. In all cases, the X ray of the chest showed a discreet widening of the superior mediastinum related to collateral circulation confirmed by angiography. The thrombosis interest the brachial veins in 9 cases. The analysis of the results point out to the importance of the chest X ray in orientating the diagnosis. The etiological diagnosis is always clinical.

Adult↗

[Hydatid cyst of the pancreas. Apropos of 2 case reports].

Hydatic cyst of pancreas is a rare disease, the symptomatology is polymorph and the diagnosis is rarely evocated before surgery. Epidemiological, clinical, biological (immunofluorescence) and echographic data should allow its better detection. Surgical treatment is function of the cyst localisation: exeresis for left lesions and conservative surgery for right lesions.

Abdominal Neoplasms↗