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Biomedical subjects

T Kilani

Publications and source records attributed to T Kilani.

At least 37 records · Page 2Linked to original sources
PubMed2001

[Immediate postoperative arrhythmias follwing pneumonectomy for lung cancer].

UNLABELLED: Immediate postoperative arrhythmias after pneumonectomy for non small cell lung cancer is a serious complication. Frequency is estimated 10 to 28% of all patients. The goal of this study is to evaluate the incidence of this complication in our experience, preoperative risk factors, therapeutic implications and short outcome. 132 consecutive patients underwent pneumonectomy for lung cancer. We retrospectively studied this series of which 29 patients developed arrhythmias postoperatively. Mean age was 58 years (48 to 79), 16 patients were older than 65 years. Seven patients had medical history of either myocardial infarction or hypertension. Arrhythmias appeared post-operatively on days 1 and 2 six times, days 3 ans 4 ten times, days 5 to 6 six times and days 7 to 10 twice. The trouble consisted in atrial fibrillation in 18 patients, atrial associated with ventricular premature beats in 11 patients. Antiarrhythmic medication (amiodarone) was started as soon as the trouble was confirmed by EKG in all cases. Normalization was obtained in 27 patients (95%). One patient remained dysrrhythmic in spite of treatment. One death occurred on day 4 postoperatively. The mean hospitalisation stay was 10 days. CONCLUSION: Cardiac arrhythmia in the immediate postoperative course is not rare. Early diagnosis in patients at risk followed by adequat treatment is necessary to avoid haemodynamic storm in these quite fragile patients. Amiodarone is the treatment of choice.

Aged↗
PubMed2000

[Acute arterial ischemia due to tumor embolism after pulmonary resection: report of two cases and review of the literature].

From january 1984 to december 1999 we operate in our institution, 465 patients affected by lung cancer. In the early post-operative period we observe two arterial peripheral embolic events. Treatment consist in surgical embolectomy by Fogarty probe under femoral way. We don't observe post-operative complications or any functional sequelae. For the two patients tumoral character of the embolism was confirmed this work confirm the need of pre-operative precautions to avoid this complication that way be severe when in diagnosed or treated lately.

Aged↗
PubMed2000

[Radiological and clinical aspects of bronchogenic lung cysts: 4 case reports].

Bronchogenic lung cysts are exceptional. We report four cases which raised a problem of differential diagnosis. Our patients included four women and a young boy (age range 12 - 36 years). The first patient consulted for bloody purulent sputum in a context of an infectious syndrome. The second patient had lower right-sided chest pain. The cyst was a fortuitous discovery in the other two cases. In one case, the chest x-ray disclosed a thin-walled cavity of the upper right lobe, confirmed on the CT scan which also evidenced intracavitary partitions. In two other cases, the chest x-ray showed a liquid-filled opacity (one in the lower right lobe and the other in the upper right lobe) and no further specificity on the CT scan. In the last case, a liquid-air cavity was evidenced. Upper right lobectomy was performed for the case with an air-filled cavity and tumorectomy for the other cases. Pathology reported bronchogenic cyst in all cases. The radiological and clinical presentations observed in patients with bronchogenic lung cysts, with or without tracheobronchial communication, are polymorphous, often raising problems of differential diagnosis.

Adult↗
PubMed2000

[Bronchoesophageal fistula with late revelation].

Bronchoesophageal fistula is an uncommon clinical problem which can either occur as a congenital or acquired condition. A 40-year-old male had productive cough with production of sputum mixed with food particles and cough when eating and drinking. There was no weight loss nor weakness. Clinical examination led to the diagnosis of a fistula between the lower esophagus and the Nelson bronchus associated with bronchiectasis. The congenital nature of this fistula was suggested by the clinical, operative and pathology findings. Postoperative recover was uneventful. Esophageal respiratory tract fistula presenting in adult life are rare and can cause severe debilitation and suppurating lung disease. Surgical treatment provides complete resolution of the symptoms. Endoscopic obliteration can be considered as an alternative to surgery.

Adult↗
PubMed2000

[Costal hydatid cyst (report of 2 cases)].

Hydatidosis is an endemic affection in our country. Hepatic and pulmonary localisation is the most frequent. The other localisation especially in the bone, are exceptional. We report 2 cases of costal hydatid diagnosed on 17 and 33 years old male patients admitted for parietal tumor respectively localized in cervix and thorax. The diagnosis, suspected on chest tomography is confirmed by histologic patterns of resected rib.

Adolescent↗
PubMed1999

[Costal chondrosarcoma. 4 cases].

BACKGROUND: Tumors of the rib cage are uncommon and malignant in 29% of the cases. Chondrosarcoma predominates, accounting for 40% of all cases of malignant costal tumors. CASE REPORTS: Four patients (3 women, 1 man, mean age 28.2 years) were hospitalized for costal chondrosarcoma. Pain and tumefaction dominated the clinical presentation. Calcifications suggested the diagnosis in 3 cases. Curative surgery was performed in all cases. Postoperative radiotherapy was unable to improve prognosis in 2 patients. DISCUSSION: Chondrosarcoma of the ribs is characterized by a strong potential for invasive extension. Diagnosis is suspected on the basis of imaging findings and confirmed at pathology. Surgery is required. Chemotherapy and radiotherapy do not improve prognosis significantly.

Adolescent↗
PubMed1995

[Endo-bronchial lipoma. Apropos of a case].

We report a case of an endobronchial lipoma on a 63 year-old woman, treated surgically. A literature review allows us to show the importance of fiberoptic bronchoscopy and computerized tomography in the diagnosis of this kind of benign tumors. The different aspects of treatment with recent progress represented by endoscopic resection are studied.

Bronchial Neoplasms↗
PubMed1993

[Primary pulmonary hemangiopericytoma in a child].

The authors report a case of a child, aged fourteen, who had a primary malignant pulmonary haemangiopericytoma. The diagnosis could only be made following the histological study of the excised pneumonectomy specimen and after silver staining. There was a fatal outcome some six months after the operation, despite satisfactory surgery and complementary chemotherapy. The rarity of this type of tumour, notably in children, justifies the presentation of this case report.

Adolescent↗
PubMed1992

[Endobronchial neurogenic tumors].

Endobronchial neurogenic tumours are exceptional and little known. The authors report two cases of such tumours: a neurofibroma of the right main bronchus in a 32 year old man and a schwannoma of the left main bronchus in a 10 year old child. Pneumonectomy was necessary in both cases due to destruction of the pulmonary parenchyma distal to the obstruction. The incidence of this type of tumour is estimated to be between 0.2 and 4%. They may be either schwannomas or neurofibromas, the discovery of which always raises the problem of the possible association of von Recklinghausen's disease malignant forms, neurogenic sarcomas or malignant schwannomas may also be encountered. The diagnosis is based on endoscopy which reveals the tumour and allows biopsy. Treatment of these essentially benign tumours should be conservative, provided the diagnosis is made early, prior to parenchymal destruction. The prognosis is poor in the malignant forms and chemotherapy may be useful in malignant schwannomas.

Adult↗
PubMed1992

[Secondary bronchogenic pulmonary hydatidosis].

Secondary bronchogenic hydatid disease is a rare and little known complication of primary hydatid cyst of the lung, which is even refuted by some authors. We report 7 cases of secondary bronchogenic hydatid after surgical cure of a hydatid cyst which had ruptured into the bronchi, while the last case concerned a young girl who was treated by corticosteroids for rheumatoid arthritis and who developed secondary bronchogenic hydatid from a cyst rupturing into the bronchi in the absence of surgery. Hydatid dissemination was ipsilateral to the primary cyst in 5 cases, contralateral in one case and bilateral in one case. Five patients underwent radical surgery. The patient with bilateral dissemination was operated on one side and a large number of residual cysts were eliminated by vomica, as for the last patient; these two patients are still under surveillance. The operation and general anaesthesia played a predisposing role in the pathogenesis of this complication and inhibition of immune mechanisms could also play a role. Prevention is necessary when treating a hydatid cyst of the lung which has ruptured into the bronchi. Treatment is surgical, bearing in mind that a large number of secondary cysts can be eliminated by vomica or may involute spontaneously.

Adolescent↗
PubMed1992

[Pneumoblastoma].

Pneumoblastoma is a rare malignant pulmonary tumor. A new case is reported in a 2 years 5 month-old girl. Because the lack of locoregional extension an isolated surgical excision was performed. However, 6 months later, a local relapse occurred, with inframediastinal extension and cerebral metastases. On the occasion of this case, the authors review the problems set by the histogenesis of this tumor, its therapeutic indications, poorly codified due to its rarity and, overall, its often unfavourable outcome.

Brain Neoplasms↗