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Biomedical subjects

A Khalfallah

Publications and source records attributed to A Khalfallah.

At least 19 recordsLinked to original sources
PubMed1991

[A rare and little known cause of cyanosis: pulmonary arteriovenous aneurysm].

Cyanosis with digital clubbing and a systolic murmur were found in a five and a half-year-old. The usual causes of cyanosis, including congenital heart disease, were discussed. Correct diagnosis was, however, arteriovenous aneurysm of the lung which was seen on the pulmonary angiogram. The lung density on chest films and lack of echocardiographic evidence of congenital heart disease might have suggested this infrequent malformation. Permanent cure was achieved by removing the lower and middle lobes of the right lung.

Arteriovenous Fistula↗
PubMed1985

[Abdominothoracic hydatidosis. Evaluation of 5 years' activity of the surgical service of the Farhat Hached de Sousse University Hospital].

The authors report a statistical study of abdominal and/or pulmonary locations of hydatid cyst disease operated on at Farhat Hached hospital (Sousse, Tunisia) during a five years period. Between January 1980 and December 1984, 465 patients were operated on by Pr Gharbi's staff. 255 patients had hydatid cyst disease of the liver. 68% of them were more than 30 years of age and 67% were females. 16% of these patients had obviously complicated lesions. This rate was as high in adults as in children less then 15 years old. The basic surgical procedure was a more or less extensive partial pericystectomy. The mean hospital stay in surgical environment was 33 days. The mortality rate in this group was 5.9% (15 deaths). 195 patients had pulmonary hydatid cyst disease. 83% of them were less then 30 years of age and 57% were males. The complication rate at presentation was 30% and was similar among adults and children less 15 years of age. Despite the fact that 15% of these patients have been treated by lobectomy, the basic surgical procedure in this group was also a more or less extensive partial pericystectomy. The mean hospital stay in surgical environment was 15 days and the mortality rate 0.5% (one death). About the other locations of the disease, 7 cases of peritoneal ecchinococcosis were recorded. The youngest patient was 15 years old. The interventions necessitated by the whole of these locations represented no less than 8.65% of the surgical procedures performed in our service.

Adolescent↗
PubMed1984

Blunt diaphragmatic rupture.

Diaphragmatic injury is often a missed diagnosis in patients with multiple trauma. For this reason, mortality can be high. From 1970 to 1981, 32 patients with diaphragmatic injuries were seen at Maisonneuve-Rosemont Hospital. Twenty-four of the patients (22 men and 2 women aged 18 to 79 years) had blunt abdominal or thoracic trauma causing diaphragmatic disruption. Rupture occurred 20 times on the left side of the diaphragm, and 3 times on the right side. There was one pericardiophrenic rupture. Motor vehicle accident was the most common cause of trauma. On arrival, 21 patients had acute diaphragmatic rupture. Clinical signs and radiography permitted early diagnosis in 15 patients, whereas diagnosis was made later in 3 other patients because of deterioration of vital signs. In two patients, diagnosis was made at laparotomy for another reason. Four patients were operated on for post-traumatic chronic diaphragmatic hernia. The abdominal approach was used in 18 patients, the thoracic approach in 4, and the thoracoabdominal approach in 2. Three patients died, two of whom had a late diagnosis. Fourteen patients had no complications. Diaphragmatic trauma can be easily managed surgically when diagnosis is made early after trauma. It must always be looked for in patients with multiple trauma.

Accidents, Traffic↗
PubMed1984

[Bronchoscopy in the diagnosis of complicated pulmonary hydatid cyst in children].

The diagnosis of pulmonary hydatid cysts in children is generally easy and does not require endoscopic exploration, because the radiological aspects of an intact or a complicated cyst are most often suggestive. There are, nevertheless, some cases of pulmonary hydatids where the cyst is partially evacuated and then infected, whose radiological image is atypical showing parenchymatous opacities (systematised or not) which are readily associated with adenopathy. Usually immunology fails to aid the clinician in this later stage in the cyst's evolution. Two recent cases are reported of Tunisian children aged 5 and 10 years old with chronic pulmonary opacities posing a diagnostic problem. One child presented with a persistent cough, the other with recurrent haemoptysis and both had negative immunology. Bronchoscopy enabled a positive diagnosis to be made in both cases by showing the presence of an intra-bronchial membrane. A simultaneous bronchogram showed an arrest of the contrast in the affected bronchial segment. Although non specific, this image of arrested contrast should in our opinion be discussed in the differential diagnosis when the membrane could not be seen at bronchoscopy. At operation surgery confirmed the retention of infected membrane but in our two children infection had led to the destruction of a lower lobe which was removed. These situations where the diagnosis of pulmonary hydatids is difficult are far from being rare in countries of hgh endemiology such as Tunisia. Our observations show the advantage of bronchoscopy, which sometimes enable one to see or to remove a fragment of the membrane and thus entrust the child to a surgeon with a definitive diagnosis.

Bronchoscopy↗