Biomedical subjects

B Abboud

Publications and source records attributed to B Abboud.

27 records · Page 2Linked to original sources

PubMed1995

[Adrenalectomy under celioscopy. Experience of 25 operations].

OBJECTIVES: Determine the indications for laparoscopic adrenalectomy on the basis of our experience. METHODS: We performed 25 laparoscopic adrenalectomies for primary hyperaldosteronism (n = 10), non-ACTH-dependent hypercortisolism (n = 6), Cushing's disease (n = 2 including one bilateral operation), pheochromocytoma (n = 1) and tumoral formation (n = 5). RESULTS: The operation required conversion to an open procedure in 4 cases (16%). The post-operative period was uneventful in 19 and was clearly less painful. Improved delay to normal intestinal function and rapid return to normal activities was also beneficial in these patients with no parietal damage. Complications occurred in two cases: one local asymptomatic collection and one localized pancreatitis requiring surgical drainage of an abscess. COMMENTS: Compared with our experience with open procedures, the inconvenience of a long laparoscopic procedure (2h 45 min for unilateral adrenalectomy), is counterbalanced by the reduction in risk to complications in 64% of the cases due to the simplicity and lack of parietal damage. We currently propose the laparoscopic procedure for tumours under 6 cm in diameter and for certain pheochromocytomas and rely on the open procedure for proven or suspected corticoadrenalomas.

Adrenal Gland Neoplasms↗

PubMed1995

[Unusual metastases of breast cancer].

The breast cancer is the common cancer in female. The metastasis may occur any where in the body. The common sites are in the lymph nodes, the bones, the chest, the liver and the brain. Other sites of metastasis have little importance, rarely researched and constitute the objective of this article.

Breast Neoplasms↗

PubMed1994

[Gastric metastases of breast cancer].

Breast cancer is the most frequently encountered cancer in women and the first cause of death in the female population. Metastasis may occur ubiquitously depending on the histological type and the presence or absence of oestroprogesterone receptors. We report three cases with gastric metastasis. Signs of gastric involvement are often non-specific and should not be mistaken for simple side reactions to treatment. Hormone chemotherapy is indicated in most situations but surgery may be needed. It should be noted that gastrointestinal metastasis predominates in lobular breast cancers positive for progesterone receptors.

Adult↗

PubMed1994

[Aneurysm of the hepatic artery treated by embolization].

The hepatic artery aneurysm represent 16 to 20% of visceral artery aneurysms. The man of 40 years of age is often affected. This aneurysm is often asymptomatic. The rupture menace its evolution and justify the treatment. Echo-doppler-color constitute a non invasive exam of choice for diagnosis. Embolisation has a more extent indications. A case is reported of an aneurysm of the hepatic artery treated with embolisation with review of the literature.

Aged↗

PubMedDate not supplied

[Laparoscopic adrenalectomy for pheochromocytoma. Case report and review of the literature].

Laparoscopic surgery has a wide application in general surgery. Since the first laparoscopic adrenalectomy, this approach has quickly been adopted, and increasing numbers are being reported. The small size of the adrenal gland, the benign nature of most adrenal tumors and the difficulty in reaching the organ via open means make resection of this gland particularly amenable to the laparoscopic approach. The potential benefits of this mini-invasive surgery include decreased operation blood loss, reduced narcotics requirements, shorter hospital stay and recovery time and minimize the parietal trauma. We report herein the first Lebanese case of laparoscopic adrenalectomy for pheochromocytoma with review of the literature.

Adolescent↗

PubMedDate not supplied

[A rare manifestation of hypothyroidism: intestinal obstruction. Report of 2 cases and review of the literature].

Gastrointestinal manifestations of hypothyroidism are unfrequent. They consist particularly in hypomotility, intestinal atony, and pseudoobstruction. A high index of suspicion must exist, especially in elder subjects, in order to avoid unnecessary and even harmful investigation and intervention. We are reporting two cases of intestinal occlusion due to hypothyroidism with review of the literature.

Aged↗

PubMedDate not supplied

[Hemostatic embolization of hepatocellular carcinoma complicated by hemoperitoneum. Apropos of 2 cases and review of the literature].

Rupture of hepatocellular carcinoma is a severe complication that occurs in about 10% of patients. It may occur as a terminal event in patients with advanced disease or it may be the first presentation in a healthy individual. Various treatment options have been proposed, which include conservative treatment, transarterial embolization and operative hemostasis or liver resection. We report intraperitoneal hemorrhage and hypovolemia in two patients with spontaneous rupture of an hepatocellular carcinoma treated successfully by transarterial hepatic embolization. On follow-up, these patients died 7 and 8 months after this treatment respectively.

Aged↗

PubMedDate not supplied

[Parathyroid adenoma localized in the mediastinum. Case report and review of the literature].

In the primary hyperparathyroidism the vast majority of enlarged parathyroid glands may be excised by cervicotomy. Rarely the excision of ectopic mediastinal parathyroid adenoma, not accessible by cervical incision, necessitates another approach for parathyroidectomy. We report herein the case of primary hyperparathyroidism due to mediastinal adenoma treated by sternotomy with review of the literature for different modalities of treatment for mediastinal localization.

Adenoma↗

PubMedDate not supplied

[Castelman's disease. Report of two cases with review of the literature].

Castelman's disease, an unusual condition of unknown cause, consisting of a massive proliferation of lymphoid tissue. Three histologic variants (hyaline vascular, plasma-cell, and mixed) and two clinical types (localized and multicentric) of Castelman's disease have been described. Localized disease can be cured with surgery or radiotherapy, but complete remission in patients with multicentric disease have been achieved only with prednisone or chemotherapy given at the time of diagnosis. The aim of this study is to report two cases of retroperitoneal Castelman's disease with review of the literature. The first patient, of 36 years old, presented for abdominal pain with anorexia and weight loss. The abdomino-pelvic CT scan showed a 6 cm retroperitoneal mass. The biopsy of this lesion suspected a lymphoproliferative disease. At laparotomy total excision of mass was made and the final histology revealed a hyalino-vascular type of Castelman's disease. The second patient, of 26 years old, presented for left lombar pain with weight loss. The abdominopelvic CT Scan showed a 6.5 cm retroperitoneal mass. The biopsy of this lesion showed a Castelman's disease. At laparotomy total excision of mass was made and the final histology confirmed a hyalino-vascular type of Castelman's disease.

Abdominal Pain↗