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D Touiti

Publications and source records attributed to D Touiti.

At least 19 recordsLinked to original sources
PubMed2003

[Urinary and nephrologic aspects of Von Recklinghausen disease. Two case reports and review of the literature].

Urinary tract involvement in neurofibromatosis type 1 is rare and uncommon entity. The syndrome is transmitted as an autosomal dominant trait and is characterized by cutaneous pigmentation and tumors as neural crest origin. Two cases of kidney involvement by Von rechlinghausen's disease with in one case a consequent hydronephrosis with arterial hypertension and in the second a nephrocalcinos without hyperparathyroidism are present. The literature of urogenital and nephrologic neurofibromatosis is reviewed. The authors suggest that the patient with neurofibromatosis be screened annually with medical history, physical examination, urinalysis and serum chemistry for tumors that affect the urinary particularly in children.

Adult↗
PubMed2003

[Cystic lymphangioma in the adrenal gland: a case report].

Cystic lymphangioma of the adrenal gland are rarely encountered tumoural formations with no clinical expression. Pre-operative diagnosis is difficult. Echography and CT scan are essential exploratory techniques, diagnosis is histological. Usually surgical exploration is indicated due to uncertain diagnosis. We report a new case of cystic lymphangioma of the adrenal gland and a review of recent literature.

Adrenal Gland Neoplasms↗
PubMed2003

[Retroperitoneal sarcoma: therapeutic and prognostic characteristics, report of 6 cases].

Retroperitoneal sarcoma is a rare solid tumor that accounts for less than 15% of soft tissue sarcoma. The authors conducted a retrospective study about 6 cases to evaluate the natural history of the tumors and the causes of treatment failure in an attempt to develop a rational approach to the management of the neoplasm. The histological grade and complete resection are the most important prognosis factors.

Adult↗
PubMed2002

[Hemospermia: diagnosis and therapeutic aspects. Seven case reports].

Hemospermia or hematospermia is a common benign condition, but its prevalence remains unknown and can result from several causes. The aetiology is idiopathic in about 30-70% of the cases. The hemospermia is first of inflammatory origin, in the young patients, where it is due to uretroprostatitis or orchi-epididymitis, but in the older, it is due to a benign of malignant prostatic tumors. Transrectal ultrasonography and magnetic resonance imaging can afforded the opportunity to best investigate the patients with hemospermia. Hemospermia is not an uncommon problem and in most instances has little clinical significance other than evoking much anxiety for the patient. In view of the literature, the authors discus the diagnostic and therapeutic approach of hemospermia through a series of seven cases.

Adolescent↗
PubMed2002

[Multiple leiomyoma of the scrotum. A case report].

A variety of neoplasms derived from mesechymal elements may arise on the tunica dartos, the tunica albuginea or, more rarely, within the testis or the epididymis. The authors report a case of leiomyoma of the scrotum in a 33-year-old man. This rare and benign tumour is localized in the tunica dartos in 8% of cases. The positive diagnosis is based on histological examination after conservative treatment by local excision which gives excellent results.

Adult↗
PubMed2001

[Retroperitoneal foreign body mimicking pararenal tumor].

We report the case of a 48 year-old woman presently with a pararenal tumor, with a history of pyelotomy in 1978 for the extraction of a renal pelvic stones. Results of surgery showed a foreign body. The clinical and diagnostic aspects of retained surgical gauze have been discussed and the need for radio-opaque markers in them have been emphasized.

Diagnosis, Differential↗
PubMed2001

[Hydatid cyst of the Douglas' cul-de-sac with fistula to the bladder. Report of 2 cases].

The present study reported two cases of hydatid cysts localized in Douglas space and that broke in the bladder. The clinical course was characterized by urinary symptoms and by presence the cysts in urine. Abdominopelvic ultrasonography is essential for diagnosis and identification of other sites. When diagnosis is unclear, then CT scan plays a role. Therapy included cystectomy and pericystic resection in one case and intravescical injection of H2O2 in the second case. The course was favorable in both cases.

Aged↗
PubMed2001

[Multiocular renal cysts in adults. Two case reports].

The authors report two cases of renal multilocular cyst and review the cases reported in the literature, revealing the original features of this benign tumour which has an equal incidence in children and adults with a controversial acquired or malformative aetiopathogenesis, precise histological features, but a difficult preoperative and intraoperative diagnosis despite modern imaging techniques. In the great majority of cases, treatment consists in nephrectomy.

Adult↗
PubMed2001

[Rare cause of iatrogenic stenosis of the penile urethra. Case report].

We describe the case of a 32 year old man who developed such a stenosis after surgery for traumatic rupture of the corpus cavernosum. The aetiology of this rare complication is also given. The stenosis was well outlined by cystography and responded successfully to conservative treatment.

Adult↗
PubMed2001

[Spontaneous perirenal hematomas. Report of 3 cases].

Spontaneous retroperitoneal hemorrhage is an uncommon affection, the diagnosis was recognized by sonography and CT scan, but the etiology remains unknown and exploration for diagnosis may become necessary. In the absence of an apparent etiology, patients with spontaneous renal bleeding should undergo radical nephrectomy, because of the extremely high incidence of small undetectable occult tumors. Three further cases were reported by the authors, who made a review of the literature.

Adult↗
PubMed2001

[Bilateral adrenal pheochromocytomas in von Hippel-Lindau disease].

The pheochromocytoma is a medullo-adrenal tumor which develops at the cost of the chromaffin cells. It appears in 11-19% of cases of von Hippel-Lindau's disease (VHL), is often bilateral, and the symptomatology is often crude: arterial hypertension is frequently isolated and unstable, and the classic triad of headache, palpitations and sweating is quite rarely observed. We report four observations of bilateral pheochromocytomas in patients with von Hippel-Lindau's disease (three with phenotype IIA and one with phenotype IIB). The tumor was bilateral during the diagnosis in three cases; in the fourth patient, the attack on the contralateral adrenal gland came two years after the first adrenalectomy. All the patients had undergone an adrenalectomy by open surgery after a short preparation of 48 hours; replacement therapy was begun in each patient. Morbidity was low, and the patients submitted to a prolonged follow-up in order to screen for the onset of future lesions of VHL.

Adrenal Gland Neoplasms↗
PubMed2001

[Recanalization of pelvic ureter in prostatic neoplastic obstruction: endoscopic and radiologic approach].

UNLABELLED: Obstruction of the lower ureter by pelvic cancer requires a palliative treatment. Percutaneous derivation is often performed as an emergency. If obstruction is limited to the peri-meatic area (a few mm or a cm) resection of the ureteral orifice can be enough to catheterize the obstructed ureter. Stenting of the ureter can be done even if the obstruction is longer, using the extra vesical repermeabilization. METHODS: A guide wire is passed via the nephrostomy, and ureteral stent is passed over the guide wire. Dye additionned with methylene blue is injected tovisualize the lower extremity of the ureter. A regular resectoscope is placed transuretraly, and resection is conducted using X ray localisation with a C arm and several incidences. The tissue resected first is usually extravesical, in the adipous perivesical tissue. Dissection of this area can be performed bluntly with the tip of the resectoscope until the ureter is reached. At this time, the resectoscope is used to open the lower extremity of the ureter, localized with the C arm. It is important to open widely the ureter, so as to be sure to catheterize easily this opening with a ureteral catheter. A double J can then be passed easily. Tunnel of several cm can be performed using this technique. RESULTS: Seven patients with pelvic cancer with obstruction of the last cm of the pelvic ureter were included in this series. They were recurrent prostate cancer already treated with hormone therapy, stage T3, T4. All procedures were performed under rachianesthesia or general anesthesia according to general status. After this procedure normal miction were obtain in all patients and nephrostomies were removed. This technique is possible for extended pelvic obstruction. Blunt dissection with the endoscope is usualy blood less. This palliative procedure can be done in patients with poor general condition and allows for a better quality of life than nephrostomy or urinary diversions.

Aged↗
PubMed2001

[Role of celioscopy in the assessment and treatment of non-palpable testis in adults. Report of 2 cases].

The authors reported two cases of impalpable testis in young mens. Laparoscopy is useful in both the diagnosis and the management of impalpable testes. Intraabdominal testicles can be removed laparoscopically if atrophic or can be partly devascularized by spermatic vessel clipping if apparently normal. A second-stage vasal-based orchidopexy can then be performed once adequate testicular reperfusion via the the defferential pedicle is believed to have occurred.

Adult↗
PubMed2001

[Pyelocolic fistula: a case study].

In this study, the case has been reported of a left renocolic fistula that was detected in a patient with hepatitis C and cirrhotic complications who was hospitalized for urogenital tuberculosis. It was decided to perform left nephrectomy and digestive suture, but surgery was delayed due to hemostatic abnormalities and massive cytolysis, and the patient died before surgical treatment, three days after the discovery of the fistula. The findings in the literature have been reviewed, and the common occurrence of this type of fistula has been underlined. They are the most frequently encountered type with of entero-urinary fistula, and account for 60% of documented cases. Their etiological and clinical characteristics of have been described in detail. In general, treatment consists of performing a nephrectomy and digestive suture.

Fatal Outcome↗
PubMed2001

[Emphysematous pyelonephritis: report of 3 cases].

Emphysematous pyelonephritis (EPN) is a rare form of renal suppuration defined by the presence of pus and gas or bacterial origin within the renal parenchyma. It is associated with a high mortality in the absence of rapid and effective treatment. Emergency nephrectomy constitutes the reference treatment. Percutaneous drainage associated with medical treatment is an alternative in patients with localized or bilateral lesions or in the case of solitary kidney. The authors report 3 cases of EPN treated by percutaneous drainage combined with medical treatment for a localized lesion in two cases and nephrectomy in one case of disseminated multilocular lesion with an uneventful course in all three cases.

Emphysema↗
PubMed2001

[Treatment of uretero-intestinal and uretero-vesical stenoses with the Acucise balloon catheter].

OBJECTIVE: Acucise balloon catheter has been proposed as an alternative to open surgery for the treatment of strictures of the ureteropelvic junction because of its low morbidity and the short hospital stay following the endoscopic procedure. The objective of this study was to evaluate the results of this technique applied to patients developing strictures after surgical reimplantation of the ureterovesical (UV) or uretero-intestinal (UI) junction. MATERIAL AND METHODS: Between March 1997 and January 2000, 12 strictures (11 patients) were treated by Acucise balloon catheter via an antegrade and/or retrograde approach with double J stenting for an average of 6 weeks (range: 4 to 12 weeks): 6 uretero-ileal strictures (3 Bricker, 1 uretero-ileoplasty, 1 enterocystoplasty and 1 Kock pouch) and 6 ureterovesical strictures (Lich-Grégoir or Faquin UV reimplantations after gynaecological, vascular or endoscopic surgery). The median postoperative follow-up was 16 months (range: 10 months-36 months). A good result was defined by the absence of recurrence of the stricture evaluated both clinically and radiologically (regression of stasis measured by IVU and/or ultrasonography). RESULTS: The mean operating time was 70 min and the mean hospital stay was 4.8 days (range: 3 and 14 days). Only one intraoperative complication was observed (migration of the double J stent to the kidney). The operation was successful in 8 patients (75%). The success rate was 83% for ureterovesical strictures and 50% for uretero-ileal strictures. A history of previous irradiation appeared to be a factor of failure. CONCLUSION: The Acucise procedure is a minimally invasive and effective (75% success rate) treatment option for the treatment of postoperative stricture after ureteric reimplantations. In our department, this option is considered to be first-line treatment, as surgical reimplantation is reserved for failures of the endoscopic technique.

Adult↗
PubMed2001

[Three cases of spontaneous intraperitoneal rupture of the bladder].

Spontaneous rupture of the bladder is a rare disease which raises real diagnostic and therapeutic problems. Based on three new cases of spontaneous rupture of the bladder in the absence of any trauma and a review of the literature, the authors discuss the various diagnostic, prognostic and therapeutic aspects of this unusual lesion, secondary to multiple aetiologies, predominantly inflammatory causes. Idiopathic rupture of the bladder is particularly serious compared to other forms of traumatic or iatrogenic rupture. Late diagnosis caused by the absence of pathognomonic signs and the generally insidious clinical course at least partly contribute to this severity. Neoplastic forms have a very poor prognosis.

Adult↗