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F Abi

Publications and source records attributed to F Abi.

18 recordsLinked to original sources

[Cystic lymphangiomas of the mesentery and the epiploon. About two cases].

Two cases of cystic lymphangiomas of the mesentery and the epiploon are hereby related. The authors underline the following points: first, the rarity of these tumors along with the absence of significant clinical features makes the differential diagnosis with ovary tumors a difficult task. Second, although abdominal ultra sonography, completed by CT scan, allows the hypothesis of lymphangioma, only histological examination will confirm the diagnosis. There is no other treatment but complete exeresis, with a good prognosis and exceptional recurrences.

Diagnosis, Differential↗

[Cancer of the breast in men. Apropos of 50 cases].

Breast cancer, rarely encountered in men, accounts for 0.2 to 1.5% of the cancer morbidity in men and 1 to 5.7% of all breast cancers. The aim of this work is to analyse the different epidemiological, therapeutic and outcome features of this disease in men using a retrospective multicentric approach to 50 cases reported in Casablanca from 1980 to 1992. The mean age of the patients was 60.6 years. No significant risk factor was found. The mean delay to consultation was 22.5 months. Diagnosis was made at an advanced stage as, the tumour was located behind the nipple in 98% of the cases and ulcerated in 52%. Laterality was almost identical. Invasive galactophoric adenocarcinoma was found in 86% of the cases. Treatment was usually Patey mastectomy with positive nodes in 84%. Complementary treatment included radiotherapy in 60%, chemotherapy in 36% and hormonotherapy in 1 case. Recurrence was observed in 71% of the patients who has achieved complete remission. Surviceal in evaluable cases was 59 and 25% at 2 and 5 years respectively. The results in this series was less satisfactory that it is generally reported in the literature which suggests the need for better codification and management.

Adenocarcinoma↗

[Primary leiomyosarcoma of the left renal vein].

The authors report a case of leiomyosarcoma of the left renal vein. Because of its retroperitoneal position, this exceptional tumour was responsible for few symptoms. Complementary investigations (CT scan, ultrasonography, arteriography) often do not confirm the diagnosis. Complete surgical excision combined with complementary treatment can ensure long-term survival.

Angiography↗

[Therapeutic approach in a case of papillary cancer of the thyroid gland. Apropos of 22 cases].

The authors report about a series of 22 papillary carcinomas of the thyroid gland. Among the operated patients, 6 underwent loboisthmectomy, 9 total thyroidectomy. For papillary carcinoma, a frequent cancer (1.3% of all cancers) dominating in women, the survival rate is virtually the same if the lesion is treated with maximal or conservative surgery. The results obtained with minimalist conservative procedures (decrease in morbidity, no recurrence) reinforces the authors' attitude, even more so as it corresponds to the data found in the literature.

Adult↗

[Subcapsular hematoma of the liver, a complication of pregnancy toxemia].

The authors report three cases of subcapsular liver hematomas occurring after delivery and diagnosed by ultrasonography (1 case), and exploratory laparotomy (2 cases). These three cases compared with the data from the literature, illustrate the conditions of occurrence and the clinical signs of subcapsular liver hematomas during pregnancy or in the post-partum period. The frequency of this complication is most likely underestimated, since benign forms remain latent and the severe forms, responsible for sudden death, eludes the diagnosis in the absence of anatomical confirmation.

Adolescent↗

[Unusual localizations of hydatid cysts. Apropos of 40 cases].

The authors report 40 hydatid cysts of rare localization selected during a period of 11 years and represent 10.75% on the whole of the hydatid cysts operated during the same period all localizations dumbfounded. The splenic localization is the more frequent with 15 cases, so 4.9%, it occupies the third place after the classic localizations (liver, lung). The soft tissue and the peritoneum come in fourth position with 9 cases so 2.42% in relation to the whole of the hydatid cysts. A last group constituted by very rare localizations of which the frequency varies from 0.27 to 1.34%. This group includes the renal, pancreatic and mammary localizations. In general the diagnosis set no problem. Clinically, it is the discovery of a cystic mass, of progressive evolution with conservation of the general status, which has evoked the diagnosis. Before the arrival of the echotomography, the confirmation of the diagnosis is particularly operative. Actually this investigation allows an easy pre-operative diagnosis. The treatment is only surgical and adapted to each case. The post-operative results are satisfying. They deplore one death for a second recurrent intra-peritoneal hydatidosis.

Adult↗

[A case of post-traumatic intrapericardial hernia in a child].

Rupture of the diaphragm and pericardium after blunt abdominal injury is a rare and serious lesion. This rupture can produce a secondary subacute or chronic cardiac tamponade due to herniation of the abdominal contents into the pericardial cavity. Diagnosis is difficult and therefore rarely mode early. Surgical repair can be made by thoracotomy or laparotomy.

Abdominal Injuries↗

[Hemobilia. 3 cases].

The authors relate three cases of haemobilia. One caused by trauma, the second due to the rupture of aneurysm of the right branch of the hepatic artery into the biliary tract, the third one is of gallbladder origin. The remind the major aetiological factors among which the trauma is the most common cause. Selective angiography is the investigation most likely to provide clue to bleeding its site, and orient the therapeutic choice. There are a connection between the prognosis of this rare condition and the importance of the haemorrhage. It's high mortality (15 à 25%) has relation with the frequency of traumatic aetiology. The prognosis is severe in spite of the progress of diagnosis and therapy.

Adolescent↗

[Hemorrhagic hepatic lesions in toxemia of pregnancy].

One case of hepatic hemorrhage during toxemia of pregnancy is reported. This complication occurs in the last trimester of the pregnancy or immediately after labor. The diagnosis is usually made per-operatively. The anatomical lesions are subcapsular hematomes or spontaneous rupture of the liver. Surgery is only treatment and must be conservative. The very high mortality rate has generally been attributable not only to uncontrolled hemorrhage but also to disorders of hemostasis associated and to multiple organe failure.

Adult↗

[Hemorrhagic complication of a false cyst of the pancreas].

Diagnostic and therapeutic features are discussed with respect to a case of digestive hemorrhage from false pancreatic cyst, a rare, often unrecognized complication of this lesion. Typical forms are rarely observed, and recurrent or unexplained hemorrhage, particularly when associated with pancreatitis, should suggest the diagnosis. Arteriography is of both diagnostic and therapeutic value. Treatment has frequently to be directed both towards the disease as well as the complication and surgical excision is usually required.

Angiography↗

[Acute intestinal obstruction. General review apropos of 100 cases].

The authors report 100 cases of mechanic acute intestinal occlusion. 62% of them are men and 38% are women. The average age of the patients is 40 years (6 to 74 years). It is relatively young. The small intestine occlusion predominance has been noticed. These have been more dominated by bridle and adhesions (56%) from which (42%) post operative. The aetiology of colonic occlusion (31%) is dominated by volvulus (20%). The colonic occlusion is rarely caused by cancer (9%). All the patients are operated and 7 died. The mortality depend of the frequent delay of the diagnosis and the mediocre field.

Acute Disease↗

[Caustic lesions of the upper digestive tract. Apropos of 191 cases].

The authors report 191 cases of caustic burns of the upper gastro intestinal tract. HCL is the most incriminated caustic. 6 of them are severe cases: 2 are dead immediately, 4 were operated in emergency and 3 died. The staging based on fibroendoscopy allow us to make a prognosis. 43% of the cases stage III and 14% stage II developed a stenosis. A nasogastric tube is performed at 135 cases. It's used for an enteral artificial feeding and for oesophageal stenting in burns liable to cause stenosis. Through the results of this study and a review of the literature we may establish a therapeutic schema adapted to our conditions.

Accidents↗

[Volvulus of the right colon and common mesentery in the adult].

About two observations of volvulus of the right colon on common mesenterium which is a rare affection, the authors remind the clinical latency of this disease and the diagnosis difficulty which bring patient to be almost operated lately. Authors insist on the interest of the prevention and recommend radical surgery as a treatment of choice.

Colonic Diseases↗

[Surgical timing in acute lithiasic cholecystitis].

Acute cholecystitis is a surgical disease. However, if the operative indication is strict and univocal, the timing of operation still debatable. The purpose of this study of 343 calculous acute cholecystitis is to point out the marked tendency of the early surgical therapy. Such attitude may be encouraged by the observed change on roentgenographic studies' strategy (gallbladder opacification supplemented by echography) and the obtained good results.

Acute Disease↗