PubMed Health⌕ Search

Biomedical subjects

F S Haddad

Publications and source records attributed to F S Haddad.

At least 109 records · Page 6Linked to original sources

Spontaneous intraperitoneal rupture of the bladder.

Spontaneous intraperitoneal rupture of the bladder (also called unsuspected, idiopathic, or non-traumatic rupture of the bladder) is a well defined but rare condition which has not been universally recognized in the past. We are reporting four cases and emphasizing its clinical picture so it might be better recognized and diagnosed early on in the process, and so that its management be planned appropriately in order to reduce its morbidity and its mortality. A review of the literature is provided to help achieve this end. Spontaneous intraperitoneal vesical rupture is almost always a surprise at laparotomy. A high degree of suspicion, the finding of urea in the ascitic fluid, and cystography may help in the diagnosis. Symptoms include abdominal pain, difficulty in micturition, hematuria and renal failure with elevation of the blood urea and acidosis. The etiology seems to be varied and somehow confused. We discuss four groups of etiological factors: dulled sensorium, weakening of the bladder wall, increased intra-vesical pressure (with or without bladder outlet obstruction) and vascular lesions (radiotherapy, arterial embolism and vesical infarction); and we try to discern common denominators for these four groups of etiological factors: an increase in intravesical pressure along with a weakening of the bladder wall. Finally the new concept of vesical infarction following ischemia due to overdistention of the bladder is introduced and discussed.

Aged↗

A new approach in the diagnosis and follow-up of bladder cancer. FISH analysis of urine, bladder washings, and tumors.

The aim of the present study was to ascertain whether fluorescence in situ hybridization (FISH) of urine could be a useful approach in bladder cancer. Herein, we present the cytogenetic and FISH findings in patients with and without bladder cancer. The samples examined with FISH consisted of urine, bladder washings, and tumor tissue, when available. The results obtained show that the FISH technique, particularly when used on urine, is a very useful tool in the diagnosis, early detection, and management of bladder cancer.

Adult↗

Renal cell carcinoma insulated in the renal capsule with calcification and ossification.

We describe a case of renal-cell carcinoma insulated and entrapped in the renal capsule by a calcified and ossified rim. To our knowledge, this is the first time a renal-cell carcinoma of the renal capsule is reported. The fact that the tumor cells originated from the distal/medullary tubules was supported by immunohistochemical studies. The pertinent literature is reviewed.

Calcinosis↗

[Al-Zahrawi].

Explore the source record for details and available documents.

Arab World↗

33-year follow-up after simple excision of a giant renal oncocytoma with calcifications: case report and review of the literature.

Renal oncocytoma can present with calcification seen on the plain roentgenogram. From a review of the literature (both before and after 1976, when the concept of oncocytoma was popularized in the English literature), 10 cases of calcification in association with renal oncocytoma were found. In three of these 10 cases, the calcifications could be grossly demonstrated on the plain roentgenogram; in the other seven cases, the calcifications were microscopic in nature. The presence of calcification in a renal tumor does not rule out the diagnosis of oncocytoma. Grossly, a renal oncocytoma has a brownish mahogany color. A case is presented in which simple excision of an oncocytoma resulted in a 33-year survival. In the future, excision instead of nephrectomy could become the standard treatment for these tumors.

Adenoma↗

Lithiasis in the ileal conduit and the continent urinary pouch: two cases and a review.

We present 2 patients who developed stones (6 and 57 g) in the ileal conduit; the first stone was passed and the second required surgical removal; its nidus was a surgical staple. After a review of the literature which includes 25 other cases of stones in ileal conduits, as well as over 20 cases of stones in continent urinary pouches, it is concluded that the use of metallic staples in the construction of the ileal conduit or the continent urinary pouch should be abandoned.

Foreign-Body Reaction↗

Sacral osteoid osteoma in a 10 year old girl.

We report the case of a ten year old female student who complained of chronic back pain and morning stiffness of several months duration. She failed to respond to non-steroidal anti-inflammatory drugs (NSAIDS). Further investigations which included bone and CT scan revealed the presence of an osteoid osteoma at the first sacral vertebra (S1 vertebra). The patient made an excellent recovery after surgical excision.

Child↗

Treatment options in primary Ewing's sarcoma of the spine: report of seven cases and review of the literature.

Primary Ewing's sarcoma of the spine is reviewed, and seven cases are presented. Ewing's sarcoma of the spine is a rare condition that appears with a clinical triad of local pain, neurological deficit, and a palpable mass. The clinical picture, imaging characteristics, and management are discussed. The definitive management of Ewing's sarcoma of the spine, as in other locations, could include three main modalities: surgery, radiotherapy, and combination chemotherapy. In the presence of acute neurological decompensation, decompressive surgery via an appropriate approach should be performed. Because Ewing's sarcoma is usually sensitive to chemotherapy, initial chemotherapy, in neurologically stable patients, could be attempted first without surgical resection. Further management could then be gauged according to the response.

Adolescent↗