PubMed Health⌕ Search

Biomedical subjects

F el Fares

Publications and source records attributed to F el Fares.

At least 19 recordsLinked to original sources

[Hydatid cyst of the pancreas. Report of a case].

A 49 years old woman was admitted to the hospital for abdominal pain with vomiting. At the examination, there was a deep and hard epigastric mass. The diagnosis of pancreatic cyst was established by ultrasonography and CT Scan. The hydatid cyst was recognized before surgery on the basis of the epidemiological data and the existence of calcified shell. The treatment consisted in the resection of the protruding dome with epiplooplasty. The postoperative evolution was simple. From this observation and reported data, complications and treatment of this uncommon localization were discussed.

Abdominal Pain↗

[Krukenberg's tumor: still a somber prognosis. 4 cases].

The authors report four cases of Krukenberg's tumour. They point out its rarity and that the diagnosis can come as a surprise on histological examination. The tumour always has Signet ring cells. How the ovary comes to be involved is not known as yet. Treatment is mainly surgical with added chemotherapy but the prognosis is still very poor indeed.

Adult↗

[Pelvic echinococcosis in women. Two case reports].

The purpose of this report of two cases of pelvic hydatid disease is to recall the aetiology and pathogenesis of this endemic condition in Morocco. We point out that because it gives rise to many different clinical signs it is difficult to diagnose accurately but if the appropriate blood tests are carried out in every case with a pelvic mass the diagnosis could not be missed. It is important to treat effectively this condition which can compromise both the gynaecological and obstetrical future of the patient and that can have serious repercussions extending to the upper urinary tract. The authors, too, show how important it is to follow up these cases after operation in order to spot recurrences.

Adult↗

[Pyloroduodenal stenosis of ulcer origin. Apropos of 260 cases].

This study is about 260 cases of ulcerous pyloroduodenal stenosis operated on in 10 years among 1209 ulcers (21.5%). Males are by far dominating with a rate of 83.55%, the average of age was 45 years. 20% of our patients have presented a complication anterior or contemporary to the stenosis (perforation or hemorrhage). Clinical context is obvious and upper gastro intestinal series has made diagnosis in 92% of cases fibroscopy has been done in only 30.8% of cases. Surgical treatment has consisted in a troncular vagotomy in 252 cases. (98.2%), transduction de "dont" 34.5% of whom underwent a gastroduodenostomy 25.8%, gastrojejunostomy, 18.2% a pyloroplasty and in 21.4% an inferior polar gastrectomy. There were 3 fundic vagotomies (1.17%) associated to a gastro duodenostomy in 2 cases and to dilatation in one case e deplored 3 deaths related to surgery (1.1%) long follow up was marked by 3 ulcerous relapses and 2 stenosis.

Adult↗

[Our experience of surgery for common bile duct lithiasis. Apropos of 370 cases].

We report a series of 370 common bile duct stones in which the diagnosis was made preoperatively in 56% of cases. We performed: choledochotomy with Kehr drainage in 70% of cases, biblio-intestinal anastomosis in 20%, transcystic extraction with drainage via the same route in 7%, surgical sphincterotomy in 2%. The global mortality was 2.7% related to preexisting deficiency states. The residual stone rate was 5.6%.

Adolescent↗

[Ovarian struma: 2 cases].

The authors report two cases of ovarian goiters; they insist upon their rarity and the difficulty of their pré-operatory diagnosis. Only histologic examination can affirm their goitrous origin. The treatment of ovarian goiters is surgical. The evolution is favorable except their exceptional malignant transformation.

Biopsy↗

[Hydatid cysts of the hepatic dome. Apropos of 124 cases].

The authors report a series of 124 hydatic cyst of hepatic dome. The discovery circumstances are represented by evolutive complication: infections in 58%, angiocholitis 45%, vascular compression 7.2% and bilio-bronchic fistulas in 6.4%. The treatment realised was the resection of the bulging dome in 87%, of cases parietal perikystectomy was realised in 9.6% and total perikystectomy in 3.2%. They deplore 12 deaths (9.8%).

Adolescent↗

[Peritoneal echinococcosis. Diagnostic and therapeutic problems. Apropos of 34 cases].

By the light of retrospective study of a series of 34 cases of peritoneal echinococcosis the authors are reminding epidemiological, etiopathologenical, diagnostic difficulties and treatment of this endemic affection in their country. In their study they noted a frequency of 4.5%. With a female predominance (73.5%), the main age was 47 years 80% of the patients were noted to have a rural origin. The treatment was conservative for the primitive kyste as for the peritoneal locations. The post operative course was uneventful in 76% of cases and complicated in 24% (subphrenic abscess in 5 cases and cholerragy in 2 cases). They deplored 3 deaths the follow up was assured clinically; echographically and biologically; they have reoperated 9 relapses.

Adult↗

[For a conservative treatment of hydatid cyst of the spleen].

A retrospective study of 45 cases of spleen hydatic cyst. Operated on between January 1980, and December 1989 permitted the following commentary. Splenic hydatic cyst is characterized by its rarity and latency. It's diagnosis gives no rise to any problems. Echography data are essential in asymptomatic froms associated to other localisations. Surgical treatment can not be summarised to splenectomy; conservative methods are used as long as possible.

Adult↗

[Malignant toxic adenoma of the thyroid. Apropos of 3 cases].

This article is concerned with 3 cases of the morbid association of autonomie adenoma and vesiculo-papillary carcinoma of the thyroïd. Based upon literature data the authors are discussing, clinic, paraclinic, histopathologic, physiopathologic and therapeutic problems of this association.

Adenocarcinoma↗

[Bilio-bronchial fistula of hydatid origin. Apropos of 8 cases].

While reporting on 9 cases of bilio-bronchic fistulas of hydatic origin, and with the help of literature data the authors are underlying a number of points: Hidatic bilio-bronchic fistulas are rare and a serious condition responsible of lesions at 3 levels, hepatic, diaphragmatic, and pulmonary. The diagnosis gives no rise to any problem the biliptysia is the main symptom. The treatment is always surgical, the approach is the abdominal way that permits the hepato-bronchic deconnection and the treatment of the hydatic cyst and to ensure the liberty of the common bile duct and to realise an eventuly drainage of the common bile duct to close the fistulous diaphragmatic communication and permit an inter-hepatodiaphragmatic drainage. It's but in front of a preoperatory destruction of a pulmonary lobe or the absence of improval of a pulmonary state post operatively (irreversible bronchectasis, chronic pulmonary sepsis) that the thoracotomy is indicated. The prognosis is severe with an elevated rate of mortality of 12,2% in this series. Showing the necessity of the prenetion of such complication by operating on every hydatic cyst of hepatic dome.

Adult↗

[Intrathoracic goiter. Apropos of 36 cases].

This article is concerned with 36 cases of plunging goiters responding to Eschapasse and Merlier definition. The frequency of plunging goiters is 5.2%, women are predominating with 96% and the average of age is 45 years. In 34%, these goiters gave rise to fow symptoms, while there was mediastinal complication in the others cases. Paraclinic investigations are limited to a face and profile pulmonary roentgenographies, and scintigraphy of the thyroid. In the treatment, cervicotomy proved to the completely satisfactory to removal of all the goiters and there were no need to sternotomy or thoracotomy. The pathology revealed two malignant tumors. Post operative evolution was uneventful except one death in the 10th post operative day by pulmonary emboli.

Adult↗