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Biomedical subjects

H Chelli

Publications and source records attributed to H Chelli.

At least 37 records · Page 2Linked to original sources
PubMed1996

[A rare complication of renal lithiasis: peritonitis and splenic abscess caused by rupture of pyonephrosis].

Peritonitis can result from many causes. We report a case caused by a renal abscess which contaminated the abdominal cavity. A 30-year-old patient was referred with suspected ruptured ectopic pregnancy with signs of peritoneal flooding. The culdocentesis was positive and returned frank pus. Endoscopic exploration with an open laparoscope revealed that the infection did not originate from a gynecological infection but did not identify the exact origin. Laparotomy was performed and revealed a splenic abscess and a subphrenic peritoneal breach releasing a purulent liquid. Splenectomy and abdominal lavage with draining was performed. A post-operative pyelourogram showed a silent kidney with multiple coralliform lithiases. Interventional sonography allowed drainage of a retroperitoneal collection. The post-operative period was uneventful. Left nephrectomy was later performed. Only rare cases of ruptured pyonephrosis leading to peritonitis have been reported, usually with poor prognosis.

Abscess↗
PubMed1996

[Drainage by echo-guided nephrostomy in hydronephrosis secondary to a pyelo-ureteral junction in a single kidney syndrome in a pregnant woman. Apropos of a case].

We report an exceptional case of pyeloureteral malformation which occurred on a single kidney. The malformation was discovered at 32 week of gestation when ultrasonography showed hydronephrosis. Initial treatment consisted in echoguided drainage. The patient gave birth to a live infant via normal vaginal delivery and then underwent resection of the pyeloureteral malformation with anastomotic reconstruction of the upper urinary tract.

Adult↗
PubMed1995

[Uterine rupture during labor. Report of 106 cases at the Maternity Center of Tunis (Tunisia)].

This study involves 106 cases of the uterus seen at the Rabta Maternity and Neonatology Center (Tunis) over a period of 6 years. The incidence was 1.51% of labors and 75.4% of cases involved rupture of a scarred uterus. Rupture of a healthy uterus accounted for 24.6% of cases. The clinical picture was asymptomatic in 66.25% of cases involving a scarred uterus. Treatment of rupture of the uterus was essentially conservative by suture of the tear (73.6%). Maternal mortality was 2.8%. Perinatal mortality was high at 37.7%.

Adult↗
PubMed1994

[Total septate uterus with hemi-vagina and homolateral renal dysplasia].

We report a rare case of uro-genital malformation in 18 years old girl. The malformation associate total septus uteri, hemivagina atretica dextra and homolateral dysplastic kidney. Dysmenorrhea, purulent discharges from cervix and vaginal tumor evocated the diagnosis, which was confirmed by ultrasonography, hysteroscopy and coelioscopy. Therapeutic attitude was total resection of vaginal septus and right nephrectomy. At today, seven cases were published in international literature. In all cases, renal aplasia was reported. Embryologic acknowlegements can't explain this malformation.

Abnormalities, Multiple↗
PubMed1994

[Norplant contraception at the Rabta Tunis maternity hospital].

612 women had the benefit of contraceptive implants in the Maternity Hospital of La Rabta in Tunis over a period of 5 years (1988-1992). This study aimed at analysing the tolerance of this method by studying a group of 508 normal women and 104 women at risk (58 women were heart-diseased, 22 nursing, 13 diabetic, 11 hypertensive). The typical woman in this group is thirty years old, having 3 children, and weighing 61 kg. The implants were most of the cases withdrawn because of problems related to the menstrual cycle that were observed in 37% of the cases, equally distributed among both groups of the series. Contraceptive implants failed in 1.79% of the cases.

Adolescent↗
PubMed1994

[Analysis of placenta accreta risk factors. 8 case reports].

The authors report 8 cases of placenta accreta during a 7-year period between March 1986 and January 1992. There were 72,399 deliveries at the Rabta Tunis Maternity and Neonatalogy Centre during this same period, i.e. a rate of 0.11%. Risk factors were dominated by multiparity (7 cases), uterine scars (7 cases) and placenta praevia (5 cases). Associated rupture of the uterus was seen in 2 cases. There was no ultrasonographic diagnosis of placenta accreta before delivery. The diagnosis invariably made at the time of delivery was confirmed histologically in all cases. Hysterectomy was performed in 7 cases and a partial resection of the uterine horn in 1 case. Maternal mortality was nil. There was perinatal mortality in 4 cases, linked twice to prematurity and twice to hypoxia secondary to severe hemorrhage. Analysis of these 8 cases and a review of the literature form the basis of a discussion of the epidemiological profile and clinical and paraclinical characteristics of this condition and an evaluation of foeto-maternal prognosis.

Adult↗
PubMed1994

[Anatomo-clinical characteristics of ovarian fibrothecal tumors. 19 cases over 12 years: 1981-1992[].

The quasi-constantly benign nature of fibrithecomas of the ovary has been known for many years. However, there have been very few studies of their incidence and clinical characteristics. The aim of this study, based upon 19 cases of fibrothecal tumours of the ovary operated upon at the Rabta maternity unit during a 12 year period, is to give an idea as to epidemiological factors, diagnostic conditions and treatment methods used among the women studied.

Adult↗
PubMed1994

[Pregnancy in a rudimentary uterine horn: main clinical forms. 5 cases].

Five cases of pregnancy developing in a rudimentary uterine horn are reported. The incidence of this association is 1/40,000 pregnancies. Three patients underwent surgery in a context of massive intraperitoneal bleeding due to rupture of the uterus during the second three months of pregnancy. Pregnancy continued into the third three months in 2 patients. The diagnosis was made at laparotomy, the uterus having ruptured in both cases. In the first case, rupture was clinically silent with development of the fetus in the abdominal cavity. In the second case, the pregnancy stopped developing at 34 weeks after the LMP. Histological examination of hemi-hysterectomy specimens showed that the placenta was accreta in all cases. Analysis of these 5 cases and a review of the literature form the basis of a review of the current contribution of investigations to the diagnosis of this association.

Adult↗