Biomedical subjects
Publications and source records attributed to J Ouadfel.
A case of pineal area tuberculoma revealed by grand mal seizures and deterioration of vision is presented. A surgical biopsy and chemotherapy produced good results. This unusual site of tuberculoma demonstrates the usefulness of a direct approach to pineal area masses. It also confirms the effectivity of chemotherapy for tuberculoma.
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This is a report of a rarely observed localisation of hydatid cyst: the retroperitoneal space. The hypotheses of pathogenesis advanced are reviewed and the interest of intravenous urography and ultrasonography in the diagnosis is emphasized. Surgery the only treatment, consists of partial resection of the cyst.
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The authors report two cases of post-appendicectomy gas gangrene with a fatal outcome. Based on the study of these two cases they analyse the incidence, mechanism and prognosis of this serious post-operative complication. They stress the prophylactic measures necessary for prevention.
Thirty-five cases of stiffness and ankylosis of the elbow are reviewed which were followed for 6 months to 4 years. Good results were observed after arthrolysis and/or arthroplasty, associated with physiotherapy. Description of the technique and analysis of the results.
The authors report the case of a 60 year old woman with synovial osteochondromatosis of the elbow treated by total synovectomy. The result was good for all symptoms. They discuss the etiology, pathogenesis, diagnosis and treatment.
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Diagnostic difficulties in 44 cases of tuberculosis of hip are emphasized and the serious nature of sequelae stressed. A definite diagnosis (cytology positive for Kochs bacillus, positive biopsy) was possible in only 18 cases, presumption of the nature of the affection in the other cases depending on clinical, radiologic and biologic arguments and failure to respond to immobilization one month.
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Walled-off peritonitis which is a frequent occurrence in patients treated by continuous ambulatory peritoneal dialysis may also occur in cases where there is no obvious pathological factor. This was the case in the two patients reported. Both were male patients aged 28 and 32 years hospitalised and operated on for acute intestinal obstruction. Positive diagnosis was made at the time of operation. Decortication with total enterolysis was performed in the two cases. However, a jejunal fistula with a favorable outcome occurred in one case, investigation for acid fast bacilli was negative and histological examination was non specific.
Report of two cases. The authors report two observations in what concern the diffused form of the Caroli's disease, one pure, the other mixed associating the congenital dilatation of the intra-hepatic bileducts with lesion of congenital hepatic fibrosis. They emphasize the efficiency of the echographia and computed tomography in diagnosing Caroli's disease. The surgical treatment of these diffused forms often complicated by acute recurrent cholangitis used with some success various methods of biliary drainage. But the radical treatment seems to be obliged to turn itself more likely toward liver transplantation.