Biomedical subjects

M Ketata

Publications and source records attributed to M Ketata.

4 recordsLinked to original sources

PubMed2003

[Abdominal actinomycosis. Three cases].

BACKGROUND: Abdominal actinomycosis is a suppurating affection caused by a positive Gram germ, Actinomyces israelii. Manifestations of this rare disease are usually pseudotumoral syndromes leading to surgical exeresis. The diagnosis is obtained from the histologic report. CASES REPORT: We report three cases in all of which this disease presents with tumoral symptoms. The first affected the sigmoïd, the second affected the mesentery and the last affected the greater omentum and abdominal wall. In no case, the diagnosis was done before surgery. In 2 of the cases reported here, the patients had an old, incontrolled intra-uterine device. DISCUSSION: From a review of the literature, we observed that the diagnosis of abdominal actinomycosis remains difficult. The radiologic findings are nonspecific. Actinomycosis is treated with prolonged antibiotics, and surgery is only needed in abdominal abscess and fistula. CONCLUSION: Theses observations illustrates the difficulties of the diagnosis of this rare unrecognized disease.

Abdominal Abscess↗

PubMed2002

[Hydatid cyst of the thigh: three cases].

Three patients presented a benign soft tissue mass in the thigh muscles. Ultrasonography provided the diagnosis of hydatid cyst. Total pericystecomy was performed in all cases with no recurrence at 8 months, 3 years and 4 years. We point out the importance of preoperative diagnosis and the need for radical excision to avoid recurrence.

Adolescent↗

PubMed1997

[Chronic non-aneurysmal rupture of the infrarenal aorta. Report of a case].

We report a case of chronic rupture of the infra-renal aorta into the left psoas 6 years after implantation of an aorto-bifemoral prosthesis. There was no aneurysm nor false anastomotic aneurysm. The initially suspected diagnosis was acute sigmoiditis. We emphasize the polymorphous nature of clinical manifestations of chronic contained ruptures of the infra-renal aorta. Abdominal CT-scan is important for diagnosis. Strongly suspected, but not proven, sepsis led us to perform extra-anatomic revascularization after resection of the earlier prosthesis and ligature of the infra-renal aorta.

Aged↗

PubMed1995

[Voluminous inguinal hernias can also be treated under local anesthesia].

In patients with a large inguinal hernia, surgeons are usually reluctant to use a local anesthesia as described in the Shouldice technique. The purpose of this study was to appreciate the efficiency of such a technique. Routine local anesthesia used 200 cc of 0.5% lidocaine injected subcutaneously in the groin area and more deeply, near the anterior superior iliac spine in order to achieve a nerve block of the genital branches of the ilioinguinal and genitofemoral nerves. If necessary, the peritoneal sac is injected with lidocaine: it is usually not opened, just pushed back into the abdomen. At the end of the procedure, the estimated size of the peritoneal sac, the presence of pain, the necessity of converting the local anesthetic technique into an other procedure and the use of a prosthesis were recorded in the patient's charts. From January 1986 to December 1992, all patients with an inguinal hernia more than 6 cm in diameter, were included in the study. 111 consecutive patients were defined as having a large hernia and were operated by one of the authors. 3 patients were excluded, following general anesthesia as the first approach, males leaving 108 cases. The mean age was 59.8 years (range: 21 to 92). There were 103 males and 5 females, 60 right hernias, 37 left and 11 bilateral of which 4 were bilateral and large, giving a total of 112 large hernias. The mean diameter of the sac was 8.6 cm (range: 6 to 30). 7 patients were operated for recurrent large hernia. During the procedure, 9 patients reported pain which necessitated repeated injections of local anesthetic. The local procedure never had to be converted into general anesthesia. All patients had a Shouldice repair and none required the use of a prosthesis. Patients were reviewed after a mean of 36 months of postoperative course (from 5 to 79 months). No hernia recurrence was observed, five patients had "residual" pain.

Adult↗