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N Essakalli

Publications and source records attributed to N Essakalli.

13 recordsLinked to original sources
PubMed2004

[Retinal arterial macroaneurysm: spontaneous occlusion after rupture. In connection with a case].

INTRODUCTION: Retinal arterial macroaneurysms are ectatic modifications of the arterial wall. They are a relatively uncommon condition wich can threaten visual function by pre- or subretinal hemorrhage in case of rupture or by massive macular exudation. OBSERVATION: We report a case of a 50 years old patient, without cardio-vascular history, who presented an arterial macroaneurysm complicated by premacular hemorrhage. Spontaneous evolution was aneurysm occlusion with complete hemorrhage regression and visual recovery. COMMENTS AND CONCLUSION: Retinal macro-aneurysms are acquired malformations, often isolated and located in a temporal artery. Their evolution is unpredictable either towards spontaneous occlusion, occurrence of chronic exsudative retinopathy or hemorrhagic complications by fissuration or rupture of arterial wall. Through this observation, the authors discuss the evolution and therapeutic modalities of this affection.

Aneurysm, Ruptured↗
PubMed2000

[Report of 2 cases of prostatic abscess].

Prostatic abscess is a rare disease. In the light of two cases, the authors discuss the diagnostic and therapeutic aspects of this disease. Two patients, aged 17 and 55 years, presented nonspecific clinical features. Medical imaging (US, CT) established the diagnosis by showing a loculated cystic prostatic mass. Treatment consisted of transurethral drainage and antibiotics with a favourable course in both cases. Prostatic abscess is a rare disease for which the diagnosis has been facilitated by progress in medical imaging. The treatment of choice remains transurethral endoscopic drainage.

Abscess↗
PubMed1989

Continent urostomy with hydraulic ileal valve in 136 patients: 13 years of experience.

The hydraulic ileal valve, which we developed in 1975, ensures continence by adapting to 5 different urinary reservoirs. The valve is made by isolating a 14 cm. long intestinal loop with the mesentery. The isolated ileal segment then is folded inward on itself throughout its entire length. We performed 136 continent urostomies with this hydraulic valve. An ileocecal reservoir was used in 122 patients, ileum in 8, sigmoid in 1, rectum in 1 and bladder (continent cystostomy) in 4. Indications for continent urostomy were bladder tumor in 55 patients, complex vesicovaginal fistulas in 5, neurogenic bladder in 13, vesical exstrophy in 12 and miscellaneous reasons in 5. Of the patients 103 (75 per cent) were continent immediately. Continence was obtained after repair of the valve in 24 patients (17.6 per cent). Therefore, 127 patients over-all were continent. Mean followup of our patients was 38 months (range 3 to 154 months). Continence remained excellent with self-catheterization performed easily in 88.3 per cent of the patients. Over-all, all of our continent urostomies were well tolerated biologically and radiologically.

Cecum↗
PubMed1986

[Hydatid cyst of the kidney. Apropos of 30 cases].

Symptomatology in thirty patients with hydatid cyst of kidney treated in the Urologic Clinic, UHC, Avicenne, Rabat, was florid (83% with pain and 43% with a mass in the flank) and sometimes specific (27% of cases). Associated hypertension was an exceptional finding. Preoperative diagnostic investigations included ultrasound and CT scan imaging, replacing arteriography to a great extent. Approach to surgical treatment was usually by a lombotomy (64%) or even a Baraya incision (23%), followed by treatment of the renal cyst itself (a case of silent kidney on IVU treated by resection of a protruding dome). Nephrectomy was frequently necessary (47%) for renal lesions. When conservative therapy appeared sufficient the only procedure adopted, apart from specific cases, was resection of a protruding dome even when the hydatid cyst was discharging into excretory pathways. Splenectomy was sometimes necessary (2 of 22 cases) for hydatid cyst of left kidney. This series emphasizes the safety of surgery for hydatid cyst of kidney since the only death reported occurred 2 months after operation in a patient with an associated renal sarcoma.

Echinococcosis↗