PubMed Health⌕ Search

Biomedical subjects

R Aboutaieb

Publications and source records attributed to R Aboutaieb.

45 records · Page 3Linked to original sources
PubMed1994

[Perineo-scrotal gangrene. Analysis of 49 cases].

Perineo-scrotal gangrene is a necrotizing infection of the tissues of the perineum and scrotum. It accounts for 0.6% of our hospitalizations. The commonest etiology is urologic (86% of our cases). A proctologic origin was found in 6%, while the condition appeared to be primary in 8%. Concomitant diseases were found in 37% with diabetes the commonest. The diagnosis is clinically evident. The majority of patients are seen late (5 to 10 days) and the necrotizing process spreads rapidly. This is a multidisciplinary emergency, requiring intensive care, antibiotics, surgical excision of all necrotic tissues and possible urinary and/or fecal diversion. Extensive skin loss requires surgical cutaneous reconstruction procedures. The prognosis is severe, with a 12% mortality rate in our series.

Adult↗
PubMed1993

[Renal malacoplakia. Apropos of 2 cases].

Malacoplakia is a chronic inflammatory disease which specificity is pathological: Von Hansemann's cells and Michaelis-Gutmann's bodies. Renal localization is very rare. Two cases have been collected, the diagnosis having been done in the two cases on a nephrectomy specimen. Because there is no specific symptomatology to renal malacoplakia, the presence of a particular context should suggest the diagnosis and lead to renal needle biopsy. Thus nephrectomy could be avoided. The primum movins of the affection is a trouble of the phagocytosis. The place of surgery in the treatment of renal malacoplakia remains uncertain due to the lack of experience with the medical treatment. The latter is based on the prescription of cholinergic drugs, and has proved some efficacy in other localizations, as bladder.

Adult↗
PubMed1993

[Urethrocele in males].

Concerning one case of male urethral diverticulum, the characteristics of this rare affection are reviewed. Long standing urethral catheter and urethroplasty are the more frequent etiologies of this affection. The diagnosis is clinical, based on the discovery of tumefaction on the urethral track which pression makes spring up urine through urethral meatus. The urethrogram confirms the diagnosis. Surgical approach consists on the resection of the diverticulum and urethrography in one or two stages, based on diverticular neck size and tissue vascularization.

Adult↗
PubMed1993

[Priapism. Apropos of 10 cases].

The authors report a retrospective study collecting ten cases of priapism over fifteen years. Clinical diagnosis is evident. Idiopathic priapism is most frequent of all the medical treatments available, no one seems to be efficient. Among surgical procedures draining the venous blood from the cavernous bodies, spongiocavernous shunt (Al-Ghorab) has been a simple, fast and effective method in the last five patients. Functional result depends on the age and especially on the precocity of the surgical treatment. Therefore priapism is an andrologic emergency.

Adolescent↗
PubMed1993

[Villonodular synovitis of the large joints].

The authors report 11 cases of villonodular synovitis of large joints. The problems, related to diagnosis and treatment, are discussed. The results are satisfactory when a total synovectomy is performed early, before any joint damage occurs.

Adolescent↗
PubMed1993

[Urinary tract tumor in a horseshoe kidney diagnosed after renal trauma].

The discovery of a urinary tract tumor in a horseshoe kidney following renal trauma led the authors to report this case. They emphasise the fact that this association is very rare, the importance of follow-up urography in cases of renal trauma, and that the persistence of urographic abnormalities justifies the use of computed tomography. They also indicate the technical details of horseshoe kidney surgery.

Adult↗
PubMedDate not supplied

[Cystoid pneumatosis of the intestine. Apropos of 2 case reports].

The authors report two cases of pneumatosis cystoides intestinalis involving the small intestine. The first patient, a 35-year-old man treated for duodenal ulcer since 1976, presented with digestive haemorrhage in 1981 for which a vagotomy and a gastroduodenoanastomosis were performed. He was seen in 1986 for a post-bulbar stenosis. On the plain abdomen radiography there were gaseous formations in the sub-phrenic region. At operation the post-bulbar stenosis was confirmed and a cystic pneumatosis interesting 60 cm of the ileum was present. A gastro-enteroanastomosis was performed with an ileal resection and reestablishment of the continuity. He had no recurrence of the disease. The second patient, a 77-year-old man, was admitted for a surgical treatment of a stenosing bulbar ulcer. On the chest X-ray there were many gaseous formations under the diaphragmatic cupula, characteristic of cystic pneumatosis. The surgical exploration confirmed pyloric stenosis for which a vagotomy and a gastroenteroanastomosis were practised; it was found a cystic pneumatosis interesting one meter of the small intestine, which was not resected. The postoperative course was uneventful. The authors review the literature about this benign disease, which can involve the small intestine in case of duodenal or pyloric stenosis. They stress the usefulness of plain radiography of abdomen demonstrating the presence of characteristic gaseous formations in the subphrenic region.

Adult↗
PubMedDate not supplied

[Urethrocele in males].

Concerning one case of male urethral diverticulum, the characteristics of this rare affection are reviewed. Carriage for long time of urethral catheter and urethroplasty are the more frequent etiologies of this affection. The diagnosis is clinic, based on the discovery of tumefaction on the urethral track which pression makes spring up urine through urethral meatus. The urethrography confirms the diagnosis. Surgical approach consists on the resection of the diverticulum and urethrorrhaphy in one or two stages, based on diverticular neck size and sheet quality.

Adult↗