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Raouf Mohsine

Publications and source records attributed to Raouf Mohsine.

5 recordsLinked to original sources

[Digestive actinomycosis: three cases and review].

Actinomycosis is a chronic suppurative disease. It is caused by an anaerobic bacterium, generally Actinomyces israelii. Cervical and thoracic localizations are most frequent. Digestive actinomycosis is rare and can simulate cancer leading to resection. We report 3 cases of surgical abdominal actinomycosis. Localization was colic in 2 cases and hepatic in 1 case. The diagnosis of actinomycosis was made after resection in the 3 cases. The evolution was favourable under medical treatment. These observations illustrate the difficulty of diagnosing this rare and unrecognised disease which can be cured by long term penicillin therapy.

Actinomycosis↗

[Intraperitoneal perforation of hepatic hydatid cyst].

The incidence of the rupture of hydatid cyst of the liver is about 15 to 40% of the cases. In 2 to 7% of the cases the cyst can perforate into the peritoneum. The occurrence of a sclerosing peritonitis secondary to the rupture of the hydatid cyst of the liver was described, to our knowledge, only once. We report the observation of a 43 year-old woman in whom the diagnostis of peritoneal rupture of a liver hydatid cyst was made after 3 months. The patient was treated by albendazole (10 mg/kg/d). Two months after the beginning of this treatment, the patient was operated. A sclerosing peritonitis was discovered. The parasitologic studies of the different specimens were negative. The surgical treatment consisted of a good washing with H2O2 of the fibrous hull of the sclerosing peritonitis and drainage without any dissection. The evolution was satisfactory with albendazole treatment for 14 months. Currently, she is in good health without recurrence and without any abnormalities with a 2 years follow-up. We think that albendazole in the treatment of the hydatid disease is very effective in condition to give a continuous treatment for a long time. The occurrence of a sclerosing peritonitis is fortunately an exceptional situation whose surgical management is very delicate.

Adult↗

[Liver transplantation for secondary sclerosing cholangitis following biliary surgery].

The authors report their experience in five patients who underwent liver transplantation for secondary sclerosing cholangitis after undergoing biliary surgery. Liver transplantation was indicated because radiological and endoscopic manoeuvres failed to control icterus. Histological findings were diffuse destruction of the biliary tree associated with cholangitis in all cases and a secondary biliary cirrhosis in 2 cases. There was no cholangiocarcinoma. All patients are alive and well without recurrence of cholangitis after a median follow-up of 39 Months (range 25 to 117). These results suggest that liver transplantation can be considered the most appropriated treatment for advance secondary sclerosing cholangitis.

Adult↗

[Leiomyosarcoma of the inferior vena cava: diagnostic problem and treatment].

The authors report the case of a 42-year-old woman in whom a tumour of the inferior vena cava was discovered intraoperatively. Histological examination of the specimen confirmed the diagnosis of leiomyosarcoma. Malignant tumours of the inferior vena cava are very rare and about 95% of these tumours are leiomyosarcomas. These tumours are diagnosed preoperatively in only 10% of cases. CT and MRI allow a precise staging assessment. Radical surgery and a combination of radiotherapy-chemotherapy constitute optimal treatment for leiomyosarcoma of the inferior vena cava, ensuring long survival, but recurrences are frequent.

Adult↗