Small Bowel Perforations (SBPs) due to causes other than trauma and known common etiological fact... more Small Bowel Perforations (SBPs) due to causes other than trauma and known common etiological factors (mesenteric vascular disease, internal and external hernias, intraabdominal adhesions, inflammatory bowel diseases, and iatrogenic) are also called spontaneous or non-traumatic SBPs, Presentation at the hospital is generally late, and patients are in an impaired physical condition due to diffuse peritonitis, we report the case of acute peritonitis secondary to an isolated ileal perforation discovered in a patient operated on in the surgical emergency.
A female patient was admitted urgently; for abdominal pain, vomiting and stopping of materials an... more A female patient was admitted urgently; for abdominal pain, vomiting and stopping of materials and gases. This symptomatology had been evolving for 36 hours. The interrogation notes a history of a caesarean. The physical examination confirmed the presence of an occlusive syndrome with abdominal distension and meteorism. Hernias parietal were free. The rest of the physical examination was normal. X-ray of the abdomen without preparation noted hydro-aerial levels of the hailic type. The Computed tomography showed an intestinal obstruction in a bird's beak.
Peritoneal pseudomyxomas or "gelatinous diseases "of the peritoneum are rare diseases, defined by... more Peritoneal pseudomyxomas or "gelatinous diseases "of the peritoneum are rare diseases, defined by the abundant gelatinous substance in the abdomen secondary to ruptured appendicular mucinous lesion whose macroscopic cystic aspect is the mucocele. Histological analysis makes it possible to distinguish adenucinosis diffuse peritoneal, a relatively progressive benign form, malignant forms or peritoneal carcinomatosis Mucinous of very serious evolution. When diagnosed, the peritoneal pseudomyxoma is usually diffuse, scattered throughout the peritoneal cavity. Our observation presents a case of peritoneal pseudomyxoma, detected early with an appendicular mucocele ruptured and located at the dead end of Douglas.
The ingestion of esophageal foreign bodies is a particularly frequent situation in clinical pract... more The ingestion of esophageal foreign bodies is a particularly frequent situation in clinical practice. It interests both the pediatric population (the majority of foreign bodies ingested are between 6 months and 6 years old) as the adult population as in our clinical case. The esophageal entrapment site is the main site for ingesting foreign bodies. The majority of them pass spontaneously. The interrogation makes it possible, in most cases, to make the diagnosis of foreign bodies of the esophagus and the difficult diagnostic situations are represented by the situations where the interrogation is impossible (child, adult mentally retarded, etc.). The clinic, more or less completed with imaging, nevertheless makes it possible to make the diagnosis in the majority of cases. The therapeutic urgency depends essentially on the patient's tolerance of the foreign body but also on the nature of this body (button cell, sharp foreign bodies, etc.). The therapeutic methods are multiple (abstention, drug treatment, flexible or rigid endoscopy, surgical treatment) and depend on local management skills but also on the nature of the foreign body. The presence but also the extraction of the foreign body is a source of complications whose existence must be known for optimal care.
This is an open access article distributed under the terms of the Creative Commons Attribution-No... more This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-NoDerivatives License 4.0 (CC BY-NC-ND 4.0) where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.
This is an open access article distributed under the terms of the Creative Commons Attribution-No... more This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-NoDerivatives License 4.0 (CC BY-NC-ND 4.0) where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.
Case Report Splenic marginal zone cell lymphoma (LZMS) is a very rare B lymphoma; Representing 2%... more Case Report Splenic marginal zone cell lymphoma (LZMS) is a very rare B lymphoma; Representing 2% of all NHL, this lymphoma invades the spleen, perisplenic nodes and frequently the marrow, which can be a source of diagnostic traps. Patient aged 65, hospitalized for the exploration of a splenic tumor mass confirmed by a computed tomography (CT) scan. The biological assessment finds an inflammatory SD + high LDH. A splenectomy was performed. The microscopic study of the operating room showed a diffuse lymphomatous proliferation with small cells, with labeling by CD20. CD 5 and CD 43 are negative. The diagnosis of LZMS was accepted. LZMS affects the subject over the age of 50, usually characterized by the presence of a large splenomegaly without lymphadenopathy. The hemogram shows in three quarters of the cases the inconsistent presence of villous lymphocytes. The diagnosis is essentially anatomopathological, it shows a constant nodular or sometimes diffuse attack of the white pulp of the splenic parenchyma. The tumor cells are small, expressing the B lymphoid markers: CD19, CD20, CD22, CD79. They are negative for CD5, CD10, cyclinde D1 and CD43. No specific cytogenetic abnormality of LZMS was identified. It is an indolent lymphoma, the treatment of which has not yet been codified, depends on prognostic factors. Death is linked to the risk of transformation to large cell lymphoma.
Small Bowel Perforations (SBPs) due to causes other than trauma and known common etiological fact... more Small Bowel Perforations (SBPs) due to causes other than trauma and known common etiological factors (mesenteric vascular disease, internal and external hernias, intraabdominal adhesions, inflammatory bowel diseases, and iatrogenic) are also called spontaneous or non-traumatic SBPs, Presentation at the hospital is generally late, and patients are in an impaired physical condition due to diffuse peritonitis, we report the case of acute peritonitis secondary to an isolated ileal perforation discovered in a patient operated on in the surgical emergency.
A female patient was admitted urgently; for abdominal pain, vomiting and stopping of materials an... more A female patient was admitted urgently; for abdominal pain, vomiting and stopping of materials and gases. This symptomatology had been evolving for 36 hours. The interrogation notes a history of a caesarean. The physical examination confirmed the presence of an occlusive syndrome with abdominal distension and meteorism. Hernias parietal were free. The rest of the physical examination was normal. X-ray of the abdomen without preparation noted hydro-aerial levels of the hailic type. The Computed tomography showed an intestinal obstruction in a bird's beak.
Peritoneal pseudomyxomas or "gelatinous diseases "of the peritoneum are rare diseases, defined by... more Peritoneal pseudomyxomas or "gelatinous diseases "of the peritoneum are rare diseases, defined by the abundant gelatinous substance in the abdomen secondary to ruptured appendicular mucinous lesion whose macroscopic cystic aspect is the mucocele. Histological analysis makes it possible to distinguish adenucinosis diffuse peritoneal, a relatively progressive benign form, malignant forms or peritoneal carcinomatosis Mucinous of very serious evolution. When diagnosed, the peritoneal pseudomyxoma is usually diffuse, scattered throughout the peritoneal cavity. Our observation presents a case of peritoneal pseudomyxoma, detected early with an appendicular mucocele ruptured and located at the dead end of Douglas.
The ingestion of esophageal foreign bodies is a particularly frequent situation in clinical pract... more The ingestion of esophageal foreign bodies is a particularly frequent situation in clinical practice. It interests both the pediatric population (the majority of foreign bodies ingested are between 6 months and 6 years old) as the adult population as in our clinical case. The esophageal entrapment site is the main site for ingesting foreign bodies. The majority of them pass spontaneously. The interrogation makes it possible, in most cases, to make the diagnosis of foreign bodies of the esophagus and the difficult diagnostic situations are represented by the situations where the interrogation is impossible (child, adult mentally retarded, etc.). The clinic, more or less completed with imaging, nevertheless makes it possible to make the diagnosis in the majority of cases. The therapeutic urgency depends essentially on the patient's tolerance of the foreign body but also on the nature of this body (button cell, sharp foreign bodies, etc.). The therapeutic methods are multiple (abstention, drug treatment, flexible or rigid endoscopy, surgical treatment) and depend on local management skills but also on the nature of the foreign body. The presence but also the extraction of the foreign body is a source of complications whose existence must be known for optimal care.
This is an open access article distributed under the terms of the Creative Commons Attribution-No... more This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-NoDerivatives License 4.0 (CC BY-NC-ND 4.0) where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.
This is an open access article distributed under the terms of the Creative Commons Attribution-No... more This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-NoDerivatives License 4.0 (CC BY-NC-ND 4.0) where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.
Case Report Splenic marginal zone cell lymphoma (LZMS) is a very rare B lymphoma; Representing 2%... more Case Report Splenic marginal zone cell lymphoma (LZMS) is a very rare B lymphoma; Representing 2% of all NHL, this lymphoma invades the spleen, perisplenic nodes and frequently the marrow, which can be a source of diagnostic traps. Patient aged 65, hospitalized for the exploration of a splenic tumor mass confirmed by a computed tomography (CT) scan. The biological assessment finds an inflammatory SD + high LDH. A splenectomy was performed. The microscopic study of the operating room showed a diffuse lymphomatous proliferation with small cells, with labeling by CD20. CD 5 and CD 43 are negative. The diagnosis of LZMS was accepted. LZMS affects the subject over the age of 50, usually characterized by the presence of a large splenomegaly without lymphadenopathy. The hemogram shows in three quarters of the cases the inconsistent presence of villous lymphocytes. The diagnosis is essentially anatomopathological, it shows a constant nodular or sometimes diffuse attack of the white pulp of the splenic parenchyma. The tumor cells are small, expressing the B lymphoid markers: CD19, CD20, CD22, CD79. They are negative for CD5, CD10, cyclinde D1 and CD43. No specific cytogenetic abnormality of LZMS was identified. It is an indolent lymphoma, the treatment of which has not yet been codified, depends on prognostic factors. Death is linked to the risk of transformation to large cell lymphoma.
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