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1.
Pan Afr Med J ; 33: 197, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31692688

RESUMO

Gastrointestinal bleedings caused by small intestinal tumors are rare and difficult to diagnose because they are not easy to access to the conventional endoscopy. We report two cases, one of them from proximal jejunum and the other one from ileal intestine complicated by intussusception. The two cases were admitted in the emergency department for hematochezia and melena, the diagnosis was established by enhanced helical computed tomography angiography.


Assuntos
Hemorragia Gastrointestinal/etiologia , Neoplasias do Íleo/complicações , Neoplasias do Jejuno/complicações , Idoso , Angiografia por Tomografia Computadorizada , Hemorragia Gastrointestinal/diagnóstico , Humanos , Neoplasias do Íleo/diagnóstico , Intussuscepção/complicações , Intussuscepção/diagnóstico , Neoplasias do Jejuno/diagnóstico , Masculino
3.
Tunis Med ; 97(2): 304-306, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31539087

RESUMO

It is a rare synovium pseudotumor that mainly concerns the male adult, of unknown etiology, espe-cially observed in the knee, especially in the suprapatellar recess. The arboreal lipoma consists of hypertrophic synovial villi and contains fat in very large quantities, so that the mass has a lipoma-tous appearance. The diagnosis is based on an MRI that shows hypertrophy of synovial villi appear-ing as a fatty signal on all sequences. However the diagnosis is established after synovial biopsy.

4.
Pan Afr Med J ; 32: 75, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31223366

RESUMO

Extra-osseous chondroma is a benign and rare tumor. It usually sits at the extremities, we report an exceptional case of a chondroma of the soft parts of the shoulder in a 28 year old woman who manifested by a painless swelling of the left shoulder. The histology confirmed the diagnosis on the excision piece. Clinical and radiological follow-up after a 24-month follow-up did not show a sign of recurrence.


Assuntos
Condroma/diagnóstico , Ombro/patologia , Neoplasias de Tecidos Moles/diagnóstico , Adulto , Condroma/patologia , Condroma/cirurgia , Feminino , Seguimentos , Humanos , Ombro/cirurgia , Neoplasias de Tecidos Moles/patologia , Neoplasias de Tecidos Moles/cirurgia
5.
Pan Afr Med J ; 30: 220, 2018.
Artigo em Francês | MEDLINE | ID: mdl-30574239

RESUMO

Primary intrabone meningiomas are rare ectopic meningiomas accounting for 1- 2% of all meningiomas. This study aims to illustrate imaging characteristics of intrabone meningiomas contributing to diagnosis and to discuss their differential diagnoses. We report two cases of pterional intrabone meningiomas detected using CT scan and MRI.


Assuntos
Neoplasias Ósseas/diagnóstico por imagem , Neoplasias Meníngeas/diagnóstico por imagem , Meningioma/diagnóstico por imagem , Neoplasias Ósseas/patologia , Diagnóstico Diferencial , Feminino , Humanos , Imagem por Ressonância Magnética , Neoplasias Meníngeas/patologia , Meningioma/patologia , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios X
6.
Pediatr Endocrinol Rev ; 16(2): 275-283, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30556660

RESUMO

Ellis-Van Creveld (EvC) syndrome is a rare autosomal recessive chondroectodermal dysplasia including chondrodysplasia, postaxial polydactyly, ectodermal dysplasia, and congenital heart disease in 60% of patients. Additional findings may be observed affecting the pulmonary, renal, gastrointestinal, hematologic, and central nervous systems. We report a case of an 11-year-old Moroccan boy with EVC syndrome and Dandy-Walker malformation. To our knowledge, this association has been previously reported in 3 patients in the literature.


Assuntos
Síndrome de Dandy-Walker , Síndrome de Ellis-Van Creveld , Polidactilia , Sistema Nervoso Central , Criança , Humanos , Rim , Masculino
7.
Pan Afr Med J ; 31: 61, 2018.
Artigo em Francês | MEDLINE | ID: mdl-31007808

RESUMO

Real macrodactylia is a rare congenital abnormality of unknown etiology, characterized by excessive growth of the anatomical structures of one or several rays of the hand. It is usually isolated and causes a fibrofatty infiltration mainly involving the palm. It can be caused by embryonic or neurogenic abnormalities with or without nerve involvement according to whether macrodactylia has led to an increase in the volume of a major nerve, more often the median. From an evolutionary point of view, it is necessary to distinguish between static macrodactylia (present at birth and remaining stable during growth) and progressive macrodactylia (with a disproportionate growths). Some other syndromes, tumors or abnormalities can cause an increase in finger volume. This abnormality results in functional disability but also in disfigurement. Treatment is based on surgery and rehabilitation.


Assuntos
Dedos/anormalidades , Mãos/patologia , Deformidades Congênitas dos Membros/diagnóstico , Feminino , Dedos/fisiopatologia , Mãos/inervação , Humanos , Lactente , Deformidades Congênitas dos Membros/fisiopatologia
11.
J Orthop Case Rep ; 6(2): 43-45, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27703936

RESUMO

INTRODUCTION: Pycnodysostosis is a rare genetic disease characterized by osteosclerosis and bone fragility. The clinical aspects are varied including short stature, acro-osteolysis of distal phalanges, and dysplasia of the clavicles. Oral and maxillofacial manifestations of this disease are very clear. The head is usually large, a beaked nose, obtuse mandibular angle, and both maxilla and mandible are hypoplastic. Dental abnormalities are common. We report a case with the typical clinical and radiological characteristics of the Pycnodysostosis associated with a conductive hearing loss, an association rarely reported. CASE PRESENTATION: A 12-year-female was admitted in our institute for short stature with a dysmorphic facies for evaluation. The patient reported a history of multiple fractures of the long bones after a trivial fall. On physical examination, she had the following features: short stature, limited mouth opening, short hands and feet with dysplastic nails; frontal and occipital bossing; and hypoplasia of the maxilla and mandible. Examination of the mouth: grooved palate, caries of the teeth, impacted and malposed teeth, persistent deciduous teeth and missing teeth. Laboratory investigations were normal. The radiographic examination showed a generalized increase in the bone density, slight condensation of the skull base and a very open mandibular angle. X-rays showed tapered phalanges with acro-osteolysis of the distal phalanges. A symptomatic treatment was proposed based on fracture prevention, oral hygiene, frequent dental visits and psychiatric support. CONCLUSION: The clinical and radiological features are the bases for the diagnosis of this disease. It is important to make the diagnosis as early as possible in order to plan the treatment and to provide a better life quality to the patients.

12.
Pan Afr Med J ; 23: 211, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27347300

RESUMO

The objective of this article is to report our first experience of CT guided percutaneous thoracic biopsy and to demonstrate the accuracy and safety of this procedure. This was a retrospective study of 28 CT-Guided Percutaneous Needle Biopsies of the Chest performed on 24 patients between November 2014 and April 2015. Diagnosis was achieved in 18 patients (75%), negative results were found in 3 patients (12,5%). Biopsy was repeated in these cases with two positive results. Complications were seen in 7 patients (29%), Hemoptysis in 5 patients (20%), Pneumothorax in 1 patient (4,1%) and vaso-vagal shock in 1 patient (4,1%). CT Guided Percutaneous Needle Biopsy of the Chest is a safe, minimally invasive procedure with high sensitivity, specificity and accuracy for diagnosis of lung lesions.


Assuntos
Biópsia por Agulha/métodos , Neoplasias Pulmonares/diagnóstico , Tomografia Computadorizada por Raios X/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Biópsia por Agulha/efeitos adversos , Feminino , Humanos , Biópsia Guiada por Imagem/efeitos adversos , Biópsia Guiada por Imagem/métodos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Sensibilidade e Especificidade , Tomografia Computadorizada por Raios X/efeitos adversos
13.
Pediatr Endocrinol Rev ; 11(2): 181-5, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24575553

RESUMO

Dyggve-Melchiore-Clausen (DMC) syndrome is a are autosomal recessive spondyloepimetaphyseal dysplasia associated with mental retardation resulting from mutations in the Dymeclin (DYM) gene mapped in the 18q12-12.1 chromosomal region. We report a case of a consanguineous Moroccan boy with this disease confirmed by the presence of homozygous mutation at c.1878delA of DYM gene. Our patient additionally has a micropenis. We discuss the clinical severity, difficult management of this syndrome and its association with micropenis never described before in the literature.


Assuntos
Nanismo/complicações , Doenças Genéticas Ligadas ao Cromossomo X/complicações , Doenças dos Genitais Masculinos/complicações , Deficiência Intelectual/complicações , Osteocondrodisplasias/congênito , Pênis/anormalidades , Criança , Consanguinidade , Nanismo/diagnóstico por imagem , Doenças Genéticas Ligadas ao Cromossomo X/diagnóstico por imagem , Doenças dos Genitais Masculinos/diagnóstico por imagem , Mãos/diagnóstico por imagem , Humanos , Úmero/diagnóstico por imagem , Deficiência Intelectual/diagnóstico por imagem , Masculino , Marrocos , Osteocondrodisplasias/complicações , Osteocondrodisplasias/diagnóstico por imagem , Pelve/diagnóstico por imagem , Pênis/diagnóstico por imagem , Radiografia , Coluna Vertebral/diagnóstico por imagem
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