127 results on '"Alami, B."'
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2. APPORT DE LIMAGERIE DANS LES LESIONS KYSTIQUES MEDIASTINALES CONTRIBUTION OF IMAGING IN CYSTIC MEDIASTINAL LESIONS
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Haloua M. , Alaoui A. , El bouardi N. , Alami B. , Lamrani Y. , Maaroufi M. and Boubbou M.
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Mediastinal Cyst Congenital Computed Tomography - Abstract
Retrospective study of 26 radioclinical cases of mediastinal cystic lesions, realized betweenJanuary 2011 and December 2015 in the radiology department of the UHC Hassan II of Fez.All patients were examined by a chest X-ray (face and profile), a CT scan, and an ultrasoundinafew cases. The patients of our series were distributed as follows: Tumor and malformative origin (cysticlymphangioma in 6 cases, thymic cyst in 4 cases, bronchogenic cyst in 3 cases and pleuro-pericardialcystin2cases),infectiousorigin(hydatidcystin5cases,mediastinalabscessin4cases,Tuberculosisin2cases).Theimageryallowedtoeasilyconfirmtheliquidnatureof thesemasses.Theetiologiesareveryvariedandthediagnosticorientationisbasedessentially onthe topography andtheage ofthe patient.  
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- 2022
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3. A case report of inflammatory myofibroblastic tumor of cecum mimicking malignant wall thickening
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Bettach, H., primary, El Bouardi, N., additional, Haloua, M., additional, Alami, B., additional, Boubbou, M., additional, Chbani, L., additional, Maâroufi, M., additional, and Lamrani, M.Y. Alaoui, additional
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- 2022
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4. A lepidic adenocarcinoma mimicking an eosinophilic lung
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Senhaji, L., primary, Alami, B., additional, Serraj, M., additional, El Biaze, M., additional, Benjelloun, M.C., additional, and Amara, B., additional
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- 2022
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5. Inflammatory myofibroblastic tumor of the spleen: a case report
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Bettach, H., primary, Alami, B., additional, Boubbou, M., additional, Chbani, L., additional, Maâroufi, M., additional, and Lamrani, MY Alaoui, additional
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- 2021
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6. 142P Correlation between histological pattern and hotspots EGFR mutations in Moroccan lung adenocarcinoma
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Boukansa, S., primary, Bardai, S., additional, Bouguenouch, L., additional, Benbrahim, Z., additional, Mellas, N., additional, Serraj, M., additional, Ouadnouni, Y., additional, Smahi, M., additional, Alami, B., additional, and El Fatemi, H., additional
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- 2020
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7. Acute abdomen in adult revealing unusual complicated epiploic appendagitis: A case report
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Charifi, Y., primary, Lamrani, Y., additional, Chbani, L., additional, Maaroufi, M., additional, and Alami, B., additional
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- 2020
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8. Radioclinical Profile of Eosinophilic Lung: A Case Series.
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Bouhamdi A, Saddouki F, Alami B, Serraj M, Biaz M, Benjelloun MC, and Amara B
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In this study, we present findings from an analysis of 17 patients diagnosed with eosinophilic lung disease, with a majority (64.70%) being male. The average age of the patients was 54 ± 13.22 years. A history of uncontrolled asthma was noted in nine cases. The clinical picture was characterized by persistent dyspnea and cough. Blood hypereosinophilia was present in all cases, with a median of 1770 cells/ul. Two patients had a pulmonary eosinophilia greater than 25%. Radiological findings were consistent with diffuse bilateral ground-glass opacities or areas of consolidation in the majority of cases. The main etiologies identified were chronic eosinophilic pneumonia (12 cases), followed by eosinophilic granulomatosis with polyangiitis (3 cases), idiopathic hypereosinophilic syndrome (1 case) and drug-induced hypereosinophilia (1 case). All patients were treated with systemic corticosteroids, with the addition of immunosuppressive therapy necessary in three cases. Notably, five relapses were recorded after corticosteroid therapy was stopped., Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Bouhamdi et al.)
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- 2024
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9. Pes anserine bursitis as a complication of tibial osteochondroma.
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Sekkat A, Chaouche I, Alami Bassim G, Akammar A, El Bouardi N, Haloua M, Alaoui Lamrani MY, Boubbou M, Maaroufi M, and Alami B
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Exostosis, or osteochondroma, represents the most prevalent primary benign bone tumor, often viewed as a developmental anomaly rather than a true neoplasm. This article presents 2 cases illustrating complications associated with tibial osteochondroma. The first case involves a 25-year-old patient with recurrent medial knee pain attributed to pes anserine bursitis secondary to tibial osteochondroma, managed successfully with surgical excision. The second case features a 15-year-old with similar symptoms and unsuccessful conservative management, highlighting the diagnostic challenges and therapeutic options for this condition. Discussion encompasses the clinical presentation, diagnostic modalities including MRI and ultrasound, and management strategies such as conservative measures, corticosteroid injections, and surgical excision. Recognizing and promptly managing complications like pes anserine bursitis in tibial osteochondroma is crucial to prevent chronic pain and functional impairment, emphasizing the importance of a multidisciplinary approach involving orthopedic surgeons, radiologists, and physical therapists., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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10. Ileal intussusception secondary to lipoma in an adult patient: A rare cause for intestinal obstruction: A case report.
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Chaouche I, ELBouardi N, Sekkat A, Haloua M, Alami B, Lamrani MYA, Boubbou M, and Maaroufi M
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Intussusception is a rare condition in adults, unlike in children, with a variety of etiologies. In most cases, it is secondary to tumors. acute intussusception on lipoma is very exceptional. We report a case of 68-year-old female patient, diagnosed with intestinal intussusception on lipoma., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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11. Clinicopathological and prognostic implications of EGFR mutations subtypes in Moroccan non-small cell lung cancer patients: A first report.
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Boukansa S, Mouhrach I, El Agy F, El Bardai S, Bouguenouch L, Serraj M, Amara B, Ouadnouni Y, Smahi M, Alami B, Mellas N, Benbrahim Z, and El Fatemi H
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- Humans, Female, Male, Middle Aged, Morocco epidemiology, Prognosis, Aged, Adult, Prospective Studies, Aged, 80 and over, Carcinoma, Non-Small-Cell Lung genetics, Carcinoma, Non-Small-Cell Lung pathology, Carcinoma, Non-Small-Cell Lung drug therapy, Carcinoma, Non-Small-Cell Lung mortality, ErbB Receptors genetics, Lung Neoplasms genetics, Lung Neoplasms pathology, Lung Neoplasms drug therapy, Lung Neoplasms mortality, Mutation
- Abstract
Background: Non-small cell lung cancer (NSCLC) remains a significant global health concern, with EGFR mutations playing a pivotal role in guiding treatment decisions. This prospective study investigated the prevalence and clinical implications of EGFR mutations in Moroccan NSCLC patients., Methods: A cohort of 302 NSCLC patients was analyzed for EGFR mutations using multiple techniques. Demographic, clinical, and pathological characteristics were assessed, and overall survival (OS) outcomes were compared among different EGFR mutation subtypes., Results: EGFR mutations were present in 23.5% of patients, with common mutations (81.69%) dominating. Common mutations showed strong associations with female gender and non-smoking status, while rare mutations were associated with a positive smoking history. Patients with EGFR mutations receiving tyrosine kinase inhibitors (TKIs) had significantly improved OS compared to wild-type EGFR patients. Notably, patients with common EGFR mutations had the highest OS, while those with rare mutations had a shorter survival period, albeit not statistically significant., Conclusion: This study highlights the relevance of EGFR mutation status in NSCLC patients, particularly in therapeutic decision-making. The association between smoking history and rare mutations suggests the need for tailored approaches. The survival advantage for patients with common EGFR mutations underscores the significance of personalized treatment strategies., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2024 Boukansa et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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- 2024
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12. Imaging appearance of ovarian dysgerminoma: A report of two cases.
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Lahnine G, Benabderrazik B, Akammar A, Bouardi NE, Alami B, Lamrani MYA, Maaroufi M, Boubbou M, and Haloua M
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Ovarian dysgerminoma is a rare germ cell tumor accounting for 1%-2% of all malignant ovarian tumors and is generally associated with a good prognosis. The condition is more frequent in young women and can arise in dysgenetic gonads that contain gonadoblastomas. Imaging findings, particularly MRI, have a prominent role in the early and correct identification of ovarian dysgerminoma, the most common ovarian malignant germ cell tumor. On CT and MR images, ovarian dysgerminoma often appears as a large, solid mass. The edematous condition of characteristic fibrovascular septa can be well displayed by imaging, which can guide the radiologists to make an accurate diagnosis. This article describes 2 cases of patients with ovarian dysgerminoma who presented with pelvic pain. Imaging showed a right ovarian mass that was surgically and histologically confirmed., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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13. A rare cause of bronchial obstruction: Endobronchial hamartoma case report.
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Bouanani Z, Raïs A, Benbrahim FZ, Akammar A, Bouardi NE, Haloua M, Lamrani YMA, Boubbou M, Serraj M, Amara B, Lakranbi M, Ouadnouni Y, Smahi M, Maaroufi M, and Alami B
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Most of the pulmonary endobronchial lesions are malignant in origin. In rare instances, benign lesions such as endobronchial hamartoma may be the cause of the endobronchial tree obstruction. We present the case of a 57-year-old male patient from North Africa who presents with a history of a 5-month cough. Imaging, particulary CT scan, showed a mass on the right intermediate bronchus whose radiological characteristics are consistent with hamartoma. A biopsy of the mass obtained via bronchoscopy revealed chronic inflammation with no evidence for malignancy. The patient was treated surgically, and anatomopathology confirmed the diagnosis of hamartoma., (© 2024 The Authors.)
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- 2024
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14. Post-tuberculosis fibrosing mediastinitis: A report of 3 cases.
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Bouhamdi A, Boumekrat L, Saddouki F, Alami B, Serraj M, Biaze ME, Benjelloun MC, and Amara B
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Fibrosing mediastinitis is a rare entity generally caused by granulomatous disease. Most cases develop as a complication of histoplasmosis. Association with tuberculosis has been rarely documented. We report the case of 3 young patients who presented with superior vena cava syndrome several years after treated tuberculosis. Biological, radiological, and histological investigations led to the diagnosis of fibrosing mediastinitis., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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15. Cerebellar liponeurocytoma: Rare posterior fossa tumor.
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Chaouche I, El Bouardi N, Benabderrazik B, Haloua M, Lamrani MYA, Boubbou M, Maaroufi M, and Alami B
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Cerebellar liponeurocytoma is a rare WHO grade II glioneuronal tumor, characterized by a benign course and a more favorable prognosis. In this paper, we report a 52-year-old man, hospitalized in emergency because of clinical signs of increased intracranial pressure, and gait disturbances. The MRI revealed a lateral well shaped solid lesion within the left cerebellar hemisphere, having a low signal intensity compared to the cerebrospinal fluid, and causing a triventicular hydrocephalus and tonsillar herniation. The patient underwent a direct approach of the tumor through a left suboccipital craniectomy. Total removal of the lesion was achieved, and the histological diagnosis was cerebellar liponeurocytoma. The tumor cell proliferation index was < 6 %, therefore, radiotherapy and chemotherapy were not implemented after surgery. After 5 years of close follow-up there were no clinical or radiological signs of recurrence. Our objective in reporting another case of this unusual tumor is to discuss clinical profile, radiologic and histologic features as well as treatment and prognosis of this rare posterior fossa tumor., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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16. Carotid occlusion of a giant intracavernous aneurysm on a single functional internal carotid artery.
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Srhiri S, Chaouche I, Akammar A, El Bouardi N, Haloua M, Alami B, Boubbou M, Maaroufi M, and Youssef Lamrani Alaoui MY
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The prevalence of intracranial aneurysms (IA) is higher in patients with stenosis of the internal carotid artery (ICA), the intracavernous internal carotid aneurysm is an intracranial aneurysm causing major functional and vital complications. We report the case of a 26-year-old man who consulted for a reduction in visual acuity, converging strabismus and ptosis of the right eye evolving for 7 months before his consultation, the various neuro-radiological examinations made it possible to identify diagnose a giant aneurysm of the right intracavernous internal carotid artery associated with severe stenosis of the contralateral internal carotid artery, hence the performance of a therapeutic arteriography consisting of an occlusion of this aneurysm. In summary, we describe successful management of a giant aneurysm of the intracavernous portion of a single functional internal carotid artery, while preserving optimal cerebral vascularization., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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17. Intramyocardial hydatid cyst revealed with ischemic stroke due to left ventricular systolic dysfunction: A case report.
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Maasaoui K, Hamdaoui A, Akammar A, Bouardi NE, Haloua M, Lamrani MYA, Boubbou M, Maaroufi M, and Alami B
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Cardiac echinococcosis, although rare, presents a range of clinical manifestations depending on the cyst's location within the heart. These manifestations can range from asymptomatic conditions to serious complications such as arrhythmias, valvular dysfunction, cardiac tamponade, heart failure, shock, or even death. This case report describes the unusual presentation of a young man with an intramyocardial hydatid cyst, which was incidentally discovered following an ischemic stroke. Diagnostic evaluation included echocardiography, as well as chest and abdominal angiography via computed tomography (angio-CT). Surgical intervention was undertaken, involving cystectomy and the removal of the cyst contents. The patient's postoperative recovery was uneventful and favorable. This report emphasizes important diagnostic and management considerations specific to cardiac hydatid cysts and includes a review of the relevant literature to provide context and depth to our findings., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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18. Using imaging to diagnose renal tumors beyond nephroblastoma.
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Rhalem I, Bouanani Z, Akammar A, El Bouardi N, Alami B, Lamrani MYA, Hammas N, Maaroufi M, Boubbou M, and Haloua M
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Wilm's tumor (WT) accounted for the vast majority of renal tumors in children (92%). However, there are many atypical or rare forms of kidney cancer, and it is certainly useful to have a diagnostic orientation in imaging to differentiate between the different diagnoses, guiding that way the therapeutic management. We report the cases of 3 patients who were initially diagnosed with nephroblastoma on the basis of radiological data (via PACS search), underwent pre-operative chemotherapy and then nephrectomy, and whose anatomopathological evidence came back in favor of benign renal tumors. Nephroblastoma is the most common renal tumor in children, but other benign tumors should not be neglected, radiological signs that may point to this entity should be taken into account, so that neoadjuvant chemotherapy with its enfeebling side effects can be avoided., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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19. Case report: Infectious cerebral vasculitis due to rickettsiosis.
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Nabih OO, Bouardi NE, Chahdi HO, Akammar A, Haloua M, Alami B, Lamrani Y, Boubbou M, and Maaroufi M
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Rickettsiosis is a widespread infection throughout the world and in Africa, it covers a wide range of infectious diseases caused by Rickettsia species. Rickettsial infections, with the exception of Q fever, typically present with fever, rash, and vasculitis. The central nervous system (CNS) can be affected by all rickettsial diseases and is an important target for several of them. Clinical manifestations are suggestive of rickettsial infection, but serology and skin biopsy provide confirmation. Although the presence of abnormal neuroimaging is rare, its presence is associated with a worse clinical prognosis. Computed tomography (CT) and magnetic resonance imaging (MRI) scans mainly show signs of vasculitis, which may be reversible if appropriate treatment is initiated early in the course of the disease. We present here a case of infectious cerebral vasculitis due to rickettsiosis with some MRI features., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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20. Lipoma arborescens of the knee: A case report.
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Ouazzani Chahdi H, El Bouardi N, Ferhi M, Akammar A, Haloua M, Youssef Alaoui Lamrani M, Boubbou M, Maaroufi M, and Alami B
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Lipoma arborescens is a rare and benign intra-articular lesion characterized by a lipomatous proliferation of the synovial membrane, usually affects the knee joint. It presents as an unusual cause of intermittent knee pain and joint effusion. We report a case of lipoma arborescens of the knee in a 23-year-old man that initially resembled inflammatory arthropathy. The diagnosis of Lipoma arborescens was made by magnetic resonance imaging of the knee and confirmed histologically by synovectomy. The purpose of our case is to show the imaging features enabling early diagnosis and appropriate treatment., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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21. An epidermal growth factor receptor compound mutation of L858R with S768I in advanced non-small-cell lung cancer: a case report.
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Boukansa S, Mouhrach I, El Agy F, Bouguenouch L, Serraj M, Amara B, Ouadnouni Y, Smahi M, Alami B, Mellas N, Benbrahim Z, and El Fatemi H
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- Humans, Middle Aged, Clinical Decision-Making, ErbB Receptors genetics, ErbB Receptors therapeutic use, Mutation, Protein Kinase Inhibitors therapeutic use, Tyrosine Kinase Inhibitors, Uncertainty, Male, Carcinoma, Non-Small-Cell Lung drug therapy, Carcinoma, Non-Small-Cell Lung genetics, Carcinoma, Non-Small-Cell Lung pathology, Lung Neoplasms drug therapy, Lung Neoplasms genetics, Lung Neoplasms pathology
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Background: In the current treatment landscape for non-small cell lung cancers, epidermal growth factor receptor-tyrosine kinase inhibitors have emerged as a well-established treatment option for patients with advanced or metastatic disease. This is particularly true for those with commonly occurring epidermal growth factor receptor mutations. However, the therapeutic efficacy of these agents for so-called rare epidermal growth factor receptor mutations, and in particular those characterized by a high degree of complexity, such as double mutations, remains a subject of clinical uncertainty., Case Presentation: In this context, we present the case of a 64-year-old man of Moroccan descent, a lifelong non-smoker, diagnosed with metastatic non-small cell lung cancer characterized by a complex epidermal growth factor receptor mutation encompassing L858R and S768I. The patient subsequently underwent afatinib-based treatment, showing notable clinical results. These included a remarkable overall survival of 51 months, with a median progression-free survival of more than 39 months., Conclusions: This case report is a compelling testimony to the evolving therapeutic landscape of non-small cell lung cancers, providing valuable insight into the potential therapeutic efficacy of epidermal growth factor receptor-tyrosine kinase inhibitors in the realm of rare and complex epidermal growth factor receptor mutations., (© 2024. The Author(s).)
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- 2024
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22. Cholecystitis-related cystic artery pseudoaneurysm: Case report.
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Rais A, Benabderrazik B, El Bouardi N, Akammar A, Haloua M, Alami B, Alaoui MYL, Boubou M, and Maaroufi M
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The pseudoaneurysms of the cystic artery (CAP) are very uncommon. They usually develop as a result of an acute cholecystitis or after a cholecystectomy. Among the complications, we can find hemorrhaging, biliary blockage, and haemobilia. Limited understanding of the illness makes managing specific cases difficult. We describe a case of a cystic artery pseudoaneurysm complicating an acute cholecystitis that was successfully treated by transcatheter arterial embolization., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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23. Benign and malignant prolapsed uterine tumors : 4 case reports of an extremely rare entities.
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Benabderrazik B, Lahnine G, Akammar A, Bouardi NE, Alami B, Lamrani YMA, Maaroufi M, Boubbou M, and Haloua M
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Prolapsed uterine tumors within the cervix or vagina, are attached to the uterine cavity by a soft tissue stalk. Malignant tumors and leiomyoma are the first diagnostic considerations for a prolapsed uterine mass with a visible stalk at MRI. This article describes 4 cases of patients who presented with large, necrotic prolapsed uterine tumors that were surgically confirmed and were diagnosed prospectively on the basis of MRI findings. Imaging, particularly MRI, plays a crucial role in the management of patients with prolapsed pedunculated uterine tumors, especially for pre-operative localization and surgical treatment. The 4 patients underwent a total hysterectomy with a complete resection of the mass. The histopathological report confirmed in the first case the diagnosis of a uterine leiomyoma with aseptic necrobiosis, in the second and third cases a sarcoma, and in the fourth case a serous adenocarcinoma., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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24. Crack lung with toxic cerebral vasculitis: Case report.
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Chahdi HO, Mourabiti AY, Houssaini MS, Akammar A, Bouardi NE, Haloua M, Lamrani MYA, Boubbou M, Maaroufi M, and Alami B
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Crack is the most potent form of cocaine. It directly affects lungs if inhaled and the damage may include barotrauma, acute pulmonary edema, alveolar hemorrhage, bronchiolitis obliterans with organizing pneumonia, or vasculitis. The diagnosis of cocaine-related lung damage is based on clinical symptoms and radiological findings. When young individuals develop respiratory symptoms, investigation into cocaine use is necessary. We report the case of a young man with a history of cocaine use who presented for respiratory and neurological symptoms revealing crack lung and toxic cerebral vasculitis., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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25. Bilateral thalamic infarcts: Percheron territory.
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Lahnine G, Abdourabbih Y, El Bouardi N, Haloua M, Alami B, Lamrani MYA, Boubbou M, and Maaroufi M
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Blood supply to the human thalami is complex and multiple variants exist. The artery of Percheron is one of those variants and is characterized by a solitary arterial trunk that branches from one of the proximal segments of either posterior cerebral artery and sup- plies blood to the paramedian thalami. Its occlusion results in bilateral paramedian thalamic infarction sometimes extending to the midbrain. We report a case of bithalamic infarction secondary to occlusion of the artery of Percheron. We will illustrate the complex clinical symptomatology and underscore the role of imaging, especially MRI, for diagnosis., (© 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2024
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26. Tuberculous empyema necessitans: Case report of a rare occurrence.
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Benabderrazik B, Benbrahim FZ, El Bouardi N, Haloua M, Lamrani YMA, Boubbou M, Yassine O, Marouane L, Mohamed S, Maaroufi M, and Alami B
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Empyema necessitans is a rare condition where tuberculosis is the most common cause. It can be found in both immunocompromised and immunocompetent patients, especially in endemic areas. We report a case of a 29-year-old male from North Africa, with an enlarging mass on the right thoracic wall. Imaging, particularly CT showed a cystic lesion in the right chest wall communicating with homolateral pleural effusion, compatible with empyema necessitans. It also showed patterns of pulmonary tuberculosis in the right upper lung. Treatment of empyema necessitans is a combination of medical and surgicaltreatment. Our patient underwent a surgical treatment consisting of flattening of the empyema with a Gene X-pert study of the fluid and the shell, followed by an anti-TB treatment. Anatomopathology confirmed the diagnosis of caseo-follicular tuberculosis., (© 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2023
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27. Pseudotumor pulmonary sarcoidosis: A case report.
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Bouhamdi A, Saddouki F, Alami B, Serraj M, El Biaze M, Benjelloun MC, and Amara B
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Sarcoidosis is a benign multisystem granulomatosis of unknown etiology. The mediastino-hilar sphere is a preferred site for the disease. It can sometimes reveal a confusing pseudotumoral presentation, constituting a diagnostic trap to be considered. We report the case of a 56-year-old woman whose lesional process rapidly resolved after 2 months of corticosteroid therapy., (© 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2023
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28. Hydatid pulmonary embolism secondary to a right ventricular hydatid cyst: A case report.
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Bouhamdi A, Saddouki F, Alami B, Serraj M, El Biaze M, Benjelloun MC, and Amara B
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Hydatid pulmonary embolism is an exceptional but serious condition. It complicates the rupture of a hydatid cyst in the venous return circulation, often of hepatic origin, or the endo-cavitary rupture of a hydatid cyst in the right heart. We report the case of a young patient with hydatid pulmonary embolism revealed by recurrent episodes of hemoptysis., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2023 The Authors.)
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- 2023
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29. Mediastinal fibrosis as a late and fatal complication of treated tuberculosis mimicking a neoplastic process in a 34-year-old man.
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Ezzahi M, Ennasery Z, Malih SE, Akammar A, Bouardi NE, Haloua M, Alaoui Lamrani MY, Boubbou M, Serraj M, Maaroufi M, Smahi M, Bouchra A, and Alami B
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Fibrosing mediastinitis, also known as sclerosing mediastinitis, is an uncommon condition marked by abnormal proliferation of fibrous tissue in the mediastinum. This condition may accrue either as an idiopathic condition or as a complication of an underlying disease process. Its pathogenesis remains unknown. However, most reported cases are incriminating abnormal immune-mediated hypersensitivity responses to Histoplasma infection. Other rare causes include tuberculosis, blastomycosis, and an idiopathic form that may be associated with other miscellaneous conditions. CT and MR imaging play a vital role in the diagnosis and management of this disease. We present a rare case of fibrosing mediastinitis as a late complication of tuberculosis in a 34-year-old man with a prior history of mediastinal tuberculosis, mimicking initially a neoplastic mediastinal process. We will describe this clinical case in the light of the literature and point out the contribution of radiological imaging in the diagnosis of this rare pathology., (© 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2023
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30. Synchronous congenital malignant rhabdoid tumor of the orbit and cerebellar atypical teratoid/rhabdoid tumor: Case report.
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El Malih S, Akammar A, El Mounssefe G, Tahiri L, El Bouardi N, Haloua M, Alami B, Lamrani MYA, Maaroufi M, and Boubbou M
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Malignant rhabdoid tumor is an uncommon pediatric tumor that often arises from the kidneys but can also develop in other soft tissues including the orbits, where it is known as atypical teratoid rhabdoid tumor. Orbital location is exceptional, with just a few reported cases. Imaging allows for an accurate diagnosis, but histological confirmation is required. The treatment is yet unclear but nearly often surgical, either with or without chemotherapy. In this report, we present a case of a neonate of 1-month-old with an orbital primary malignant rhabdoid tumor with synchronous cerebellar location. The patient was unable to undergo surgery, he had chemotherapy, and unfortunately died 1 week after following palliative treatment. We will illustrate this clinical experience and point out the importance of radiological imaging in the assessment of this uncommon condition., (© 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2023
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31. Case report: The dot in circle sign: A pathognomonic MRI sign of Madura foot.
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Oueriagli Nabih O, El Bouardi N, Haloua M, Alami B, Lamrani Y, Boubbou M, and Maaroufi M
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Mycetoma or Madura's foot is a rare condition in Morocco. It is a chronic infection that affects deep subcutaneous tissues and may eventually spread to deep tissues, muscles, and bones. It is caused by fungi or bacteria and most often affects the foot. Biopsy and microbiological examination help to establish a definitive diagnosis, but may delay it. Imaging plays a crucial role in early diagnosis, particularly MRI findings that show a pathognomonic sign of mycetoma which is the dot-in-the-circle sign. Computed tomography provides a better analysis of bone changes than plain radiography. Treatment is very difficult, especially if the diagnosis is delayed, and may even lead to amputation. We present here a case of mycetoma of the foot with some MRI features., (© 2023 The Authors.)
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- 2023
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32. Histopathologic and Molecular Features of Cutaneous Melanoma in a Moroccan Population.
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Tahiri Elousrouti L, Hammas N, Fadlallah I, Elberdai S, Amaadour I, Elloudi S, Elmernissi FZ, Elidrissi M, Hassani W, Alami B, and Chbani L
- Abstract
Background Cutaneous cancer is the most common malignancy type, among which melanomas are considered the most aggressive and lethal. In Morocco, skin melanoma is the 25th most common cancer. To our knowledge, this is the first and largest Moroccan study specifically describing cutaneous melanoma. Materials and methods We obtained data for 100 patients diagnosed with cutaneous melanoma in the Department of Pathology of Hassan II University Hospital, Morocco. Clinical, histopathological, molecular, and follow-up data were recorded from pathology request forms and the patient's medical records. Results The mean age of our patients was 65 years old. Histologically, the most prevalent were the nodular (48%) and acro-lentiginous (38%) melanoma subtypes. A total of 66% of the patients had a Breslow thickness of >4 mm. The presence of ulceration was noted in 46% of cases. The average mitoses was 9/1 mm². A total of 44% of patients had metastatic melanoma at the time of diagnosis. The BRAF V600E mutation was found in six cases, and the C-KIT mutation in five cases. The five-year overall survival and metastasis-free survival were 85% and 15%, respectively. There was a significant correlation between Breslow thickness and Clark's level ( p <0.001), histologic subtype ( p =0.012), and presence of metastasis ( p =0.002). There was a significant difference between the head and neck melanomas and those of the feet, particularly in the histological subtype and the presence of ulceration. BRAF V600E mutation was found in six cases of metastatic melanomas of the head and neck, of which three cases were positive for this mutation, as compared with the 23 cases of acral melanomas, which tested negative for the same mutation. Conclusion The results of our study showed that cutaneous melanomas were characterized by advanced age at diagnosis and late-stage diagnosis with a high Breslow index. The lower limbs were the most affected sites, especially in the plantar region. The acral lentiginous subtype was the most common. The presence of BRAF V600E mutation was associated with a better prognosis., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2023, Tahiri Elousrouti et al.)
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- 2023
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33. A case of ovarian endometrial stromal sarcoma: Radiological and histopathological findings.
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Sqalli Houssaini M, Haloua M, Mourabiti AY, Tahiri L, Fdili Alaoui FZ, Akammar A, El Bouardi N, Alami B, Alaoui Lamrani MY, Maaroufi M, and Boubbou M
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Endometrial stromal sarcoma (ESS) is an uncommon uterine mesenchymal neoplasm. The primary extra-uterine location of ESS is a very rare occurrence. We present a case of a 39-year-old woman presented with severe abdominal pain, MRI showed bilateral ovarian tumors with heterogeneous intensity on T2-weighted imaging (T2WI) and T1-weighted imaging (T1WI), with restricted diffusion, including hyperintense areas on T1WI, not erased on T1-weighted fat-suppressed imaging, hypointense on T2WI, and not enhanced after contrast. This mass extended to the Douglas and invaded the uterine and the rectum serosa suggesting an underlying endometriosis. No abnormalities were suspected in the endometrium. The exploration revealed a friable mass arising from ovaries associated with nodules in the small intestine and sigmoid. The patient underwent bilateral adnexectomy and the anatomopathological study revealed a low-grade endometrial stromal sarcoma. This is one of the few reports covering the radiological features of low-grade extra-uterine ESS in the ovary which is probably secondary to degeneration of endometriosis with no evidence of primary uterine ESS., (© 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2023
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34. Unusual intracystic papilloma arising from ectopic axillary breast tissue: Case report.
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El Malih S, Ezzahi M, Haloua M, Tahiri L, Akammar A, El Bouardi N, Alami B, Alaoui Lamrani MY, Maaroufi M, and Boubbou M
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Accessory breast tissue (supernumerary breast tissue) is due to the absence of regression of the primitive milk lines during embryonic life which extends from the axilla to the groin. It is mostly located in the axilla where it is often confused with the axillary extension of the breast, or any pathological process occurring in armpits. Ectopic mammary glands should not be misdiagnosed as it can potentially undergo the same pathological processes that occur in a normally located breast including benign or malignant breast tumors. We report the case of an intracystic papilloma arising from left axillary accessory breast tissue in a 63-year-old woman. The principal symptom was pain in a palpable left axillary mass without inflammatory signs. Subsequent imaging and histopathologic examination proved it to be a papillary tumor in ectopic breast tissue., (© 2023 The Authors.)
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- 2023
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35. Neglected trauma-induced testicular torsion: Clinical, sonographic, and surgical correlation in a 13-year-old adolescent.
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Ezzahi M, Malih SE, Ennasery Z, Boumahdi N, Akammar A, Bouardi NE, Haloua M, Alami B, Lamrani MYA, Maaroufi M, Bouabdallah Y, and Boubbou M
- Abstract
Post-traumatic testicular torsion is a rare condition, accounting for approximately 4%-8% of all reported cases of testicular torsion in the literature. Prompt clinical suspicion and intervention are crucial; as testicular torsion is considered a medical and surgical emergency that may lead to testicular necrosis. Ultrasound imaging plays an important role in assessing the integrity of the traumatized scrotum and facilitating early detection of associated testicular torsion. In this case report, we present a neglected post-traumatic testicular torsion in a 13-year-old child that led to orchiectomy., (© 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2023
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36. Incidental finding of undiagnosed aortic coarctation in an elderly patient with a rare association with thymic carcinoma: a case report with review of the literature.
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Ezzahi M, Bijbij A, Akammar A, El Bouardi N, Haloua M, Lamrani MYA, Boubbou M, Maaroufi M, and Alami B
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Aortic coarctation is a congenital malformation that is relatively prevalent, occurring in approximately 5 out of every 1000 births. The narrowing typically happens at the aortic isthmus between the left subclavian artery and the arterial ligament. It is frequently associated with a bicuspid aortic valve. Generally, coarctation of the aorta is identified and treated during childhood or early adulthood. If left untreated, this condition can lead to a reduced life expectancy in individuals who have not received treatment. We present a case of a 52-year-old man who complained of chest pain, sputum, and hemoptysis persisting for approximately 2 years. Contrast-enhanced computed tomography (CT) scans revealed the presence of an anterior mediastinal mass, which was later confirmed to be a thymic carcinoma (on histological study). Additionally, an incidental finding of a thoracic aortic coarctation with a well-developed collateral circulation was observed. The discovery of aortic coarctation in adult patients as an incidental finding is rare and particularly uncommon in association with mediastinal or thoracic tumor pathology. Adult and elderly patients with uncorrected coarctation generally have a low survival rate, and the management strategies for such cases are controversial, especially when it is associated to other pathologies. Due to the complexity of therapeutic management and the limited literature available on postsurgical outcomes in these cases, making therapeutic decisions requires a multidisciplinary approach and personalized consideration for each individual case. This approach is necessary to evaluate the risk-benefit ratio and determine the most suitable therapeutic solution., (© 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2023
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37. Diagnosis and treatment of mycotic aneurysms secondary to cardiac hydatid cyst: An unusual cause of multiple cerebral strokes in a 23-year-old female.
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Malih SE, Ezzahi M, Ismail O, Akammar A, Bouardi NE, Haloua M, Alami B, Boubbou M, Maaroufi M, and Lamrani MYA
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Mycotic aneurysms (MA) are a rare but severe complication of systemic infections, carrying a high risk of rupture, hemorrhage, sepsis, and potential multiple organ failure. Intracranial arteries are often affected and present a significant mortality risk due to cerebral bleeding and ischemic strokes. In this paper we describe the case of a 23-year-old female patient who presented with a sudden onset of right hemiparesis, followed by loss of consciousness. Cerebral imaging revealed multiple infarcts in both hemispheres and intracranial hemorrhage secondary to ruptured pseudoaneurysms. On transthoracic echocardiogram, she was found to have a left ventricular cardiac cyst with mobile vegetations potentially responsible for mycotic aneurysms and cerebral strokes. The patient underwent endovascular embolization for the mycotic aneurysms and cardiac surgery for the left ventricular cyst with satisfying clinical outcomes. Postsurgical analysis revealed the cyst to be of hydatid (Echinococcus) origin., (© 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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38. Heterogeneous distribution of EGFR mutation in NSCLC: Case report.
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Boukansa S, Benbrahim Z, Gamrani S, Mouhrach I, El Agy F, El Bardai S, Bouguenouch L, Serraj M, Amara B, Ouadnouni Y, Smahi M, Alami B, Mellas N, and El Fatemi H
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Background: We herein report the case of a patient with advanced lung adenocarcinoma who presented a heterogeneous distribution of EGFR mutation., Case Report: A 74-year-old Moroccan male former smoker was diagnosed with advanced lung adenocarcinoma, harboring S768I exon 20 substitution mutation confirmed by Real Time PCR and Pyrosequencing, but not detected by direct sequencing despite 70% of tumor cells. The present report describes a case of minor histologic intratumoral heterogeneity with heterogeneous distribution of EGFR mutation., Conclusion: Both sensitivity and specificity of molecular methods can provide evidence of intratumoral heterogeneity, which may explain the mismatch between the validation of oncology biomarkers and predicting therapeutic response to targeted therapy., Competing Interests: All authors declare that there is no conflict of interest., (© 2023 Published by Elsevier Ltd.)
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39. Erratum to "Cavernous sinus thrombosis in a COVID-19 patient: A case report." [Radiol Case Rep 2021;16(3):480-2].
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Khacha A, Bouchal S, Ettabyaoui A, Haloua M, Lamrani YA, Boubbou M, Belahsen F, Maâroufi M, and Alami B
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[This corrects the article DOI: 10.1016/j.radcr.2020.12.013.]., (© 2023 Published by Elsevier Inc. on behalf of University of Washington.)
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40. Hydatid pulmonary embolism underlying cardiac hydatid cysts - A case report.
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Essolaymany Z, Amara B, Khacha A, El Bouardi N, Haloua M, Alaoui Lamrani MY, Boubbou M, Serraj M, Maâroufi M, and Alami B
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Cystic hydatidosis is an endemic parasitic disease with usual localization in liver and lungs. Rarely it localizes in uncommon sites, the right ventricle being an exceptional localization. We present an extremely rare case of a young man with hydatid pulmonary embolism complicating right-ventricle hydatid cysts. Echocardiography, CT pulmonary angiogram and MR-angiography were performed for the diagnostic evaluation. Our patient did not undergo surgery. He was discharged on a regimen of albendazole, and is still being followed-up. Hydatid disease rarely presents with pulmonary embolism. It has uncharacteristic clinical features, requiring particular diagnosis and therapy., Competing Interests: The authors declare that they have no competing interests., (© 2023 The Author(s).)
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- 2023
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41. Pseudotumor Sarcoidosis: The Contribution of Thoracic MRI to the Presumption of Benignity of a Pulmonary Lesion Process.
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Es-Sabbahi B, Ezzine M, Aamara B, Alami B, and Serraj M
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Sarcoidosis is a benign systemic disease; its diagnosis is based on a suggestive radiological presentation, and the isolation of an epithelioid and gigantocellular granuloma (EGGC) without caseous necrosis with the elimination of other causes of granuloma. However, sometimes the radiological presentation is atypical and misleading, posing problems in terms of differential diagnosis. In this report, we present a case of pseudotumor sarcoidosis, in which MRI played an essential role in characterizing the lesion and suggesting its benignity. We also discuss the role of MRI in evaluating atypical forms of sarcoidosis., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2023, Es-sabbahi et al.)
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- 2023
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42. Hydrosalpinx with adnexal torsion in an adult patient-A case report.
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Essolaymany Z, Charifi Y, Aassouani F, El Bouardi N, Haloua M, Alami B, Alaoui Lamrani Y, Maâroufi M, and Boubbou M
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Adnexal torsion is a common gynecological emergency and a significant cause of acute pelvic pain in women. Hydrosalpinx-induced torsion of the adnexa is a rare situation and requires prompt and accurate management. Twenty-three years old nulliparous woman admitted in our structure for acute pelvic pain. The ultrasound revealed an enlarged right ovary with an adnexal cystic mass. We suspected the diagnosis of a right adnexal torsion due to cystic ovarian mass. Laparotomy revealed torsion of the right adnexa and a second large mass appearing to be a hydrosalpinx. Diagnosis of adnexal torsion is difficult and is based on a range of arguments obtained by anamnesis, clinical examination, ultrasonography and other investigations. Early diagnosis is important for preserving tubal and ovarian function, given the risk of ovarian necrosis in young women. Laparoscopy is the gold standard for diagnosing and treating adnexal torsion. The treatment can be conservative or radical, consisting of detorsion of the twisted adnexa, with or without adnexectomy., (© 2023 Published by Elsevier Inc. on behalf of University of Washington.)
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43. Budd-Chiari syndrome secondary to retro-hepatic vena cava web: An unusual cause of epigastric pain.
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Ezzahi M, Zaid E, Farid A, Allali S, Bouardi NE, Haloua M, Hakima A, Alami B, Boubbou M, Maaroufi M, and Lamrani MYA
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Epigastric abdominal pain is a common indication for consultation. In the majority of cases, medical history, clinical examination and routine biological exams allow for an easy diagnosis. Sometimes the symptomatology is unusual, in which case it is essential to perform a complete clinical examination and to use various imaging techniques to search for eventual atypical causes. Membranous obstruction of inferior vena cava is a rare cause of such a phenomenon. We describe a Budd-Chiari syndrome caused by membranous obstruction of inferior vena cava in a 66-year-old woman with no medical history as a rare cause of epigastric abdominal pain. We will describe this clinical experience in the light of the literature and point out the contribution of radiological imaging in the diagnosis of this rare pathology., (© 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2023
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44. An Inquiry into State Agreement and Practice on the International Law Status of the Human Right to Medicines.
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Forman L, Al-Alami B, and Fajber K
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- Humans, International Law, COVID-19 Vaccines, International Cooperation, Human Rights, COVID-19
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Global disparities in access to COVID-19 vaccines have brought back into focus questions about whether the right to medicines has assumed any level of binding legality within international law. In this paper, we attempt to answer this question by considering if there is evidence of subsequent state agreement and practice to read the right to medicines into the rights to health and science protected in the International Covenant on Economic, Social and Cultural Rights. We adopt the interpretive framework in the Vienna Convention on the Law of Treaties and the International Law Commission's 2018 report to analyze the work of the United Nations Committee on Economic, Social, and Cultural Rights relevant to medicines, and its relationship to the content and voting in successive resolutions of the United Nations General Assembly. We find that these resolutions provide some evidence of state agreement that the rights to health and science, as enshrined in the International Covenant on Economic, Social and Cultural Rights, include access to affordable medicines. Yet the legal implications of this right remain highly contested, particularly when it comes to trade-related intellectual property rights. The negotiation of a pandemic treaty offers possibilities for codifying this right beyond these discursive instances, while political opposition remains likely to continue to undercut this emerging legal norm., Competing Interests: Competing interests: None declared., (Copyright © 2022 Forman, Al-Alami, and Fajber.)
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- 2022
45. Mediastinal and pericardial hydatidosis: A case report with review of the literature.
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Rhalem I, Haloua M, Hajjar C, El Bouardi N, Alami B, Lamrani MYA, Maaroufi M, and Boubbou M
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Hydatidosis is an echinococcosis caused by the development of Echinococcus granulosus larvae in humans. The lung is the second most frequent site after the liver. The primary mediastinal and pericardial localisations are extremely rare. Ultrasound and CT scans play an important role in the diagnosis of this disease.We report the case of an 11-year-old female patient from a rural environment with a history of dogs contact, whose symptomatology consisted of chest pain, dyspnoea, all evolving in a febrile context. The imagery showed the existence of multiple mediastinal and pericardial collections. This patient was rapidly managed with albendazole (ABZ) and scanography revealed an excellent therapeutic response. Primary mediastinal and pericardial hydatidosis is a very uncommon disease. It can be unfortunately revealed at the stage of vital prognosis complications. Ultrasound and computerized tomography (CT) are helpful for localizing and defining the morphologic features of hydatid cysts. It should be kept in mind, especially in patients from endemic areas., (© 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2022
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46. Pelvic cellulitis, a rare complication of bartholinitis: report of two cases.
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Benabderrazik B, Chaouche I, Haloua M, El Bouardi N, Alami B, Alaoui Lamrani YM, Maaroufi M, and Boubbou M
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Pelvic or pelviperineal cellulitis is a rare but serious complication of bartholinitis and can be life-threatening. It is described of polymicrobial nature. The diagnosis of pelvic cellulitis remains essentially clinical with signs of local inflammation. The interest of imaging, CT in particular, is to assess the extent of the infection and abcess. In this report, we describe 2 cases of pelvic cellulitis complicating a bartholin's abscess caused by negative gram bacilli in 2 diabetic women in their sixties., (© 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2022
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47. A Case Report of Spinal Dural Arteriovenous Fistula: A Threatening Cause of Paraplegia.
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El Bouardi N, Lamrani Y, Haloua M, Alami B, Boubbou M, and Maaroufi M
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Spinal dural arteriovenous fistulas (SDAVFs) are rare entities and are often misdiagnosed. They usually occur in adults above the age of 50 and 60 years. While they most commonly involve the thoracolumbar region, they can occur anywhere along the spinal cord. Clinical symptoms are insidious and not specific and may progress slowly, over several years, to severe myelopathy with paraplegia. Early diagnosis is critical because the deficits are potentially reversible if carefully treated. Delayed treatment may result in severe and irreversible neurological disability. Imaging diagnosis relies on MRI and conventional spinal angiography. Once identified, the dural arteriovenous fistula should be immediately treated by either endovascular embolization or surgical ligation. In this report, we present a case of SDAVF in a 65-year-old male that was managed by open surgery., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2022, El Bouardi et al.)
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- 2022
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48. A ruptured renal lymphangiectasia in the retroperitoneum: A rare complication of a rare condition.
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Bouardi NE, Haloua M, Alami B, Youssef AL, Boubbou M, and Maaroufi M
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Renal lymphangiectasia is a rare and benign renal lymphatics disorder. It is usually asymptomatic, and rarely revealed by lumbar pain, arterial hypertension or retroperitoneal fluid collection. Radiological diagnostic is challenging and can be done if radiologists are aware of the imaging findings. Here in, we report a case of a young woman admitted for the management of a blunt abdominal trauma. Computed tomography showed a huge right retroperitoneal fluid collection, communicating with a perirenal cyst. This perirenal collection was bilateral and symmetrical. The diagnostic of a ruptured perirenal lymphangiectasia was suspected and confirmed by needle puncture. We managed the case using percutaneous drainage. Reassessment at subsequent follow-up visits showed a total regression of the collection improvement in the patient's clinical., (© 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
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- 2022
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49. Annular pancreas: Radiological features of a rare case of infantile vomiting.
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Bennani H, Azzabi S, Bouardi NE, Haloua M, Alami B, Lamrani YA, Maâroufi M, and Boubbou M
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Our purpose is to illustrate the radiological aspects of the annular pancreas as an etiology of duodenal obstruction in infants. We report the case of a 4-month-old girl, who was admitted to our department with postprandial vomiting evolving since birth. The initial examination found a severely dehydrated patient. Abdominal ultrasound showed gross dilatation of the stomach and duodenum, it also showed pancreatic tissue surrounding the duodenum, suggesting a diagnosis of annular pancreas as the cause of the duodenal obstruction. Post-contrast abdominal CT showed the gastric and duodenal dilatation, and a ring of pancreatic tissue surrounding uncompletly the second portion of the duodenum. The patient underwent a bypass surgery which consisted in a duodeno-duodenostomy with simple post-operative follow-up and no recurrence of digestive symptoms. Annular pancreas is a rare pathology to be sought in neonatal obstruction. A good knowledge of radiological semiology is essential for a good diagnostic approach. However, surgery is the only effective way to diagnose and treat this pathology., (© 2022 Published by Elsevier Inc. on behalf of University of Washington.)
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50. Lumbar puncture as a cause of tension pneumocephalus, pneumorrachis, and sacral meningocele infection leading to death: An extremely rare case report.
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Aassouani F, Ennacery Z, Bensalah A, Charifi Y, Mamadou D, El Bouardi N, Haloua M, Lamrani MYA, Ousadden A, Boubbou M, Maaroufi M, and Alami B
- Abstract
Although it was first described over 100 years ago, lumbar puncture is still an important diagnostic tool for a variety of infectious and noninfectious neurologic conditions. With the widespread use of this common and relatively safe performed medical procedure, minor and major complications can occur even when standard infection control measures and good techniques are used, including post lumbar puncture headaches, infection, bleeding, cerebral herniation, radicular pain, and even pneumocephalus in extremely rare cases. We describe a previously unreported complication of lumbar puncture performed for the diagnosis of meningitis in a 33-year-old woman with no medical history causing pneumorrachis, tension pneumocephalus, and sacral meningocele infection leading to death. Lumbar puncture is a simple diagnostic procedure with few complications, but if the technique is incorrectly performed, or if it is accompanied by occult congenital malformations such as sacral anterior meningocele in our case, the consequences can be fatal., (© 2022 Published by Elsevier Inc. on behalf of University of Washington.)
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- 2022
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