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Search Results: 1 - 10 of 135 matches for " Abdelmalek Ousadden "
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Annular pancreas producing duodenal obstruction: A case report  [PDF]
Abdesslam Bouassria, Hicham Elbouhaddouti, Ouadii Mouaqit, El Bachir Benjelloun, Abdelmalek Ousadden, Khalid Mazaz, Khalid Ait Taleb
Open Journal of Gastroenterology (OJGas) , 2013, DOI: 10.4236/ojgas.2013.33032

Annular pancreas is a rare congenital anomaly characterized by the presence of ectopic pancreatic tissue surrounding the duodenum. This malformation is usually asymptomatic in adults, but can manifests as pancreatitis, duodenal stenosis, or duodenal or gastric ulceration. We report the case of a young patient of 18 years old hospitalized for epigastric pain and vomiting, in whom radiological investigations showed an annular pancreas. At operation, a complete obstruction of the duodenum between its first and second parts was found, caused by an annular pancreas. No other congenital anomaly of the intra abdominal organs was noted. A gastroenterostomy was performed. Both the rarity of this congenital abnormality and its successful correction by surgical means have prompted us to make the following presentation.

Hemobilia Due to an Iatrogenic Arteriobiliary Fistula Complicating Laparoscopic Cholecystectomy: A Case Report  [PDF]
Hicham El Bouhaddouti, Khalid Mazine, Abdesslam Bouassria, Ouadii Mouaqit, Elbachir Benjelloun, Abdelmalek Ousadden, Khalid Ait Taleb
Open Journal of Gastroenterology (OJGas) , 2014, DOI: 10.4236/ojgas.2014.46040
Abstract: Hemobilia is the result of a pathological communication between bile duct and intra or extrahepatic vessel. 40% to 60% of the haemobilia cases are Iatrogenic, and the other causes are either vascular malformations or hepatic blunt trauma. We describe the case history of a patient in which laparoscopic cholecystectomy was complicated 3 months later by massive hemobilia. The cause of haemorrhage was a fistula between the principal bil duct and the right hepatic artery. This complication was successfully managed by surgery and angiographic embolization with full recovery of the patient.
A Rare Cause of Stomach Gangrene: Necrotizing Gastritis  [PDF]
Hicham El Bouhaddouti, Tarik Souiki, Khalid Mazine, Abdelmalek Ousadden, Khalid Mazaz, Khalid Ait Taleb
Open Journal of Gastroenterology (OJGas) , 2015, DOI: 10.4236/ojgas.2015.52002
Abstract: Necrosis of the stomach is rare. It occurs when there is vascular anomalies, gastric volvulus or her-niation and in infectious gastritis. We report a case in which infectious gastritis leads to a necrotiz-ing gastritis that is treated with urgent gastrectomy.
Kystes hydatiques de la rate: chirurgie radicale ou conservatrice?
Abdelmalek Ousadden,Mohamed Raiss,Abdelmalek Hrora,Said AitLaalim
Pan African Medical Journal , 2010,
Abstract: INTRODUCTION: Concernant l’hydatidose, la localisation splénique vient en 3ème position après le foie et les poumons. En l’absence de traitement médical réellement efficace, l’hydatidose splénique amène souvent à la chirurgie. L’apparition du traitement percutané et la tendance actuellement conservatrice de la chirurgie surtout pour une pathologie bénigne, remettent en cause la splénectomie radicale. METHODES: Notre travail rétrospectif, a porté sur 23 cas d’hydatidose splénique isolés ou multi-viscérale. Le diagnostic reposait principalement sur le couple échographie abdominale et sérologie hydatique. Ces patients ont bénéficié dans leur majorité d’une splénectomie ou d’une résection du d me saillant du kyste. RESULTATS: La morbidité postopératoire a été plus importante en cas de résection du d me saillant (une hémorragie d’origine splénique, 3 abcès sur cavité résiduelle et 2 récidives). La mortalité a été nulle. Nous proposons une classification qui permet de stratifier les indications opératoires en fonction du type de kyste hydatique de la rate. CONCLUSION: Le choix entre chirurgie radicale ou conservatrice reste difficile vu les contraintes de chacune, les complications postopératoires respectives et la diversité des situations cliniques. Notre classification facilite ce choix.
Desmoplastic small round cell tumor of the abdomen: A case report and literature review of therapeutic options  [PDF]
Hafida Benhammane, Leila Chbani, Abdelmalek Ousadden, Ouadii Mouquit, Siham Tizniti, Afaf Riffi Amarti, Nouafal Mellas, Omar El Mesbahi
Health (Health) , 2012, DOI: 10.4236/health.2012.44031
Abstract: Desmoplastic small round cell tumor (DSRCT) is a rare and highly aggressive variety of sarcoma arising typically from abdominal or pelvic peritoneum. Diagnosis and treatment approaches of this entity are complex and require a skilled, experienced, multidisciplinary team. Authors report their experience with a case of an intraabdominal DSRCT arising in a 37-year-old young man in order to discuss the clinico-pathological and radiological behavior of this tumor and underline diagnostic and therapeutic difficulties.
Surgical Bypass versus Endoscopic Stenting for Unresectable Head Pancreatic Cancer, Which Palliative Treatment Is Better in Developing Countries, Morocco as an Example  [PDF]
Khalid Mazine, Hamdaoui Mohammed, El Ghazi Karima, Ousadden Abdelmalek, Mazaz Khalid, Ibrahimi Adil, Ait Taleb Khalid, Benajeh Dafrallah, Benjelloun Elbachir
Open Journal of Gastroenterology (OJGas) , 2017, DOI: 10.4236/ojgas.2017.75017
Abstract: Background: Metal stents for unresectable pancreatic cancer are associated with longer patency and superior cost-effectiveness. However, they are too expensive to be recommended routinely in developing countries. Moreover, a debate on outcome results in these patients who receive plastic biliary endoprothesis versus surgical bypass as palliation of obstructive jaundice. We aimed to compare retrospectively the outcomes in patients treated with plastic stent or surgical bypass as a palliative option for these patients. Patients and Methods: We have examined data for patients (n = 86) who received endoscopic stenting (n = 64) or surgical bypass (n = 22), from January 2013 to November 2016, as a palliative treatment for obstructive jaundice from inoperable cancer head pancreas. Results: Serum bilirubin and CA19.9 levels were comparable in age and gender matched patient groups. Moreover, post-operative major complications and 30-days mortality showed no significant differences among patient groups. However, surgical bypass treated patients showed longer initial hospital stay (9 vs. 6 days, p = 0.014), higher cost ($1600 vs. $1088) and longer survival (192 vs. 101 days, p = 0.003) compared to endoscopy-stenting treated patients. Re-hospitalization was required for 5 stented patients (averaged $448). Conclusion: Biliary bypass surgery for unresectable pancreatic cancer may improve patient survival, although prolongs hospital stay. It may be recommended for relatively fit patients with a life expectancy of 6 months and more.
A solitary primary subcutaneous hydatid cyst in the abdominal wall of a 70-year-old woman: a case report
Abdelmalek Ousadden, Hicham Elbouhaddouti, Karim Ibnmajdoub, Khalid Mazaz, Khalid AitTaleb
Journal of Medical Case Reports , 2011, DOI: 10.1186/1752-1947-5-270
Abstract: We report a case of a 70-year-old Caucasian woman who presented to our hospital with a subcutaneous mass in the para-umbilical area with a non-specific clinical presentation. The diagnosis of subcutaneous hydatid cyst was suspected on the basis of radiological findings. A complete surgical resection of the mass was performed and the patient had an uneventful post-operative recovery. The histopathology confirmed the suspected diagnosis.Hydatid cyst should be considered in the differential diagnosis of every subcutaneous cystic mass, especially in regions where the disease is endemic. The best treatment is the total excision of the cyst with an intact wall.Hydatid disease is a parasitic infestation that is caused by Echinococcus granulosis, the life cycle of which has been well described [1]. Endemic areas are countries of the temperate zones, where the common intermediate hosts, sheep, goats, and cattle, are raised, such as in North Africa, the Middle East, Central Europe, Australia, and South America [1,2]. The liver is the most frequently involved organ (75%), followed by the lung (15%) [2,3]. The solitary primary subcutaneous localization is extremely rare, and its incidence is unknown [2]. In our patient, the hydatid cyst was located in the abdomen anterior wall without any other involvement, which makes this an interesting case.A 70-year-old Moroccan Caucasian woman presented to our hospital with a subcutaneous cystic mass in the right para-umbilical abdominal wall which had been evolving for six months. Her physical examination revealed an abdominal parietal mass 6 cm in diameter that was palpated 5 cm to the right of the umbilicus. It was cystic, fluctuant, mobile, and painless. The overlying skin was normal. An abdominal ultrasound showed a rounded cystic mass that was limited within the right para-umbilical abdominal wall and measured 60 mm. No other abdominal cystic mass was found. The pre-operative examinations (chest radiograph, complete blood count, urin
Colonic adenocarcinoma revealing Crohn's disease: a case report
Amal Ankouz, Karim Majdoub, Abdelmalek Ousadden, Khalid Mazaz, Khalid Taleb
Journal of Medical Case Reports , 2010, DOI: 10.1186/1752-1947-4-167
Abstract: A 70-year-old Arabic African man with undiagnosed Crohn's disease presented with acute abdominal obstruction due to an occlusive carcinoma of the sigmoid. At laparotomy, the colonic tumor was excised with continuity restored by end-to-end anastomosis.The risk of colonic carcinoma in Crohn's disease is increasing. Several case reports actually support the possibility that a genuine association between these two conditions exists.Colorectal cancer occurring in ulcerative colitis was described in 1925 by Crohn [1] but not until 23 years later did Warren and Sommers report the first case of adenocarcinoma complicating regional enteritis [2]. For the next 30 years, an increasing frequency of reports of single [3,4] and even multiple cases [4,5] failed to dispel the scepticism surrounding this association.A 70-year-old Arabic African man presented to the emergency department of the University Hospital Hassan II of Fez with a five-day intestinal obstruction with associated abdominal distension and vomiting. He denied intestinal bleeding or diarrhea. He gave a history of referred intermittent episodes of constipation for a period of 6 months.When examined he was found to have general abdominal tenderness. His white blood cell count was 8000 elt/ml, his haemoglobin was 11 gr/dl, and his platelet count was 350 k/ml. His abdominal X-rays showed air-fluid levels. Abdominal scanner examination revealed a distension of his small and large bowels upstream a sigmoid colon process (Figure 1). A sigmoidoscopy showed a stricture of his sigmoid colon. Our patient was taken immediately to laparotomy, which confirmed the presence of an occlusive sigmoid tumor. A defunctioning sigmoidostomy was later performed on our patient. A colonoscopy through the stomy revealed colitis and ileitis. A resection of his sigmoid colon was performed with continuity restored by end-to-end anastomosis (Figure 2).Meanwhile, pathological examination of our patient showed a well-differentiated adenocarcinoma o
Simultaneous acute appendicitis and ectopic pregnancy
Ankouz Amal,Ousadden Abdelmalek,Majdoub Karim,Chouaib Ali
Journal of Emergencies, Trauma and Shock , 2009,
Abstract: The acute abdomen in pregnancy is a surgical emergency. Ectopic pregnancy and appendicitis are two causes of acute abdomen in pregnancy. Difficulties in correctly identifying the cause of the pain can be hazardous to the patient and care needs to be taken in obtaining a prompt and accurate diagnosis enabling the most appropriate management. The case presented here underlies the pathogenesis of the simultaneous existence of these two conditions in a patient.
Gastrointestinal stromal tumors and shock
Majdoub Hassani Karim,Zahid Fatim,Ousadden Abdelmalek,Mazaz Khalid
Journal of Emergencies, Trauma and Shock , 2009,
Abstract: Gastrointestinal stromal tumors (GIST) are the most common mesenchymal tumor of the gastrointestinal tract. Clinically, they are associated with nonspecific symptoms, but some patients can present gastrointestinal bleeding with shock. We report two cases of GIST of the small bowel, revelated by hemorrhagic shock secondary to acute bleeding, succesfully treated by emergency surgery.
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