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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.
Une tumeur neuroectodermique primitive périphérique à localisation gastrique primaire: à propos d’un nouveau cas
Amal Ankouz,Hicham Elbouhadouti,Jihane Lamrani,Abdesslam Bouassria
Pan African Medical Journal , 2010,
Abstract: Les tumeurs neuro-ectodermiques primitives ou sarcome d’Ewing sont classiquement des néoplasmes se développant aux dépends des tissus mous et des os. Les tumeurs neuro-ectodermiques primitives gastriques (pPNETs) sont extrêmement rares. Nous nous proposons, à travers le cas d’un patient, opéré pour une tumeur gastrique, d’étudier les aspects cliniques, radiologiques, anatomopathologiques et thérapeutiques des tumeurs neuro-ectodermiques primitives périphériques. A notre connaissance ce patient illustre le troisième cas de tumeur gastrique d’origine neuro-ectodermique décrite chez l’adulte.
Superior Mesenteric Arterial Embolism Associated with an Acute Limb Ischemia: A Case Report and Literature Review  [PDF]
Abdesslam Bouassria, Elbachir Benjelloun, Imane Kamaoui, Hicham Elbouhaddouti, Ouadii Mouaqit, Abdelmalek Ousadden, Khalid Mazaz, Khalid Ait Taleb, Laila Sedreddine, Mohammed El Abkari, SidiAdil Ibrahimi, Ihssane Mellouki
Open Journal of Gastroenterology (OJGas) , 2014, DOI: 10.4236/ojgas.2014.44027
Abstract: Introduction: Acute mesenteric ischemia due to an embolism of the superior mesenteric artery (SMA) is associated with a high mortality rate. Over twenty per cent of acute mesenteric embolism cases consist of multiple emboli. Case Presentation: We present a rare case of a 62-year-old man admitted with acute abdominal pain and signs of intestinal occlusion related to an acute mesenteric ischemia due to superior mesenteric arterial embolism. It was associated with a synchronous acute bilateral lower limb ischemia due to embolic arterial occlusion. He underwent an emergency explorative laparotomy with proximal jejunal resection, and the patient made an excellent recovery. As for the acute limb ischemia, it was treated by efficient anticoagulation allowing limb salvage. Conclusion: When treating a superior mesenteric arterial embolism, the possibility of recurrent or multiple arterial thromboembolic events should be considered. A prompt diagnosis, aggressive surgical treatment and intensive care could improve the prognosis.
Evolution of rural–urban health gaps in Morocco: 1992–2011
Boutayeb Abdesslam
BMC Research Notes , 2012, DOI: 10.1186/1756-0500-5-381
Abstract: The 2011 survey shows that Moroccan population is in the last phase of the demographic transition. The total fertility rate decreased from 5.6 children per woman in 1980 to 2.5 per woman in 2011. The mean age of first marriage increased from 24?years for men and 17.5?years for women in 1960 to 31.5?years and 26.3?years in 2011 for men and women, respectively. The age structure shows a trend of ageing population. A comparison with the 1992 NSPH indicates that adult illiteracy has decreased from 53% in 1992 to 37.6% in 2011.During the same time period, women’s access to maternal care and health services improved significantly. For instance, the proportion of deliveries assisted by skilled health personnel increased from 31% in 1992 to 73.6% in 2011. Between 1992 and 2011, neonatal, postnatal, infant and under-five mortality rates were reduced by 44%, 65%, 54% and 64%, respectively.This paper shows that average health indicators improved noticeably during the last two decades but rural–urban disparities are still a challenge for health decision makers. Socio-economic indicators, like illiteracy rate and unemployment, also demonstrate large gender inequalities. This preliminary analysis is designed to assist Moroccan health authorities to evaluate the current health situation in order to adopt cost-effective strategies that improve “health for all” and reduce the gaps between advantaged and disadvantaged populations.In addition to the general censuses of population (1960, 1972, 1982, 1994, 2004) [1], Moroccan authorities carry out regular surveys of population and family health (NSFFP 1980, NSPH 1992, SPFH 2004, NSPFH 2011) [2,3]. These surveys constitute valuable resources for monitoring socio-economic and health indicators. They allow health decision makers to adjust and optimize health strategies in order to improve health conditions of the whole population (on average) and they also offer updated measures on geographic disparities, socio-economic inequalities and he
Developing countries and neglected diseases: challenges and perspectives
Abdesslam Boutayeb
International Journal for Equity in Health , 2007, DOI: 10.1186/1475-9276-6-20
Abstract: At the dawn of the third millennium, while human rights and health equity are on all international agendas, millions of forgotten people are suffering from a dozen of neglected diseases (NDs). According to The World Health Organization (WHO), NDs are hidden diseases as they affect almost exclusively extremely poor populations living in remote areas beyond the reach of health services [1]. The European Parliament recognised that "to our shame, Neglected Diseases have not received the attention they deserve from EU actions" [2]. Focusing on the "big killers" like HIV/AIDS, malaria and tuberculosis, the Millennium Development Goals (MDG) and other initiatives have generally given very little attention to the most neglected diseases, often mentioned just as "other disease" (Table 1)[3]. Criticizing the "inertia" and the delay taken in the response to the infectious diseases, the humanitarian organization Médecins sans Frontière (MSF) has been continuously attracting the international attention to stimulate more interest in the development and provision of treatments for the most neglected diseases [4]. Meanwhile, beyond mortality figures, NDs continue to cause severe and permanent disabilities and deformities affecting more than a billion people in the world and breeding millions of disability adjusted life years (DALYs) and important economic losses. Indeed, lymphatic filariasis(LF), leishmaniasis, schistosomiasis, Buruli ulcer, cholera, cysticercosis, dracunculiasis (guinea-worm disease), foodborne trematode infections, hydatidosis, soil-transmitted helminthiasis (ascariasis, trichuriasis, hookworm diseases), trachoma, trypanosomiasis (sleeping sickness), onchocerciasis, Chagas disease, dengue and others [Additional file 1] are responsible for impaired childhood growth, mental retardation, blindness, amputation and diverse disability conditions and hence they are impeding human development of many countries of Africa and Latin America (Tables 2 and 3)[1,5-8]. The situ
Social inequalities and health inequity in Morocco
Abdesslam Boutayeb
International Journal for Equity in Health , 2006, DOI: 10.1186/1475-9276-5-1
Abstract: Our study was based mainly on annual reports and regular publications released by the United Nations (UN), United Nations Development Programme (UNDP), World Health Organisation (WHO), The Moroccan Health Ministry and related papers published in international journals.As indicated by the last Arab Human Development Reports (AHDR 2002, AHDR 2003, AHDR 2004) and implicitly confirmed by the "National Initiative for Human Development" (NIHD) launched in May 2005 by the King of Morocco, many districts and shanty towns, urban or peri-urban, and a multitude of rural communes live in situations characterized by difficult access to basic social services of which education and health are examples.Recent evidence showed that improved health is more than a consequence of development. It is a central input into economic and social development and poverty reduction. Serious initiatives for human development should consider the reduction of social inequalities and health inequities as a first priority. Otherwise, the eventual development achieved cannot be sustained.According to the last census, Morocco has a population approaching 30 million people, experiencing a transition on different levels. In 2005, 55% of the population is living in urban areas, compared to 43% in 1982 and 29% in 1960. The Moroccan population is young, with 38% under the age of 14 years, and life expectancy at birth has increased from 65 in 1980 to 68.5 in 2004. The country has made good progress in the control of preventable childhood diseases but social inequalities and health inequities remain the major problems for the third millennium.Despite the diverse resources (agriculture, phosphates, fishing, potentialities for tourism, etc...) and the progress achieved during the last decade, the country still ranks 125th according to the Human Development Index (HDI) (UNDP, 2004)[1]. This unpleasant position is mainly explained by low income, high adult illiteracy, lack of generalized education, and health indi
Social determinants of reproductive health in Morocco
B Abdesslam
African Journal of Reproductive Health , 2011,
Abstract: Moroccan population has known a growing demographic trend. However, beyond the global tendency, reproductive health remains characterised by inequalities and disparities between urban and rural, rich and poor, developed and deprived regions.In this study, we relied mainly on data and statistics provided by the last five censuses, the four Demographic Health Surveys, Multiple Indicator Cluster Surveys, reports of international bodies and publications dealing mainly with health and development in the Arab World. During the last decades, fertility declined due to different parameters. Infant mortality decreased and should reach the corresponding Millennium Development Goal whereas maternal mortality has stayed nearly constant. The achievements accomplished in reproductive health remain insufficient. Family planning and contraception policies need to reach more women; and antenatal and postnatal care should be enhanced especially towards poor women living in rural areas and deprived regions.
Design and implementation of a platform for location-based services: a case study of GIS of archaeological and handicraft of Fez Medina
Essayad Abdesslam
International Journal of Computer Science Issues , 2011,
Abstract: The location-based services (LBS) allow users on the go with access to geographic data from micro-laptops, tablet PCs, personal digital assistants (PDA). These services refer to technologies GPRS2 UMTS3 and can use data on the spatial location of GPS devices in map. This paper presents a platform dedicated to the Medina of Fez, which will be an addition to the Moroccan strategy of development of handicrafts and tourism, called 'Vision 2015 Craft' and 'Vision 2020 tourism' which aims to raise Morocco among the 20 leading tourist destinations. The map used is of the Medina of Fez in SVG, with the language J2ME and J2EE technology.
The impact of HIV/AIDS on human development in African countries
Boutayeb Abdesslam
BMC Public Health , 2009, DOI: 10.1186/1471-2458-9-s1-s3
Abstract: Background In the present paper, we consider the impact of HIV/AIDS on human development in African countries, showing that, beyond health issues, this disease should and must be seen as a global development concern, affecting all components of human development. Consequently, we stress the necessity of multidisciplinary approaches that model, estimate and predict the real impact of HIV/AIDS on human development of African countries in order to optimise the strategies proposed by national countries, international institutions and their partners. Methods In our search strategy, we relied on secondary information, mainly through National Human Development Reports of some African countries and regular publications released by the United Nations (UN), United Nations Development Programme (UNDP), World Health Organization (WHO) and the World Bank. We restricted ourselves to reports dealing explicitly with the impact of HIV/AIDS on human development in African countries. Results and discussion HIV/AIDS is affecting the global human development of African countries through its devastating impact on health and demographic indicators such as life expectancy at birth, healthcare assistance, age and sex distribution, economic indicators like income, work force, and economic growth, education and knowledge acquisition and other indicators like governance, gender inequality and human rights. Conclusion On the basis of the national reports reviewed, it appears clearly that HIV/AIDS is no longer a crisis only for the healthcare sector, but presents a challenge to all sectors. Consequently, HIV/AIDS is a development question and should be viewed as such. The disease is impeding development by imposing a steady decline in the key indicators of human development and hence reversing the social and economic gains that African countries are striving to attain. Being at the same time a cause and consequence of poverty and underdevelopment, it constitutes a challenge to human security and human development by diminishing the chances of alleviating poverty and hunger, achieving universal primary education, promoting gender equality, reducing child and maternal mortality, and ensuring environmental sustainability.
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