Un cas de nœud iléo-sigmoïdien chez une femme en post-partum

Le nœud iléo-sigmoïdien est une cause rare d'occlusion intestinale. Nous rapportons un cas de nœud iléo-sigmoïdien survenu chez une femme en post-partum. Le diagnostic a été évoqué sur les données du scanner et confirmé en peropératoire

PANCREATIC METASTASIS OF RENAL ADENOCARCINOMA.

Pancreatic metastasis of kidney cancer is very rare, accounting for less than 0.25 to 3% of cases. The detection of metastasis is often fortuitous in surveillance after renal cancer resection. We report a case of pancreatic metastases of renal adenocarcinoma. This observation emphasizes the advantage of the radiological assessment for early diagnosis, which allows to discuss a curative surgical act which seems to be the only treatment able to prolong the survival of the patient

A Synchronous undifferentiated nasopharyngeal carcinoma and infiltrating ductal carcinoma of the breast successfully treated with induction chemotherapy followed by local control of both tumours: a case report

<p>Abstract</p> <p>Background</p> <p>Multiple primary cancers have a low incidence particularly when cancers are synchronous. Few cases of synchronous head and neck cancer and breast carcinoma are reported in the literature.</p> <p>Case presentation</p> <p>We report here an exceptional case of a 47 years old Moroccan woman presenting two synchronous cancers, the first in the nasopharynx and the second in the breast. The patient was treated successfully with a combined strategy associating chemotherapy, radiation therapy, and surgery. She remains disease free after 27 months of follow up.</p> <p>Conclusions</p> <p>Treatment strategy in the case of multiple primary cancers remains controversial because of the variety of presentations; initial aggressive treatment reports good results.</p

Common Carotid Artery Diaphragm presenting as transient syncope

Carotid diaphragm usually can cause artery stenosis essentially affecting the internal carotid artery (ICA) beyond the bulb segment.  Patients are often middle aged and the onset of symptoms typically begins with syncopes leading to ischemic stroke.  More than 50 cases have been reported in which all lesions showed as stenosis located in the ICA, in this article, we report a rare common carotid artery (CCA) diaphragm revealed in a 59 year-old female suffering from transient syncopes. This is the third case reported in the literature

Patient Radiation Doses from Adult CT examinations at the Souss Massa regional hospital.

Introduction: CT is an essential part of medical diagnosis, and demand for this type of examination is growing all the time. Hence the need to optimise CT protocols in order to minimize the dose delivered to patients while maintaining good image quality. Objective: This study aims to assess patient radiation doses, and to establish diagnostic reference levels for Adult CT examinations at the Souss Massa regional hospital, Morocco. Method: This is a cross-sectional study, with data collected between January and June 2023 from 8 CT examinations at the Souss Massa regional hospital. Patient data was specified for each type of CT scan, including age, sex, weight, and height, as well as scanner acquisition parameters including number of series, use of contrast media, rotation time plus slice thickness, the displayed Computed Tomography Dose Index (CTDIvol), and the Dose Length Product (DLP). DRLs is calculated for each type of CT examinations by estimating the 75% percentile of the CTDIvol and the DLP. The effective dose is calculated according to the following formula: E(mSv) = EDLP × DLP (mGy.cm). The data are statistically analyzed by SPSS V 21.0 software. Results: DRLs in terms of CTDIvol, and DLP for brain without contrast media are 64,45 mGy, and 1405,77 mGy.cm respectively. For chest CT without contrast media, they are 11,13 mGy, and 417,73 mGy.cm respectively. The data from the Abdominal CT show that the CTDIvol (9,74 mGy) and DLP (529,31 mGy.cm) values with contrast media are higher than those without contrast media, which are (9,35 mGy) and (515,21 mGy.cm) respectively. DRls in terms of CTDIvol and DLP for Abdomen and Pelvis CT with contrast media are 8,14 mGy and 444,51 mGy.cm respectively. For Chest Abdomen and Pelvis with contrast media they are 8,51 mGy, and 571,30 mGy.cm respectively. The effective dose was 2,37, 6,50, 6,24, 6,76, 5,07, 7,13 mSv for Brain without contrast media, Chest without contrast media, Abdomen without contrast media, Abdomen with contrast media, Abdomen and Pelvis with contrast media, and Chest Abdomen and Pelvis respectively. Conclusion: Adapting CT protocols according to the morphology of patients and the conditions under which each examination is carried out can help to maintain the doses received by patients at an optimum level

Hydatid cyst of the liver invading the inferior vena cava

Hydatid disease is a parasitic infestation due to the development of Echinococcus granulosus in the organism. This disease is particularly frequent in Morocco where echinococcosis is endemic. The liver is the most common organ to be affected by hydatidosis, and several complications have been described. Vascular complications secondary to hepatic echinococcosis such as fistulization or rupture of hydatid liver cysts to the inferior vena cava (IVC) are an extremely rare and life-threatening condition. This report aims to describe a case of invasion of the IVC by a hydatid cyst of the liver resulting in portal hypertension in a 60-year-old female patient. The diagnosis was established in the preoperative phase by a CT scan. IVC invasion remains an infrequent complication that should be routinely looked for in patients with hydatid disease of the liver, and few cases have been reported in the literature to date

Ectopic pituitary adenoma with empty sella: A case report

Ectopic pituitary adenoma is a condition characterized by the presence of an adenoma originating from extra-sellar pituitary cell residue from the migration of Rathke’s pouch. First described in 1909, ectopic pituitary adenoma is a very rare, largely unknown condition with a challenging diagnosis, that requires proving the absence of communication between the extra-sellar mass and the normal pituitary gland (or any of the intra-sellar contents). Here, we describe the case of a 38-year-old female who presented with symptomatic hyperprolactinemia in whom magnetic resonance imaging revealed a space-occupying mass in the sphenoid sinus with an empty sella turcica. Clinical information coupled with magnetic resonance imaging findings raised suspicion for the diagnosis, which was later confirmed through surgery (showing the absence of a breach in the sellar floor dura), and histology. Given the rarity of such cases, management is not standardized; however, most patients reported in the literature, as in our case, have undergone surgical treatment. This case report aims to provide an additional example to the existing literature on this rare condition, especially when it is associated with an empty sella turcica

Differential diagnoses of cavitary lung lesions on computed tomography: a pictorial essay

Abstract Background Cavitary lung lesions are frequent findings on imaging, with the most common sources being malignancies and infections. They have multiple etiologies and differential diagnoses, which can have overlapping imaging characteristics, posing a diagnostic difficulty. Main body of the abstract This article is an educational pictorial essay highlighting the pitfalls and differential diagnoses of lung cavities, and focusing on the typical imaging patterns, the clinical and biological contexts of each etiology, illustrated by images that were extracted from the images archiving system of our radiology department. Short conclusion The radiologist should be aware of all etiologies of cavitary lung lesions, including the less frequent ones, and be familiar with their imaging patterns and characteristics, which aids in establishing the diagnosis or, at the very least, narrowing down the evoked diagnoses

Zinner’s Syndrome: A Rare Diagnosis of Dysuria Based on Imaging

Zinner’s syndrome is a rare congenital malformation of the seminal vesicle and ipsilateral upper urinary tract, due to developmental arrest in early embryogenesis of the Müllerian duct. Clinical presentation is nonspecific and includes voiding symptoms such as dysuria, ejaculatory disorders, and hypogastric or perineal pain. The diagnosis is made with imaging techniques, notably Magnetic Resonance Imaging (MRI) which remains the gold standard exam for diagnosis confirmation and therapeutic management. Treatment options depend on the severity of symptoms, the size of the cyst, and the complications. Herein, we report a rare case of a 33-year-old young patient who presented recurrent dysuria and ejaculatory disorders for the last 5 years. Imaging studies revealed an empty left renal fossa, with cystic pelvic mass related to the seminal vesicle and which was compatible with the diagnosis of Zinner’s syndrome. The patient underwent successful laparoscopic removal of the cyst and seminal vesicle, with total disappearance of urinary and sexual complaints with a 3-year follow-up