Publications by authors named "Barki Ali"

Article Synopsis
  • Extravasation of urine from a forniceal rupture at the pelviureteric junction is a rare complication that can lead to significant issues.
  • The case study focuses on a 50-year-old man who showed signs of peritonitis, diagnosed via abdominal CT scan as retroperitoneal peritonitis from the rupture.
  • This situation highlights the unusual occurrence of pyonephrosis accompanied by peritonitis and pyoperitoneum, potentially linked to underlying bladder cancer.
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Renal infarction is a rare pathology, which can be life-threatening for the kidney. Its low incidence and non-specific clinical manifestations make it difficult to diagnose, often resulting in delayed or misdiagnosis. Contrast-enhanced CT has a role to play in early positive diagnosis, enabling rapid and effective management.

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  • Varicocele, caused by dilated testicular veins, is a surgically correctable factor linked to male infertility, especially in men with severe oligoasthenoteratozoospermia (OAT).
  • A study involving 360 men demonstrated that varicocelectomy significantly improved sperm concentration, motility, morphology, and total motile sperm count (TMSC) at 6, 12, and 18 months post-surgery.
  • The procedure also led to a reduction in sperm DNA fragmentation, indicating better overall sperm quality and suggesting the potential for improved fertility outcomes.
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Orchiepididymitis is a rare complication of acute pancreatitis and leads to misdiagnosis and unnecessary surgery. Abdominal pelvic CT and testicular Doppler ultrasound are the two key examinations in this situation. This is about a 38-year-old patient, seen in the emergency room in an initial picture of right orchiepididymitis secondary to a migration of pancreatic fluid collection treated with antibiotic therapy with monitoring.

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Article Synopsis
  • * A case study involved a 66-year-old male experiencing hematuria, diagnosed with bladder papilloma after imaging and cystoscopy revealed an echogenic lesion, which was confirmed to be benign post-surgery.
  • * Understanding bladder papilloma's symptoms, diagnosis, and management strategies is crucial, especially since it typically appears in younger patients and presents a low risk for recurrence or progression to aggressive cancer.
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Crohn's disease is an inflammatory bowel disease of unknown etiology. It is characterized by intra- and extra-intestinal complications. It is a frequent cause of uroenteric fistulas.

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Penile metastases from urothelial carcinoma are rare (1-8%). They most often (65%) occur within 18 months of diagnosis of the primary lesion and their prognosis is poor, with survival rarely exceeding 20 months. Treatment of cavernous metastases is multidisciplinary.

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Cancer of the testis is the most common malignant tumor in men aged 14-44 years. Genetic and environmental factors contribute to the development of testicular cancer, for which cryptorchidism is the most common risk factor. It is potentially curable and has a long life expectancy, requiring long-term observation of survivors.

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Introduction And Importance: The thromboembolic complication of kidney's tumor is rare, and they can be the reason for the discovery of those tumor. Also the collision kidney tumor, such as a simultaneous occurrence of different histological types of adjacent neoplasms in the same organ is rare.

Case Presentation: We report a patient diagnosed with a kidney tumor discovered in the context of an etiological assessment of thrombosis, presenting with pulmonary embolism and deep vein thrombosis of the lower limb.

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  • Azoospermia affects 10-15% of infertile men, with a study in Morocco exploring its clinical, hormonal, and genetic aspects among 80 patients.
  • Most participants (96%) experienced primary infertility, with a majority of azoospermia cases being of excretory origin and linked to conditions like hydrocele.
  • The study revealed specific hormonal levels, a high prevalence of chromosomal abnormalities (30.7%), and microdeletion rates, highlighting important factors contributing to male infertility in Morocco.
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The association between Klippel-Trenauney syndrome (KTS) and bladder hemangiomas is rare. The most common clinical manifestation is hematuria. The diagnosis is made from the characteristic cystoscopic appearance of the tumor.

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  • The management of locally advanced and metastatic breast cancer has progressed since 2021, highlighting the importance of cell cycle inhibitors in treatment.
  • Self-examinations typically lead to breast cancer diagnoses, but symptoms may also arise from metastatic sites, such as the spinal cord.
  • A rare case of metastatic breast cancer in the spinal cord was identified after the patient experienced acute urinary retention.
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Prostate-specific antigen (PSA) is a marker specific to the prostate gland, and it is, therefore, possible to observe an increase in PSA above 4 ng/mL in cases of benign prostatic hypertrophy and cancer. But according to studies, a very high PSA level is most likely synonymous with metastatic prostate cancer. Our rare case concerns the management of a localized prostatic adenocarcinoma despite a very high PSA level of over 3000 ng/mL, with an enormous volume of prostate without invasion or distant metastasis.

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Article Synopsis
  • Testicular cancer is the most common solid tumor in young people, often stemming from a precursor known as intratubular Germinal Cell Neoplasia (ITGCN).
  • A case study highlights a 37-year-old man with ITGCN who had a history of cryptorchidism and infertility; he chose radiotherapy over active surveillance.
  • While the exact cause of ITGCN remains unclear and symptoms are typically absent, standard treatment involves scrotal radiotherapy, although patients wishing to maintain fertility may opt for regular monitoring instead.
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Introduction: The horseshoe kidney is a malformation of the upper urinary tract where the kidney is U-shaped. This condition results the fusion of the lower poles of the right and left kidneys on the midline.

Case Presentation: We report a case of pyelonephritis revealing a rare form of horseshoe kidney with fusion of the lower pole of the right kidney with the upper pole of the left kidney, initially treated with urine drainage.

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Fournier's gangrene is a fast progressive necrotizing fasciitis of the perineum and external genitals, It is secondary to polymicrobial infection by aerobic and anaerobic bacteria with synergistic action. The origin of the infection is either cutaneous, urogenital or colorectal. There are age, diabetes and immunosuppression, are frequently present in affected patients.

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Unlabelled: Bladder metastases are rare, representing only 2% of all bladder tumors, secondary bladder localization from a primary lung is exceptional.

Case Presentation: The authors describe the case followed for lung adenocarcinoma with an exceptional metastatic site, which is the bladder. A computed tomography scan showed a left suprahilar bronchial tumor with pleurisy (Fig.

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Unlabelled: Testicular cancer is the most frequent type of cancer in the young adult men, it is relatively rare. Infertility is an important risk factor for testicular cancer, with a doubled risk of developing cancer compared to the general population. The standard treatment for testicular cancer is the radical orchiectomy, but partial orchiectomy or testicular sparing surgery (TSS) is indicated for small masses, as many experiences, have shown that many small masses found incidentally turn out to be benign.

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Introduction And Importance: Polycystic kidney disease is a cillopathy characterized by the formation of numerous cysts in the kidneys, sometimes associated with extra-renal forms. Diagnosis is often by chance, or by other complications such as hematuria, urinary tract infections or, rarely, compression of neighboring organs.

Case Presentation: We report the case of a patient consulted for a symptomatology similar to that of acute pancreatitis, whose investigation objectified compression of the main bile duct by a voluminous right kidney polycystic in a CT scan.

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The discovery of an adrenal myolipoma is often fortuitous, or due to the effects of hypersecretion of the adrenal gland. A large tumor can exert a mass effect on neighbouring organs, as in our case where the myolipoma leads to compression of the main bile duct and causes hepatic colic, which is rare to explain the discovery of an adrenal myolipoma on CT.

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Neuromyelitis optica (NMO) is a rare autoimmune disorder of the central nervous system that can cause a variety of neurological symptoms, including urinary dysfunction. Here, we present the case of a 21-year-old male patient who was diagnosed with NMO after presenting with urinary retention.

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Colorectal cancer (CRC) is the most prevalent type of cancer affecting the gastrointestinal tract. The synchronous occurrence of CRC and renal cell carcinoma is rare, and even rarer when the renal cell carcinoma is of papillary origin, with only two cases reported in the literature. The synchronous detection of colon cancer and other primary tumors has been extensively studied and reported in the literature, either falling within the framework of well-defined clinical syndromes such as Lynch syndrome or occurring sporadically.

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Introduction And Importance: Emphysematous cystitis is a rare form of urinary tract infection that can cause the bladder wall to rupture. It is more prevalent in patients with diabetes.

Case Presentation: We report the case of an 86-year-old man who developed gangrene of the anterior abdominal wall secondary to urinary bladder rupture.

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Metastatic cancers of the testis are rare. Metastatic disease in the testis from urothelial carcinoma is extremely rare. Usually, metastatic testicular cancers are from primitive prostate, lung, and gastrointestinal tumors.

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