Publications by authors named "Belkouchi Abdelkader"

Desmoid tumors, also known as deep fibromatosis or desmoid-type fibromatosis, represent a rare subset of deep fibromatoses. It is a locally aggressive tumor, with no specific symptoms, and no metastatic potential. We report a case of a 38-year-old male patient with an abdominal mass.

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Chronic expanding hematoma of soft tissue is a rare lesion and often misdiagnosed as neoplastic mass. It is mostly related to trauma or surgery, leading to blood-filled cysts surrounded by fibrous tissues. Symptoms may include abdominal pain, nausea or bowel obstruction.

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Article Synopsis
  • Multiple primary malignancies can develop in adults simultaneously (synchronous) or at different times (metachronous).
  • Retroperitoneal liposarcoma is a rare cancer from fat tissue, while gastric adenocarcinoma is among the most common cancers globally.
  • The case report details a 52-year-old man with both malignancies, highlighting it as only the second known instance ever documented.
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Inflammatory pseudotumor (IP) is a rare type of benign tumor. Although initially identified in the lung, it has now been identified in a number of somatic and visceral sites, but mesenteric presentation is uncommon and has a variable clinical presentation. As inflammatory pseudotumor mimic malignancy both clinically and radiologically, the radiologist should be familiar with this entity.

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Article Synopsis
  • Abdominal tuberculosis can be hard to diagnose because its symptoms are vague, often causing delays in treatment.
  • A 48-year-old man was incorrectly diagnosed with a gastrointestinal tumor but actually had retroperitoneal pseudo-tumoral tuberculosis, leading to unnecessary surgery.
  • Following proper diagnosis through pathology, the patient successfully received 6 months of antitubercular treatment, emphasizing the need for early biopsies to avoid such misdiagnoses.
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Background: Nucleotide-binding oligomerization domain 1 (NOD1) and NOD2 are involved in carcinogenic processes by recognizing bacterial cell wall components and triggering inflammation. This study explored the association between genetic variations in NOD1 and NOD2 and susceptibility to hepatocellular carcinoma (HCC) and its progression in a Moroccan population.

Methods: Genotyping of NOD1 rs2075820 (C>T) and NOD2 rs718226 (A>G) was performed using the TaqMan allelic discrimination assay in 467 Moroccan individuals.

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Article Synopsis
  • Hepatocellular carcinoma (HCC) is a primary liver cancer, and the study focuses on the role of the PPARGC1A gene in HCC risk among Moroccans.* -
  • Researchers found that individuals with certain genetic variations (GA/AA) of the PPARGC1A gene had a significantly higher risk of developing HCC compared to those with the GG variant.* -
  • While one genetic variant (rs8192678) showed a strong association with HCC risk, another variant (rs12640088) did not, highlighting the potential for using rs8192678 as a marker for liver cancer prognosis.*
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Hepatocellular carcinoma (HCC) is the fifth most common human malignancy and the fourth most frequent cause of cancer-related deaths worldwide. Toll-like receptors (TLRs), are known to play a key role in hepatocarcinogenesis through induction of inflammation. We aimed to investigate the association between rs3804099, rs4986790, rs4986791, and rs11536889 and 5 rs5744174 and HCC risk in a total of 306 Moroccan subjects, including 152 HCC patient and 154 controls using a TaqMan allelic discrimination assay.

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Tuberculosis is related to high rate of morbidity and mortality worldwide. Extra-pulmonary forms are increasing in incidence. The diagnosis of extrapulmonary locations, especially abdominal, is often difficult because the clinical and biological signs are not specific, leading to a delay in diagnosis and treatment.

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Background: Little data is available about colon laparoscopic surgery in low mid-income countries. The aim of this study was to audit the status and results of laparoscopic colon cancer surgery in Morocco.

Patients And Methods: This was a prospective study performed at 4 academic departments in Morocco between January 1, 2018, and March 31, 2020.

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Background: Many data suggest that patients with low rectal adenocarcinoma who achieved ypT0N0 status have improved survival and disease-free survival (DFS) compared to all other stages however only few data are available regarding the specific prognosis factors of this subgroup. This study aimed to evaluate predictive factors for disease free survival after complete pathological response (CPR) in cases of low rectal adenocarcinoma.

Materials And Methods: From January 2005 to December 2013, all patients with low rectal adenocarcinoma who underwent neoadjuvant chemoradiotherapy followed by total mesorectal excision and achieved CPR were included at 7 Moroccan and 1 Algerian centres.

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Introduction: Resident participation in laparoscopic cholecystectomy (LC) is one of the first steps of laparoscopic training. The impact of this training is not well-defined, especially in developing countries. However, this training is of critical importance to monitor surgical teaching programmes.

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Objective: To verify the feasibility and safety of laparoscopic adrenalectomy for large tumours, as since it was described, the laparoscopic approach for adrenalectomy has become the 'gold standard' for small tumours and for large and non-malignant adrenal tumours many studies have reported acceptable results.

Patients And Methods: This is a retrospective study from a general surgery department from January 2006 to December 2013 including 45 patients (56 laparoscopic adrenalectomies). We divided patients into two groups according to tumour size: <5 or ⩾5 cm, we compared demographic data and peri- and postoperative outcomes.

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Background: Over past decades laparoscopic liver resection (LLR) has gained wide acceptance among hepatobiliary surgeons community. To date, few data are available concerning LLR programs in developing countries. This study aimed to assess feasibility and safety of LLR in a Moroccan surgical unit.

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Aim Of The Study: Our aim was to propose and examine the outcomes of a comprehensive strategy for the management of cystic liver hydatidosis (CLH) based on extensive intraoperative assessments and optimal management of cystobiliary communications.

Background Data: Although operative intervention remains the preferred treatment for CLH, and the presence of a cystobiliary communication remains a well-established predictive factor for postoperative complications, no internationally accepted management strategy integrates the specific management of cystobiliary communication into the choice of surgical approach.

Methods: Early postoperative outcomes were compared before (1990-2004; P1 group; n = 664) and after (2005-2013; P2 group; n = 156) the implementation of a CLH surgical management strategy for CLH in our overall group of patients in subgroups selected by risk factors (as determined by multivariate analysis), and in 2 propensity score-matched groups.

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The partial substitution of the ureter using a pediculated double short segments of the ileum is a technique used to re-establish ureteral transit and preserve the renal unit, following the resection of extensive ureteral lesions. Standard surgical procedure for an ileoureteroplasty consists of isolating an ileal duct of equal or greater length than the ureteral defect and interposing it in the urinary tract in an isoperistaltic direction. Monti described a surgical technique that allows for the creation of catheterizable stomas in continent urinary diversions, using the Mitrofanoff principle.

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Introduction: A perforation occurring during colonoscopy is an extremely rare complication that may be difficult to diagnose. It can be responsible for acute abdominal compartment syndrome, a potentially lethal complex pathological state in which an acute increase in intra-abdominal pressure may provoke the failure of several organ systems.

Case Presentation: We report a case of acute abdominal compartment syndrome after perforation of the bowel during a colonoscopy in a 60-year-old North African man with rectal cancer, resulting in respiratory distress, cyanosis and cardiac arrest.

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