Publications by authors named "Belkouchi L"

Article Synopsis
  • - Nephroblastoma, or Wilms tumor, is the most common kidney cancer found in kids aged 1 to 5 years, usually presenting as an abdominal mass but can have other vague symptoms.
  • - Rarely, it can show up as acute pyelonephritis or subcapsular renal hematoma without any history of trauma, indicating the need for further investigation.
  • - The case study discussed involves a 6-year-old girl whose Wilms tumor was revealed by acute pyelonephritis and subcapsular hematoma, highlighting the need to consider this diagnosis in children with renal bleeding to improve treatment outcomes.
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  • Hemophilia is a medical condition where a person has trouble stopping bleeding because their body doesn't have enough special proteins called coagulation factors.
  • People with hemophilia can easily get bruises and bleeding in their joints, which can cause serious long-term problems in how their joints work.
  • Doctors can diagnose hemophilia through blood tests and use MRI scans to see how the disease is affecting the bones and joints, as shown in two cases of patients with very similar symptoms.
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  • Hepatoblastoma (HBL) is the most common type of liver tumor in children, usually diagnosed before age 5, with rare cases in older kids.
  • A 4-year-old boy was brought to the emergency department experiencing sudden abdominal pain and fever.
  • A physical exam showed he had a noticeable abdominal swelling, which was later confirmed to be an abdominal mass.
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Susac syndrome is a rare microangiopathy of unclear etiology, likely autoimmune, characterized by a characteristic clinical triad of encephalopathy, retinopathy, and hypoacusis. The majority of cases reported in the literature involve adult patients, with its occurrence in the pediatric population being extremely rare. Magnetic resonance imaging (MRI) is essential for diagnosis and patient monitoring, revealing nearly pathognomonic features, particularly valuable given the typically incomplete clinical triad and the consistent presence of encephalopathy, often as the initial symptom.

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  • 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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Foreign bodies may be ingested accidentally or intentionally. Generally, they pass through the digestive tract without causing complications unless they become lodged. Patients often present with nonspecific clinical symptoms, and diagnosis is frequently delayed because they do not recall ingesting anything.

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Introduction: Pulmonary artery aneurysms encompass a wide range of presentations and forms. Mycotic aneurysms represent a particular subset of focal dilatation of the vessel wall with high morbidity and mortality rates. Herein, we report the case of a 32 year old patient, with a prior history of ventricular septal defect presenting with a mycotic pulmonary artery aneurysm associated with infective endocarditis and septic emboli.

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Burkitt lymphoma is a highly aggressive and rapidly growing B cell non-Hodgkin lymphoma with heterogeneous pattern of manifestations. We present a rare case of a 39-year-old immunocompetent male with double localization of Burkitt lymphoma: gastroduodenal and ileal tract. The gastric location is extremely rare, and the association with another site is unusual with only few reports in the literature.

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Brown tumors are non-neoplastic bone lesions caused by an abnormal remodeling of the bone that may occur with primary or secondary hyperparathyroidism. Their radiological aspect: lytic and aggressive can easily be misdiagnosed for a malignant origin hence the importance of knowing that diagnosis is to be considered through both clinical context and radiological semiology, which will be detailed via this case of a 32-year-old female patient with an end-stage kidney disease, admitted for facial disfiguration and palpable masses corresponding to brown tumors affecting the maxilla and the mandibular bone.

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The superior mesenteric artery syndrome and nutcracker phenomenon are rare vascular disorders due to the abnormal development of the superior mesenteric artery stemming from the abdominal aorta with reduced angle (<22°) and resultant compression of the left renal vein and duodenum. It is an underreported entity due to the absence of specific pathognomonic signs. We report the case of a 59-year-old man, admitted for acute bilious vomiting, who underwent a gastroscopy and a computed tomography scan revealing a Wilkie's syndrome associated with a dilated posterior left renal vein communicating with the left ascending lumbar vein without connection with the inferior vena cava mimicking a nutcracker phenomenon.

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Minimally invasive gynecologic surgery such as hysteroscopy has a low risk of complications. Infections, however, are more common in the presence of risk factors such as smoking, history of pelvic inflammatory disease, and endometriosis. We report the case of a patient who underwent operative hysteroscopy without immediate complications and was admitted 2 days later to the emergency department in a severe state of septic shock.

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Breast masses in children and adolescents are uncommon. They can be caused by tumors such as fibroadenomas and phyllode tumors. These masses can cause gigantomastia, due to their rapidly increasing size.

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Biloma is a severe complication that can result from bile duct disruption or hepatic trauma. It can occur after biliary surgery such as cholecystectomy or an endoscopic retrograde cholangiopancreatography manipulation and endoscopic biliary sphincterotomy. We present the case of a 59-year-old man admitted for jaundice, with pain in his right flank and fever, 10 days after an endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) for an ill-defined pancreatic lesion, associated with an infected biloma.

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Article Synopsis
  • * Diagnosis involves imaging techniques, but confirmation requires histological examination of tissue samples.
  • * A case study describes a 59-year-old man with melena, where endoscopy revealed growths in the duodenum, and subsequent MRI and histology confirmed it as a duodenal lymphatic malformation.
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  • Lemmel syndrome is a rare cause of obstructive jaundice that occurs due to a duodenal diverticulum blocking the common bile duct, without the presence of gallstones or tumors.
  • A 77-year-old woman with sepsis from cholangitis was diagnosed with Lemmel's syndrome after undergoing MRCP and gastroduodenoscopy, and she required surgical intervention due to failed endoscopic treatment.
  • This syndrome is often overlooked because it lacks specific symptoms, but imaging techniques like MRCP are crucial for diagnosis, and endoscopy is typically the first treatment option.
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Scrotal verrucous carcinoma is a rare entity. It is rarely metastatic especially in lymph nodes. Imaging is important for local extension in order to guide the surgical procedure.

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Small bowel lymphoma accounts for 10%-30% of gastro-intestinal tumors. Clinical presentation is not specific. CT scans helps the diagnosis showing some characteristic appearances such as wall thickening of the loops, enlarged lymph nodes and infiltration of mesenteric fat.

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Metastatic tumors of the nasal cavity and paranasal sinuses are much less common than primary cancer in this location. The clinical symptomatology is not specific. We report a case of frontal metastasis of a 49-year-old patient treated for a rectal adenocarcinoma without other secondary localizations.

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