Publications by authors named "Hachem El sayegh"

Introduction: Calcified bladder foreign bodies are a rare yet clinically significant entity, often introduced voluntarily or in psychiatric contexts. Their diagnosis is frequently delayed due to nonspecific symptoms and the concealed circumstances of their introduction.

Case Presentation: We report the case of a 37-year-old man, treated for schizophrenia, presenting with chronic urinary symptoms.

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Introduction And Importance: Tuberculosis (TB) remains a significant public health issue, especially in developing countries where its incidence is rising due to factors like overcrowding and immunosuppression. Among extrapulmonary TB forms, abdominal TB is common, while retroperitoneal TB is rare and often challenging to diagnose due to its similarity to other retroperitoneal tumors. Diagnosis typically requires invasive procedures such as laparoscopy or laparotomy.

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Introduction: Multilocular cystic nephroma is an uncommon condition with only few cases described in the literature, although its benign nature is well-recognized.

Case Presentation: We present a case of a 28-year-old male patient who presented with a right flank pain, imaging suspected a multicystic renal cell carcinoma. A radical nephrectomy was performed view the size of the cyst and the high tumor complexity, which histology confirmed the diagnosis of multilocular cystic nephroma.

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Introduction And Importance: Follicular cystitis (FC) is a rare inflammatory disorder of the bladder that predominantly affects women. The exact cause of FC remains largely unknown, although it has been associated with inflammatory processes and bacterial infections, particularly following urinary tract infections. Regarding orphan diseases, like follicular cystitis, where large-scale trials seem virtually impossible, case reports find their place and guide the scientific community to find the best course of action.

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Introduction: Urethral caruncle is a benign lesion located at the urethral meatus, predominantly affecting postmenopausal women. Though often asymptomatic, it can sometimes present with symptoms that significantly impact the patient's quality of life. Diagnosis is usually straightforward based on physical examination.

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In recent years, the utilization of enterocystoplasty for bladder function enhancement has increased, albeit accompanied by risks such as stone formation, necessitating vigilant follow-up. We report a case of a 60-year-old female with a neobladder who presented with back pain, constipation, and pelvic heaviness, revealing multiple large stones in imaging. Stone analysis showed calcium oxalate and magnesium.

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Introduction: Pheochromocytoma is a rare neuroendocrine tumor that arises from chromaffin cells in the adrenal medulla, with an incidence of 2-8 cases per million adults.

Case Presentation: This case study presents the case of a 39-year-old male patient who experienced recurrent headaches, palpitations, and hypertension, ultimately diagnosed with malignant pheochromocytoma after imaging revealed a large adrenal mass with vascular invasion and metastasis.

Discussion: Despite the rarity of malignant pheochromocytomas, they present significant clinical challenges.

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Article Synopsis
  • * A 41-year-old male with chronic left scrotal swelling was diagnosed with testicular tuberculosis after imaging and histopathology revealed caseating granulomas and acid-fast bacilli.
  • * The patient had surgery to remove the affected testicle and received a standard four-drug TB treatment, but follow-up showed he had permanent fertility impairment due to azoospermia.
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Introduction: This case highlights a rare occurrence of combined penile fracture and urethral injury in a 35-year-old male, emphasizing the critical need for accurate diagnosis and precise surgical intervention in such cases.

Case Presentation: After a mishap during sexual intercourse, the patient faced intense penile pain, swelling, and urethrorrhagia. Advanced diagnostic methods, particularly MRI, confirmed a disruption in the tunica albuginea within the left corpora cavernosa.

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Introduction Laparoscopic nephrectomy is the gold standard for kidney removal in living donors, offering advantages such as reduced pain and quicker recovery. In Morocco, where end-stage renal disease (ESRD) is a growing concern, this approach could significantly impact the demand for kidney transplants. This study evaluates the safety and efficacy of laparoscopic live donor nephrectomy in the Moroccan healthcare system.

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Introduction And Importance: Emphysematous cystitis is a rare and serious urinary tract infection with gas in the bladder, commonly affecting elderly diabetic women. Prompt evaluation and management are vital due to its potential life-threatening nature, associated with risk factors like diabetes, neurogenic bladders, and urinary stasis.

Case Presentation: A 55-year-old woman with type 1 diabetes presented confusion, lumbar pain, and urinary symptoms.

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Wilms' tumor (nephroblastoma) is rare in adults, comprising less than 5 % of renal cancers. This report details a 48-year-old male with persistent abdominal pain, weight loss, and fatigue, whose imaging showed a large, heterogeneous left renal mass with regional lymph node involvement. Post-nephrectomy histology confirmed nephroblastoma with a triphasic pattern.

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Article Synopsis
  • Textilomas, or gossypibomas, are rare but serious complications from forgotten surgical sponges that can cause inflammatory reactions, abscesses, and are often mistaken for tumors like sarcomatoid carcinoma.
  • In a case study involving a 58-year-old woman with back pain and a retroperitoneal mass, imaging misidentified the mass as a tumor, but surgery revealed it was actually a textiloma.
  • Accurate diagnosis relies on medical history and imaging techniques, such as CT and MRI, and despite the reduced incidence due to radio-opaque sponges, careful counting remains necessary to prevent these complications.
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Embryonal rhabdomyosarcoma of the prostate in adults is rare and often diagnosed at an advanced stage, with metastases. We report the case of a 23-year-old young adult presenting with low back pain and dysuria, whose imaging revealed a voluminous metastatic prostate mass. Biopsy confirmed embryonal rhabdomyosarcoma.

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Introduction: Renal cell carcinoma is one of the 10 most common malignancies. Partial nephrectomy (PN) is the preferred treatment for localized ones. The incidence of local recurrence (LR) after a PN varies between zero and 17% in the literature.

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Introduction And Importance: This case report describes the successful use of a latissimus dorsi muscle flap attached to the femoral vessels to cover a large mass loss in a 27-year-old woman with bladder exstrophy. The two-stage reconstruction showed excellent results six months after surgery.

Case Presentation: A 27-year-old woman with bladder exstrophy and previous enterocystoplasty with Mitrofanoff-type urinary diversion combined with a late fascial flap presented 10 years later with disembowelment near the pubic symphysis.

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Although germ cell tumours can appear in childhood, they are most common around the age of 30. These tumours are highly responsive to chemotherapy, and even cases of relapse have relatively high cure rates. There is limited literature on patients diagnosed after the age of 50, and no specific trials have been carried out in this context.

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Introduction: Ligation of the renal pedicle is a crucial step in laparoscopic renal harvesting. Currently, two devices are widely used: Hem-o-Lok® clips and staplers. Each has its advantages and disadvantages.

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Emphysematous pyelonephritis and cystitis, rare and potentially life-threatening infections marked by gas accumulation in the urinary tract, are described in a 32-year-old male with a history of myelomeningocele and a neurogenic bladder managed by a Benchekroune valve. Clinical and radiological findings confirmed emphysematous pyelonephritis and cystitis. A conservative approach, including urinary drainage and four-week antibiotic treatment (ceftriaxone and metronidazole), led to rapid clinical improvement.

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Bladder injuries, although rare, can occur as a complication of hip surgery, particularly when a hip prosthesis migrates into the bladder. We present the case of a 75-year-old woman with a bladder rupture secondary to prosthesis migration requiring repair via a transvesical approach. While total hip arthroplasty (THA) is common, intrapelvic complications such as bladder injury are less commonly reported.

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Introduction: Bowen's disease (BD) represents an in situ squamous cell carcinoma that can progress to an invasive one without treatment. Various options for Bowen's disease have been delineated, each with its set of advantages and disadvantages.

Case Presentation: We report the case of a 60-year-old patient with a history of chronic smoking and a background of multiple partners and recurrent urethritis.

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Article Synopsis
  • Tubular ectasia of the rete testis (TERT) is a benign condition characterized by multiple cysts within the testis, often found incidentally during ultrasound examinations.
  • Although TERT is generally harmless, distinguishing it from testicular tumors is crucial to prevent unnecessary surgical interventions.
  • An example case is presented of a patient who was found to have TERT in the right testis while being treated for other conditions, including cryptorchidism and hernias.
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Article Synopsis
  • An intravesical ureterocele is an uncommon condition where the end of the ureter forms a cyst in the bladder, causing urinary issues.
  • A 42-year-old female experienced irritative urinary symptoms and left lower back pain, leading to a diagnosis through CT urography that showed ureteral duplication and a ureterocele causing obstruction.
  • Treatment was performed via endoscopic ureterocelotomy, which effectively alleviated her symptoms and fixed the upper urinary tract blockage.
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Introduction: Renal cell carcinoma (RCC) occasionally involves the inferior vena cava (IVC), but intra-atrial extension is very rare, with the most dreaded complication being thrombi migration into pulmonary arteries.

Case Presentation: A 52-year-old male with rheumatoid arthritis and a smoking history presented with dyspnea, weight loss, and a previous episode of hematuria. Echocardiography revealed an intra-atrial thrombus with signs of pulmonary embolism (PE).

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Background: Urethral malignant melanoma is an uncommon and aggressive malignancy, frequently diagnosed at an advanced stage, posing diagnostic and therapeutic challenges.

Case Presentation: We present the case of a 74-year-old North African female diagnosed with primary metastatic urethral melanoma. Initial staging included a thorough physical examination, pelvic MRI, and whole-body CT scan, initially showing no signs of distant metastasis.

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