Publications by authors named "Jamal El-Fenni"

Diaphragmatic hernia is an unusual finding, especially in emergency settings and in the absence of trauma. Imaging plays a crucial role, with various CT signs of diaphragmatic rupture having been described, including the "dangling diaphragm," "absent diaphragm," "collar sign," "hump sign," "fascia sign," and "dependent viscera sign". We report an unusual case of a 53-year-old woman who presented with exertional dyspnea and asthenia.

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  • * Cavernomas and orbital cavernous hemangiomas are specific types of vascular malformations linked to HOD, but their combination is extremely rare, with only one previous case reported.
  • * A notable case involved a 26-year-old male with eye bulging and myoclonus, where MRI revealed HOD from cavernous malformations, highlighting the need to consider vascular issues as potential causes of HOD.
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  • - Duodenal lipoma is a rare tumor with most patients showing no symptoms, often discovered incidentally during imaging exams like CT scans.
  • - A case study is presented of a 77-year-old man who experienced malaise and dyspnea, leading to the incidental finding of a duodenal lipoma on a CT scan.
  • - Diagnosis involves modern imaging techniques, endoscopy, and EUS, while treatment options may vary from observation to surgical removal based on the lesion's characteristics.
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Retroperitoneal synovial sarcoma is extremely rare, with only a few cases reported in the literature. The diagnosis is often made late, due to anatomical considerations, with common symptoms including low back pain and weight loss. Imaging is critical for diagnosis, often revealing a heterogenous mass with the "triple sign" and calcifications.

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Melorheostosis is a rare benign bone dysplasia characterized by dysostosis and sclerosis. The classic "dripping candle wax" appearance on imaging is a typical finding for the diagnosis. The authors report the case of a patient presenting with a hard and painful mass on the dorsal side of the hand.

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Hemiazygos continuation of a left-sided inferior vena cava (IVC) is an extremely rare developmental anomaly. We present the case of a male patient in whom this condition was incidentally discovered during a thoraco-abdominopelvic CT scan. With the widespread use of contrast-enhanced computed tomography and magnetic resonance angiography, the detection of congenital IVC anomalies has become more accessible.

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Zinner syndrome is a rare congenital malformation characterized by cystic seminal vesicles and ejaculatory duct obstruction in association with ipsilateral renal agenesis. It appears to be frequently linked to infertility. However, recent advances in imaging, notably MRI, have led to an increase in the diagnosis of this pathology.

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Optic nerve coloboma is a congenital defect caused by the incomplete closure of the embryonic fissure. This closure begins around the fifth week of gestation, when the embryo measures approximately 7 to 14 mm. Colobomas may appear as isolated defects or alongside other ocular and systemic abnormalities.

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  • Abdominal pain in adolescents can stem from various causes, including gastrointestinal, urologic, and gynecologic issues, necessitating a thorough examination before determining treatment.
  • The case of an 11-year-old girl with acute urinary retention was discussed, where the retention was linked to a hematocolpos compressing the bladder, despite her not having started menstruation.
  • The article stresses the importance of considering rarer conditions like an imperforate hymen when assessing adolescents with abdominal pain and urinary difficulties, highlighting the need for detailed gynecological histories and physical exams.
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  • Skull base osteomyelitis is a serious and rare condition mostly seen in immunocompromised people, and it can be life-threatening if not treated quickly.
  • The most common cause is the spread of necrotizing external otitis, but it can also originate from other sources like bilateral otitis media.
  • Diagnosing this condition is challenging due to varied symptoms, so imaging is essential for determining the infection's source, extent, and any complications, highlighting the importance of early diagnosis for effective treatment.
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  • * A case study of a 14-year-old girl highlights the diagnosis of a slowly growing left parotid mass that was found to be an epidermoid cyst after imaging and surgical excision.
  • * The article explores the clinical signs, imaging characteristics, and other potential diagnoses for parotid epidermoid cysts, noting that they are often asymptomatic and can resemble other cystic lesions.
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The retention of a surgical sponge is a rare complication that presents diagnostic challenges and carries the risk of potential complications. Two distinct foreign body reactions, fibrinous, and exudative, can result in the formation of a granuloma (known as gossypiboma) or lead to complications such as abscess formation and migration into the gastrointestinal tract. In this report, we present the case of a 33-year-old woman with a history of splenectomy who presented with symptoms including epigastric pain, vomiting, and episodes of hematemesis.

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Palatal tremor has been subdivided into essential (EPT) and symptomatic palatal tremor (SPT). Progressive ataxia and palatal tremor syndrome (PAPT) is a subgroup of symptomatic palatal tremor (SPT). It can be divided into familial and sporadic forms.

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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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Dropped gallstones are a common complication during a laparoscopic cholecystectomy. The formation of an abdominal abscess related to the dropped gallstones is rare because the majority of these calculi do not cause complications. Ultrasound is a usually used first-line imaging modality to detect gallstones in the abscess.

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Congenital bilateral perisylvian syndrome, also known as bilateral periopercular syndrome or perisylvian polymicrogyria, is an exceptionally rare neurological disorder characterized by homogeneous clinicoradiological symptoms. There are consequently wide spectrums of clinical manifestations. In perisylvian syndrome.

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Infantile fibromatosis is a rare mesenchymal disorder characterized by the fibrous proliferation of the skin, bone, muscle, and viscera. The clinical features vary from solitary to multicentric forms with similar pathological features. Although the tumor is histologically benign, it is a highly infiltrating lesion making the prognosis poor for patients with craniofacial involvement affection due to the major risk of nerve vascular and airway compression syndrome.

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Abscesses of the peritoneal cavity and in particular hepatic abscess due to stercolith retention are a rare complication of appendectomy. Their prevalence is likely to increase as laparoscopic appendectomies become more common. This potentially serious complication can be prevented by following certain technical recommendations.

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abdominal pain or jaundice. Cross-sectional imaging is beneficial in making the diagnosis noninvasively, thus eliminating other pathologies of the peri-ampullary region. We present 2 cases of Lemmel's syndrome whose diagnosis is retained based on a CT scan and magnetic resonance cholangiopancreatography.

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Around 5% of plasma cell neoplasias are solitary plasmacytomas, a tumor that is fairly rare. The presence of a localized tumor composed of monoclonal plasma cells that are the same as those found in multiple myeloma and the absence of symptoms that would suggest a disseminated form are used to establish the diagnosis. The thoracolumbar spine is the area most affected.

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Bronchopulmonary cancer muscle metastases are uncommon, especially when they are visible. They can impact any muscle in the body, but the psoas, diaphragmatic, and paravertebral muscles have a clear advantage. We present a case of lateral pterygoid muscle metastasis of squamous cell carcinoma of the lung in a 70-year-old habitual smoker (40 packs per year) presents headaches more marked on the right and progressively worsening.

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Hymen imperforation is uncommon. Symptoms include primary amenorrhea, cyclical lower abdominal pain, and rarely a pelvic mass syndrome. Delayed discovery may lead to endometriosis and infertility.

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Spontaneous ruptured gas-forming pyogenic liver abscess (GFPLA) is a life-threatening infection that mimics perforation of hollow viscous and need to be accurately diagnosed by computed tomography, which in turn helps to decrease the operative time and improve patient's prognosis.

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Tracheobronchial injuries following blunt chest trauma are rare and can be lethal. CT scan can help to diagnose it when a defect to the tracheobronchial wall is visible or to suspect it in front of indirect signs.

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