Superselective embolisation of bilateral superior vesical arteries for management of intractable hematuria in context of metastatic bladder cancer.

Hematuria due to locally advanced or metastatic bladder cancer is a common condition and is often a management problem. Percutaneous embolisation is a mini-invasive option to handle this situation. We report a case of a patient with a metastatic bladder cancer and who presented with an abundant hematuria and severe anemia.

[Spinal hydatidosis: diagnostic and treatment].

Hydatidosis is a parasitic disease due to Echinococcus granulosus. Spinal hytatidosis is the most common form, characterized by high morbidity and mortality. It is often diagnosed only when neurological complications occur, due to the long clinical latency and the non specific nature of symptoms.

[Epidemiological, clinical and therapeutic features of hepatocellular carcinoma in cirrhotic patients].

Background: Hepatocellular carcinoma (HCC) is the most frequent primitive hepatic tumor, the fifth most common cancer in the world,and the third highest cause of cancer-related mortality. The presence of cirrhosis is the main risk factor.

Aim: To describe the epidemiological, clinical and therapeutic features of HCC.

[Percutaneous vertebroplasty for pain relief in patients with osteoporotic spine fractures].

Background: Percutaneous vertebroplasty (PVP) is an interventional radiology technique where pathological vertebral bodies are filled with acrylic cement. This method is used to strengthen the vertebral body and reduce pain in certain diseases involving the vertebrae such as osteoporosis.

Aim: To evaluated PVP in symptomatic osteoporotic vertebral fractures after failure of conservative management.

Association of serum levels of aggrecan ARGS, NITEGE fragments and radiologic knee osteoarthritis in Tunisian patients.

Objectives: Proteolytic degradation of aggrecan is a hallmark of the pathology of osteoarthritis. The aim of this study was to develop enzyme-linked immunosorbent assay (ELISA) to quantify the serum levels of specific aggrecan fragments generated by aggrecanases-mediated cleavage. We investigated the relationships between these two aggrecan degradations fragments and urinary CTX-II levels.

Vascular complications after pediatric kidney transplantation.

Background: Vascular complications, especially those including the renal vein, remain a major cause of lost graft.

Aims: To evaluate retrospectively the incidence and management of vascular complications after pediatric renal transplantation and to assess possible risk factors and their effects on patient and graft.

Methods: A total of 82 consecutive renal transplants were performed in 79 patients at a single institution.

[Association of post-transplant lymphoproliferative disease and visceral leishmaniasis after kidney transplantation].

Malignancies and opportunistic infections are frequently observed after solid-organ transplantation. Their occurrence strongly affects recipient survival. We report the case of a 29-year-old Tunisian kidney-recipient who was diagnosed simultaneously with post-transplant lymphoproliferative disease (PTLD) and visceral leishmaniasis (VL).

Primary hyperoxaluria type 1 in Tunisian children.

Background: Primary hyperoxaliuria type 1 is an autosomal recessive disorder characterized by increasing urinary excretion of calcium oxalate, recurrent urolithiasis, nephrocalcinosis, and accumulation of insoluble oxalate throughout the body. This inborn error of metabolism appears to be a common cause of end stage renal disease in Tunisia.

Aims: To review the clinical, biological and radiological futures of primary hyperoxaluria type 1 and to correlate these aspects with the development of end-stage renal disease.

[Management of postpartum vaginal haematomas by embolisation: two cases].

Postpartum vaginal haematomas are a rare complication of delivery. The incidence of large haematomas is estimated at 1/4000 deliveries, and this complication can be life-threatening. We report two such cases.

First case of childhood Takayasu arteritis with renal artery aneurysms.

Takayasu arteritis is a large vessel systemic granulomatous vasculitis characterized by stenosis or obliteration of large and medium sized arteries. It commonly involves elastic arteries such as the aorta and its main branches. Renal artery involvement is rare and has not been reported in a child.

[Perigenital hematoma. Diagnosis and management].

Objectives: Discuss the clinical aspects and the management of perigenital hematoma, a rare complication of delivery that can engage the vital prognosis.

Cases: We report 4 cases of peri-genital hematomas recorded in the department C of obstetrics and gynecology, in the maternity center of Tunis. In two cases, the patients had only medical treatment and in the two others arterial embolisation was performed.

[Experience of a multidisciplinary team in the management of superficial venous malformations: 99 cases].

Background: Vascular malformations are heterogenous angiodysplasias.

Aim: The aim of this work is to study the epidemiological and clinical features of venous malformations (VM) as well as their multidisciplinary management.

Methods: It is a retrospective study of patients having simple VM, seen at the multidisciplinary consultation of angiodysplasias of our hospital, over a 10 year period.

[Chronic disseminated intravascular coagulation caused by aortic dissection].

Background: Disseminated intravascular coagulation (DIC) is a severe disease. It can be caused by loss of pathology.

Case Report: We report the case of chronic aortic dissection discovered during the evaluation of disseminated intravascular coagulation (DIC).

Pseudoaneurysm of the splenic artery presenting with gastrointestinal bleeding.

Gastrointestinal bleeding from a pancreatic pseudocyst is a rare condition that is diagnostically and therapeutically challenging. A 78-year-old woman with a history of acute pancreatitis due to gallstones was hospitalized for abdominal pain and gastrointestinal bleeding. Gastroscopy revealed blood extruding from the papilla of Vater.

[Isolated bilateral pulmonary occlusion].

Background: Takayasu's arteritis (TA) is an unusual cause of bilateral and isolated pulmonary artery occlusion that may be difficult to distinguish from other aetiologies.

Aim: Report a new case of isolated bilateral pulmonary occlusion.

Observation: A 19 year-old girl presented to the hospital with a 2-year history of dyspnoea and recurrent hemoptysis.

[Arteriovenous malformations: study about 54 patients].

Background: Arteriovenous malformation (AVM) are vascular anomalies that may threaten functional and vital prognosis. The aim of this study was to assess the managment of Arteriovenous malformation

Methods: It is a retrospective study about 54 patients, having AVM, collected over a 7-year period.

Results: Sex ratio MJF was 1.