Publications by authors named "Zaafouri Elmontassar Belleh"
Background: Surgery after neoadjuvant chemotherapy (CT) improves the prognosis of colorectal liver metastases (CRLM).
Aims: The aim of this study was to evaluate the predictive factors of the histological response of CRLM after neoadjuvant treatment.
Methods: A retrospective monocentric study including patients with CRLM operated after neoadjuvant treatment.
Article Synopsis
- - Nutcracker syndrome occurs when the left renal vein is compressed between the aorta and superior mesenteric artery, often seen in patients who have lost significant weight; this case reports a rare instance following complex biliary surgery.
- - A 32-year-old patient with a history of laparoscopic cholecystectomy developed persistent low back pain, and a CT scan revealed nutcracker syndrome due to weight loss that reduced the aorto-mesenteric angle; anticoagulant treatment resulted in improvement.
- - The syndrome has three types categorized by the angle of compression, and significant weight loss can worsen the condition; conservative management is effective in most cases, with 60-80% of patients seeing symptom resolution.
Article Synopsis
- Spontaneous splenic rupture (SSR) is a rare and serious condition that can occur in both unhealthy and seemingly healthy spleens, often linked to various underlying diseases and requiring urgent medical attention.
- A case of a 32-year-old male with severe abdominal pain led to a diagnosis of SSR after imaging showed significant internal bleeding, resulting in a splenectomy when conservative treatment failed.
- Effective management and timely diagnosis through imaging like CT are crucial due to the non-specific symptoms of SSR, which can be confused with other conditions; ongoing research is needed to better understand its causes and risk factors.
Introduction: Splenic artery pseudoaneurysms (SAP) are uncommon but significant vascular complications frequently associated with pancreatitis. These lesions carry a substantial risk of rupture and subsequent life-threatening hemorrhage. Standard treatment typically involves surgical or endovascular intervention to prevent such catastrophic outcomes.
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