15 results match your criteria: "La RABTA hospital of Tunis[Affiliation]"

Magnetic resonance imaging (MRI) is used for diagnosing placenta accreta spectrum disorders (PASDs) because of its advanced soft-tissue contrast and spatial resolution capabilities, offering better contrast, improved spatial resolution, and a wider field of view compared with ultrasound. Using a 1.5-Tesla MRI protocol with multiple sequences, MRI can detect indicative signs of PASD such as placental signal heterogeneity, interruption of the myometrium-placenta interface, and abnormal vascularization.

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Fœtal sacrococcygeal teratoma type I: A case report.

Radiol Case Rep

February 2025

Pediatric Surgery Department, Tunis Faculty of Medicine El Manar University, Béchir Hamza Children's Hospital, Tunis, Tunisia.

Sacrococcygeal teratoma (SCT) is a rare congenital tumor typically diagnosed in neonates, with management challenges arising from the size of the tumor and associated delivery complications. In this case, a 32-year-old gravida 5 para 5 woman with a history of three prior cesarean sections was diagnosed with a giant type I SCT at 30 weeks of gestation through prenatal ultrasound, confirmed by fetal MRI. At 34 weeks, an emergency cesarean section was performed due to acute fetal distress, resulting in a newborn with transient respiratory distress.

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Adenocarcinoma of the prostate affects up to 70 % of men over 80 and is the second leading cause of cancer related death in men. We reported an unusual case of a giant prostatic adenocarcinoma compressing bilaterally the 2 external and internal iliac veins that was revealed by a bilateral edema of the lower limbs after histological confirmation the patient was treated by radiotherapy and hormone therapy with a clinical amelioration.

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Article Synopsis
  • The increasing rates of obstetric complications, like post-partum hemorrhage from placenta accreta spectrum, necessitate new treatment methods, highlighting the effectiveness of internal iliac artery embolization for managing obstetric bleeding.
  • Two case studies demonstrate successful outcomes: a 38-year-old patient experienced persistent bleeding after a subtotal hysterectomy and was saved by arterial embolization, while a 35-year-old patient with placenta accreta after a hysterectomy also benefited from the procedure.
  • The discussion emphasizes the importance of interventional radiology in treating postpartum hemorrhage and suggests that consulting a specialized radiologist can be crucial for improving patient outcomes post-surgery.
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Prevalence of chronic kidney disease in Tunisian diabetics: the TUN-CKDD survey.

BMC Nephrol

February 2024

Tunisian Association of Nephrology, Dialysis, and Transplantation, Tunis, Tunisia.

Article Synopsis
  • - The prevalence of diabetes in Tunisia rose significantly from 15.5% in 2016 to 23% in 2023, with a corresponding study examining chronic kidney disease (CKD) among diabetic patients to understand its prevalence based on factors like specialist type and demographic characteristics.
  • - An observational study conducted between January and February 2023 included over 10,000 diabetic patients, using KDIGO guidelines to diagnose CKD, focusing on data collected across various healthcare settings in Tunisia.
  • - The results indicated that 38.7% of diabetic patients had CKD, with higher rates among males and older patients, as well as those diagnosed by nephrologists. CKD was more prevalent in the Mid-East region of Tunisia
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Fibrous pseudo tumor of the tunica vaginalis is a rare lesion affecting men representing a challenge in its diagnosis and treatment. We reported the case of a 17 year old male patient who presented for a right scrotal mass. Surgical resection of the mass was performed and the histological diagnosis was a fibrous pseudo tumor of the tunica vaginalis.

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Impact of FCGR2A R131H, FCGR3A F158V and FCGR3B NA1/NA2 polymorphisms on response to Fc-containing TNF inhibitors in Tunisian rheumatoid arthritis patients.

Drug Metab Pers Ther

June 2023

Laboratory of Research in Immunology, Renal Transplantation and Immunopathology (LR03SP01), Charles Nicolle Hospital of Tunis, Tunis El Manar University, Tunis, Tunisia.

Article Synopsis
  • The study investigates how single nucleotide polymorphisms (SNPs) of Fc-gamma receptors (FcgRs) may affect the response to TNF-inhibitors (TNFi) in rheumatoid arthritis (RA) patients in Tunisia.
  • Researchers analyzed 47 RA patients over six months, focusing on the effectiveness of TNFi treatments like etanercept, adalimumab, and infliximab while genotyping specific SNPs.
  • Results indicated that low-affinity FcgRs were linked to better treatment outcomes, while high-affinity variants were associated with poorer responses, highlighting the potential role of these genetic markers in personalizing RA treatment.
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We present a rare case of a hydatid cyst involving the seminal vesicle of a 39-year-old man. Left lumbar pain was the initial symptom. CT-scan and MRI revealed a retro vesical cystic mass arising from the seminal vesicle.

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Mitochondrial DNA (mtDNA) mutations frequently manifest with multisystem disease, including cardiomyopathy (CM). Various studies described mutations in protein-encoding mtDNA genes, such as cytochrome-b, manifesting with CM. A detailed clinical, biochemical, and molecular genetic analysis was performed in a 40-year-old male with dilated CM (DCM) to detect the underlying mtDNA defect.

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Enterosalpingeal fistula complicating Crohn's disease: Report of two cases and review of the literature.

Ann Med Surg (Lond)

September 2021

Surgery Department A - La Rabta Hospital of Tunis, University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia.

Introduction And Importance: Reports of enterosalpingeal fistulae complicating Crohn's disease are scarce. They involve the last ileal loop and lead to a progressive destruction of the salpinx. Usually, no genital symptoms are found.

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Background: Permanence of front-line management of lung cancer by immunotherapies requires predictive companion diagnostics identifying immune-checkpoints at baseline, challenged by the size and heterogeneity of biopsy specimens.

Methods: An innovative, tumor heterogeneity reducing, immune-enriched tissue microarray was constructed from baseline biopsies, and multiplex immunofluorescence was used to profile 25 immune-checkpoints and immune-antigens.

Results: Multiple immune-checkpoints were ranked, correlated with antigen presenting and cytotoxic effector lymphocyte activity, and were reduced with advancing disease.

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Background: Rare highly penetrant gain-of-function mutations in caspase recruitment domain family, member 14 (CARD14) can lead to psoriasis, a chronic inflammatory disease of the skin and other organs.

Objectives: To investigate the contribution of rare CARD14 variants to psoriasis in the Tunisian population and to expand knowledge of CARD14 variants in the European population.

Methods: CARD14 coding exons were resequenced in patients with psoriasis and controls from Tunisia and Europe, including 16 European cases with generalized pustular psoriasis (GPP).

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We report a case of 76-year-old man, with a past medical history of primary cutaneous diffuse large B-cell lymphoma, leg type (PCDLBCL-LT), who presented with ureteral tumor diagnosed as urothelial carcinoma on imaging investigations. Histological examination showed an unusual finding. The tumor was a ureteral localization of the PCDLBCL-LT previously diagnosed.

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