286 results match your criteria: "Military hospital of Tunis.[Affiliation]"

Ectopic pancreatic tissue in the gallbladder: A rare incidental finding in a cholecystectomy specimen - A case report.

Int J Surg Case Rep

December 2024

Visceral and Digestive Surgery Department, Military Hospital of Tunis, Mont Fleury, 1008, Tunis, Tunisia; Faculty of Medicine of Tunis, 15, Djebel Lakhdhar Street, 1007 Bab Saadoun, Tunis, Tunisia.

Introduction: Ectopic pancreatic tissue (EPT) is a rare congenital anomaly characterized by the presence of pancreatic tissue in an abnormal location, separate from the pancreas, without any anatomical or vascular connection to it. This anomaly is often an incidental finding during operation or autopsy. This peculiarity poses clinical and radiological challenges for surgeons, particularly during laparoscopic or open procedures.

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A rare case report: Management of paratubal cyst torsion in the second trimester and literature review.

Int J Surg Case Rep

December 2024

General Surgery Department, Military Hospital of Tunis, Mont Fleury-1008, Tunis, Tunisia; Faculty of Medicine of Tunis, 15, Djebel Lakhdhar Street - 1007 Bab Saadoun, Tunis, Tunisia.

Introduction And Importance: Paratubal cysts are common adnexal lesions that can lead to complications such as torsion, especially during pregnancy, presenting diagnostic challenges due to symptom overlap with acute surgical emergencies. This study details the clinical characteristics and management of paratubal cyst torsion through a case report and literature review.

Case Presentation: A 29-year-old pregnant woman at 28 weeks gestation presented with right iliac fossa pain and nausea.

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Lyme borreliosis (LB) is more common in the Northern Hemisphere. It is endemic mainly in North America, where the vectors are and , and in Eurasia, where the vectors are and . Both tick-borne diseases and LB are influenced by climate change.

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Article Synopsis
  • Multiple sclerosis (MS) is a disabling condition affecting the brain and spinal cord, and falls pose a significant health risk for individuals with MS (PwMS).
  • A study conducted at the Military Hospital of Tunis surveyed 30 PwMS to assess the frequency and factors associated with falls, finding that 21 participants had fallen at least once.
  • Results indicated that certain clinical assessments and factors, like MS walking ability and vestibular issues, were significantly linked to the likelihood of falls, underlining the importance of using specific scales to identify individuals at risk.
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Invasive fungal infections (IFI) are emerging opportunistic diseases that occur mainly in immunocompromised patients. Our study aimed to analyze the epidemiology of IFIs in patients with hematological malignancies, and the prognostic factors. Our retrospective study included patients hospitalized in the hematology department between January 1, 2010, and August 31, 2020, and in whom the diagnosis of IFI was made according to the EORTC criteria 2008.

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Introduction: Unlike restrictive pulmonary function and apical fibrobullous disease, diffuse interstitial lung disease is scarce in patients with ankylosing spondylitis (AS). We present a systematic review of the association between AS and SS. We also report a new case of SS revealed by interstitial lung disease in AS patients treated with tumor necrosis factor (TNF) inhibitors.

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Gastric collision tumor of adenocarcinoma and MALT lymphoma: A rare case report and literature review.

Int J Surg Case Rep

December 2024

Pathology Department, Mongi Slim Hospital, Sidi Daoud, La Marsa-2070, Tunis, Tunisia; Faculty of Medicine of Tunis, 15, Djebel Lakhdhar Street - 1007 Bab Saadoun, Tunis, Tunisia.

Article Synopsis
  • Gastric collision tumors are rare instances where two different types of cancer occur simultaneously in the stomach, with this case featuring adenocarcinoma and marginal zone lymphoma post-surgery.
  • A 58-year-old male patient presented with symptoms like anemia and abdominal pain, leading to a diagnosis that involved significant medical interventions including chemotherapy and surgery.
  • The complexity of collision tumors underscores the need for thorough diagnostic approaches and customized treatment plans, with ongoing monitoring essential for patient outcomes.
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Introduction: Injuries caused by terrorism attacks are one of the urgent problems of the society and the health system. In this work, we aimed to assess the injury severity score (ISS) and trauma injury severity score (TRISS) in Tunisian military combatants injured during terrorism attacks.

Materials And Methods: A total of 153 victims of terrorism admitted to the Military Hospital of Tunis between January 2012 and January 2017 were included.

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Unicystic ameloblastoma: Diagnostic challenges and uncommon treatment strategy: Case report.

Int J Surg Case Rep

November 2024

University of Monastir, Faculty of Dental Medicine of Monastir, 5000, Military Hospital of Tunis, Department of Oral Surgery, Research unity UR17DN04, 1008 Tunis, Tunisia.

Introduction: Unicystic ameloblastoma (UA) is frequently associated with an impacted tooth with a challenging diagnosis and decision making. The aim of this article is to emphasize a novel approach of treatment with tooth reimplantation after conservative treatment.

Presentation Of Case: A 7-year-old boy consulting with a chief complaint of swelling in the upper left front region.

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Cranio-Spinal Irradiation in low-middle income setting: A dosimetric comparison and literature review.

Radiography (Lond)

October 2024

Department of Radiation Oncology, Salah Azaiz Institute, 1006, Tunis, Tunisia; Faculty of Medicine of Tunis, University Tunis El Manar, Tunis, 1068, Tunisia.

Article Synopsis
  • VMAT (Volumetric Modulated Arc Therapy) is a new technique for cranio-spinal irradiation (CSI) gaining traction in Tunisia, with a study comparing its dosimetric outcomes to 3DCRT (Three-Dimensional Conformal Radiotherapy).
  • The results showed that VMAT offers better target volume coverage and protection for some organs at risk, although it increases low-dose exposure to non-target tissue.
  • However, VMAT also requires longer treatment and beam-on times compared to 3DCRT, raising considerations for its implementation in low to middle-income countries.
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RETINAL BURNS IN PHOTIC RETINOPATHY: THREE CASE REPORTS.

Ann Burns Fire Disasters

September 2024

Ophthalmology Department, Military Hospital of Tunis / Faculty of Medicine of Tunis, University of Manar, Tunis, Tunisia.

Photic retinopathy (PR) is due to retinal phototoxicity, especially affecting the macula, resulting from exposure to sun, welding devices and lasers. It leads to oxidative damage to the retinal pigment epithelium (RPE) and the surrounding photoreceptors. Early recognition of this visual threatening condition, follow-up lesion evolution, and prevention of prolonged ocular exposure to lights is warranted.

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Effect of adequacy of empirical antibiotic therapy for hospital-acquired bloodstream infections on intensive care unit patient prognosis: a causal inference approach using data from the Eurobact2 study.

Clin Microbiol Infect

December 2024

OUTCOMEREA Research Group, Drancy, France; Institut National de la Santé et de la Recherche Medicale, Infection Antimicrobial Modelisation Evolution, U1137, Team Decision Science in Infectious Diseases, Paris, France; Assistance Publique Hôpitaux de Paris, Bichat hospital, Medical and infectious diseases ICU, F75018, Paris France. Electronic address:

Article Synopsis
  • Hospital-acquired bloodstream infections (HA-BSI) in ICU patients can be life-threatening, and this study aimed to see how early adequate antibiotic treatment affects 28-day mortality rates for patients who survive at least one day after infection onset.
  • Using data from a multicenter study with 2,418 patients, researchers found that those who received adequate treatment within 24 hours had a lower 28-day mortality rate (32.8%) compared to those who were inadequately treated (40%).
  • The study concluded that inadequate antibiotic therapy within 24 hours contributes significantly to 28-day mortality, indicating that quicker treatment could greatly improve patient outcomes in cases of HA-BSI.
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The coexistence of tuberculosis (TB) and malignancy within the same lymph node is a rare, if not exceptional, pathology, with only a few cases reported. We collected patients who presented concomitant TB and malignancy within the same cervical lymph node diagnosed during the period (2010-2023). Ten patients were included.

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Introduction: Parsonage-Turner Syndrome is an uncommon cause of shoulder pain.

Case Representation: Herein, we present the case of a male in his 40s, who was presented with a 3-month history of acute onset of intense shoulder pain, which decreased rapidly leaving behind a residual upper limb weakness. The diagnosis of Parsonage-Turner Syndrome following COVID-19 vaccination was made based on electroneuromyography and magnetic resonance imaging findings.

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Introduction: Osteochondromas, also known as osteocartilaginous exostosis, are among the most common benign cartilaginous bone tumors, primarily occurring as solitary lesions. While typically found in long bones, spinal involvement is rare, accounting for only a small percentage of benign lesions in this location. Solitary osteochondromas responsible for spinal cord compression are seldom.

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Nail Alterations From Musical Instruments: Insights for Dermatologists Treating Musicians.

Cutis

July 2024

Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia. Drs. Ghannem, Litaiem, and Zeglaoui also are from the Department of Dermatology, Charles Nicolle Hospital, Tunis. Dr. Slouma also is from the Department of Rheumatology, Military Hospital of Tunis.

Long-term practice and performance with a musical instrument predispose musicians to several skin conditions and nail disorders. We conducted a comprehensive literature search of the PubMed, Scopus, and Google Scholar databases for articles on nail alterations in musicians. Complications were divided into modifications of the nail surface and nail plate, soft-tissue abnormalities, and periungual tissue and distal pulp disorders.

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Diagnosing and managing small bowel neuroendocrine tumors presenting as acute obstruction in an elderly patient: A case report and comprehensive management overview.

Int J Surg Case Rep

September 2024

General Surgery Department, Military Hospital of Tunis, Mont Fleury-1008, Tunis, Tunisia; Faculty of Medicine of Tunis, 15, Djebel Lakhdhar Street - 1007 Bab Saadoun, Tunis, Tunisia.

Introduction And Importance: Neuroendocrine tumors (NETs) of the small bowel are rare but clinically significant due to their challenging diagnostic pathways and potential for insidious progression. Early identification is critical for effective management and improved prognosis in these cases.

Clinical Presentation: Here, we present a case of a 75-year-old patient with no significant medical history who presented acutely with diffuse abdominal pain, vomiting, and signs of bowel obstruction.

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Introduction: Palmoplantar psoriasis is a rare variant of psoriasis. Its impact on quality of life has been poorly investigated.

Objectives: Our aim was to investigate the prevalence of localized palmoplantar psoriasis (PPP), to assess its severity using the modified Palmoplantar Pustular Psoriasis Area and Severity Index (m-PPPASI), and to evaluate the correlation with the Dermatology Life Quality Index (DLQI).

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Adenocarcinoma of the bladder is a rare histologic variant representing only 0.5-2 % of bladder cancer. We report the case of 83-year old male patient who consulted for gross hematuria evolving for one month.

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Colo-colonic intussusception secondary to giant colonic lipoma in an adult: A case report.

Int J Surg Case Rep

August 2024

General Surgery Department, Military Hospital of Tunis, Mont Fleury-1008, Tunis, Tunisia; Faculty of Medicine of Tunis, 15, Djebel Lakhdhar Street - 1007 Bab Saadoun, Tunis, Tunisia.

Introduction: Intestinal intussusception is a rare complication in adults, accounting for 1 % of intestinal obstructions. Unlike in children, it is often secondary to a malignant lesion, rarely a benign one. Colonic lipomas are asymptomatic benign tumors often discovered incidentally.

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Xanthogranulomatous cholecystitis: Diagnostic dilemma and surgical solution in geriatric patients: A case report.

Int J Surg Case Rep

July 2024

General Surgery Department, Military Hospital of Tunis, Mont Fleury-1008, Tunis, Tunisia; Faculty of Medicine of Tunis, 15, Djebel Lakhdhar Street - 1007 Bab Saadoun, Tunis, Tunisia.

Introduction: Xanthogranulomatous Cholecystitis (XGC) is a rare inflammatory condition characterized by the presence of xanthogranulomas within the gallbladder wall, often mimicking gallbladder carcinoma (GBC). Diagnosis is challenging and may require biopsy. Once GBC is excluded, an open cholecystectomy is recommended, although laparoscopic cholecystectomy is increasingly being performed with great caution.

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A replication study of sHLA-E influence on schizophrenia and bipolar disorder.

Encephale

May 2024

Translational Neuropsychiatry Laboratory, fédération hospitalo-universitaire de médecine de précision en psychiatrie (FHU ADAPT), DMU IMPACT, AP-HP, Paris Est Créteil University and Fondation FondaMental, Inserm U955 IMRB, 94010 Créteil, France.

Article Synopsis
  • The study investigates the link between soluble HLA-E isoforms and the risk and severity of schizophrenia and bipolar disorder in a Tunisian population.
  • Findings indicate that bipolar disorder patients have significantly higher levels of sHLA-E, especially during acute phases, while schizophrenia patients show higher levels in stable conditions but not generally.
  • The results support the idea that sHLA-E can be considered a reliable inflammatory marker for both disorders, confirming previous findings in a French cohort.
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Anaphylaxis triggered by a hidden threat: A rare hydatid disease case report.

Int J Surg Case Rep

June 2024

General Surgery Department, Military Hospital of Tunis, Mont Fleury-1008, Tunis, Tunisia; Faculty of Medicine of Tunis, 15, Djebel Lakhdhar Street - 1007 Bab Saadoun, Tunis, Tunisia.

Introduction And Importance: Hydatid disease, caused by Echinococcus granulosus, is a zoonotic infection prevalent in specific regions, including Tunisia. Complications are rare but potentially life-threatening. This case report highlights the significance of early diagnosis and intervention in a unique case where anaphylaxis resulted from minor abdominal trauma in a 17-year-old male with an undiagnosed hydatid cyst.

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