33 results match your criteria: "University Hospital Mongi Slim[Affiliation]"

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.
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Article Synopsis
  • * A case study of a 62-year-old man revealed a fatty mass causing gastrointestinal blockage, leading to surgery where two lipomas were found, one responsible for the intussusception.
  • * Despite advances in imaging, diagnosing CI due to lipomas remains difficult, highlighting the need for awareness and research on this condition and its treatment options.
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Key Clinical Message: Timely recognition, accurate diagnosis, and proper management are vital for preventing complications and improving outcomes in polycystic liver disease.

Abstract: Polycystic liver disease is an uncommon genetic condition characterized by the presence of over 20 liver cysts. It is symptomatic in only 5% of cases.

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Key Clinical Message: Adenosarcoma of the uterine cervix should be considered in the evaluation of post-menopausal bleeding, as it can be a potential underlying cause. Timely diagnosis and appropriate management are essential to optimize patient outcomes.

Abstract: Adenosarcoma is a biphasic neoplasm comprising both a benign epithelial component and a typically low-grade sarcomatous stromal component.

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Introduction: postpartum hemorrhage is the main cause of maternal death worldwide. Uterine balloon packing has shown promising outcomes in PPH management. Nevertheless, its usage is limited in low- and middle-income countries due to associated costs.

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Regulated Expiratory Methods During Childbirth Process: A Randomized Controlled Trial.

J Obstet Gynaecol Can

March 2024

Department of Obstetrics and Gynecology, University Hospital Mongi Slim La Marsa, Tunis, Tunisia; Faculty of Medicine of Tunis, University Tunis El Manar, Tunis, Tunisia.

Objectives: To evaluate the impact of a regulated expiratory method (REM) on the childbirth process.

Methods: This was a randomized trial. Study population included all first-time mothers with a spontaneous onset of labour, at an early stage, and a fetus in cephalic presentation with a normal weight for gestational age.

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Introduction And Importance: Infection with the human immunodeficiency virus (HIV) targets immune cells and exposes infected patients to several diseases. For these reasons, HIV infection should be suspected in each situation where post-operative sepsis occurs, to afford therapy and improve the patient's prognosis.

Case Presentation: We present a case of a pregnant woman at 39 weeks of gestation who missed her prenatal follow-up.

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Key Clinical Message: Pathologists should consider the differential diagnoses of placental chorioangioma, which encompass chorangiosis, chorangiomatosis, chorangiocarcinoma, intervillous thrombus, and placental infarct.

Abstract: Chorioangiomas are rare non-trophoblastic vascular neoplasms of the placenta, occurring in approximately 1% of pregnancies. Large chorioangiomas (>4 cm) are infrequent and associated with an increased risk of pregnancy complications.

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Key Clinical Message: The coexistence of hepatic mucinous cystic neoplasm and ovarian serous cystadenoma is rare and can only be confirmed by histological examination of the surgical specimen. Complete surgical resection is the optimal treatment.

Abstract: Mucinous cystic neoplasms (MCN) of the liver are rare premalignant lesions that account for less than 5% of all hepatic cysts.

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Objective: To assess the effect of early amniotomy on labor duration, maternal and neonatal outcomes during induction of labor (IOL).

Methods: This was a randomized controlled trial, conducted over a period of eight months at a monocentric site. Singleton pregnancies in nulliparous and parous patients with cephalic presentation and Bishop score ≥ 6 were enrolled in the study.

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Key Clinical Message: The differential diagnoses of solid pseudopapillary neoplasm of the pancreas include cystic pancreatic neuroendocrine tumor, acinar cell carcinoma, and pancreatoblastoma.

Abstract: Solid pseudopapillary neoplasm (SPN) is a low-grade malignant pancreatic tumor which accounts for 0.9%-2.

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Colorectal invasive micropapillary carcinoma (MPC) is a rare and distinct variant of adenocarcinoma with high incidence of lymph node metastasis. The differential diagnoses of MPC include extensive lymphovascular invasion, metastatic MPC, and retraction artifacts.

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Sarcomatoid carcinoma is a rare type of gallbladder cancer with less than 100 cases reported in the literature. Preoperative diagnosis is difficult due to nonspecific clinical and radiological findings. Its prognosis is poor due to rapid progression and a high short-term recurrence rate.

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Uterine lipoleiomyomas are rare variants of leiomyomas that usually occur in postmenopausal women. Their incidence ranges from 0.03% to 0.

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Goblet cell adenocarcinomas (GCA) are infrequent neoplasms of the digestive system that exhibit both mucinous and neuroendocrine differentiation. They predominate in the appendix and rarely involve the colon. Herein, the authors report a case of GCA involving the ascending colon in a 60-year-old woman who presented with severe anemia.

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Mucinous carcinoma of the breast is rare representing 2% of all breast carcinomas. It can be classified as either a pure or a mixed type. Pure mucinous breast carcinoma has a less aggressive behavior compared with mixed breast mucinous carcinoma.

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Some species produce oxalic acid, which reacts with tissue calcium or blood to precipitate calcium oxalate. Oxalate crystals can induce lung and kidney damage. The presence of oxalate crystals can suggest the diagnosis of aspergillosis, even when hyphae are absent on microscopic slides.

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Cocoon abdomen is an uncommon condition characterized by bowel entrapment in a cocoon-like membrane. Its clinical presentation is usually non-specific. Rarely, it may present with perforation peritonitis.

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Gastric carcinoma with lymphoid stroma is a rare variant of gastric carcinoma accounting for 1%-7% of gastric carcinomas. Its association with gastric leiomyoma and ectopic pancreas is extremely rare. We herein report an unusual simultaneous occurrence of gastric carcinoma with lymphoid stroma, calcified leiomyoma, and ectopic pancreas.

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Pseudoxanthomatous salpingitis (PXS) is an uncommon condition characterized by the presence of pigment-laden histiocytes within the lamina propria of the fallopian tube. Less than 30 cases of PXS have been reported in the literature. We herein report a case of PXS associated with an endometriotic cyst.

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Adenosquamous carcinoma of the pancreas is a rare and aggressive histological subtype of pancreatic adenocarcinoma, which accounts for 1% to 4% of the exocrine pancreatic malignancies. Its diagnosis relies on histological examination revealing the coexistence of ductal adenocarcinoma and squamous carcinoma with the latter representing ≥30% of the tumor.

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Intracholecystic papillary-tubular neoplasms are rare precancerous and polypoid lesions of the gallbladder, found in nearly 0.4% of cholecystectomy specimens. They follow the adenoma-carcinoma sequence.

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Craniorachischisis totalis is an uncommon and severe form of neural tube defect. It is characterized by anencephaly and spina bifida throughout the vertebral column accompanied by herniation of neural tissue and meninges. Hepatic calcification in the fetus is rare and its clinical significance is not fully established.

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Elastofibroma dorsi is an uncommon benign soft-tissue tumor with uncertain pathogenesis (Medicina (Kaunas), 2021; 57, 370). Surgical excision is the therapeutic option for symptomatic patients. A pathological study confirms the diagnosis after surgery.

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Hepatic epithelioid angiomyolipomas are uncommon mesenchymal neoplasms. They are difficult to diagnose by imaging, especially when the fatty component is scant or absent. The gold standard for the diagnosis is histologic examination coupled with an immunohistochemical study.

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