Le phle'gmon pe'rine'phr'etique [a'propos de 30 cas]

The authors report a series of 30 cases of PPN during an interval of 20 years. The patients are 22 men [73,4%] and 8 women [26,6%]. Mean age was 36 years [ranging between 25 and 68]. The promoting factors of PPN are diabetes and kidney calculi. Delay diagnosis is more than 3 weeks in 80% of the patients. The clinical symptomatology was dominated by loin pain [100%], fever [83,3%] and flank mass [73%]. Diagnosis is carried out by Echography in 85% and by CT scan whenever it is done. The common germs are negative gram bacilli and staphylococcus. The treatment consists in antibiotherapy, betalactamine, aminoside and flagyl* associated to a percutaneous drainage of the collection in 4 patients [13,3%] and a surgical drainage in 26 patients [86,6%]. The purpose of this study is to analyze the etiopathogenic, diagnostic and therapeutic aspects of this affection

Le schwannome du rein

The kidney schwannoma is a tumor developped from the schwann sheat. This tumor is very rare [0,9%] and the limited number of publications issued to this date on the matter gives evidence of this. The observing of a case of this type at the urologic wad of the Rabat CHU has allowed us to study this extremely rare disease. There fore, thanks to a literary review, we were able to underline the diagnostic difficulties the clinical, and anatomical - pathological features. However, the kidney schwannomas diagnosis is un anatomical-pathological discovery. The surgery is extremely important as to the treatment. The benign schwannomas prognosis is excellent because of the infrequency of the recurrences and the exceptional malignant transformation. Nevertheles, the prognosis of the malignant schwannomas is redoutable from which the necessity fan early discovery

Traitement des plastrons appendiculaires [a propos de 66 cas]

Our work constitue a retrospective study of 66 appendicular mass in the service U.C.V in Avicenne hospital Rabat during 2 years and half. The menagement of the appendicular mass remain controversial and has evoked debats for many. Some surgeons surggested that it should be treated operartively where as other continued the adopt to non operative and medical method Recently some authors believe that the elective appendectomy is a superfluous procedure

Abscess retroperitoneal d'origine brucellienne [a propos d'un cas]

We report one case of retroperitoneal abscess, who complicate a brucellosis spondylodiscitis. The diagnosis of brucellosis was confirmed by morbid anatomy eram and serodiagnostic, and the spinal origin by tomography. spinal lumbar made after surgery. The evolution was good after medical and surgical treatment

Traumatismes du grele au cours des contusions abdominales: [a propos de 17 cas]

We report here a retrospective study of 17 small intestine traumatismus during abdominal contusion, seen in the hospital Avicenne from 1985 thourgh Decembre 1989. From this study, it results that: The young male adult is the most Struck down by these traumatisms. Outwards the wounded who were admitted in hemorragie shockstate by the diagnosis was based mainly on abdominal clinical sings and their course; The presence of pneumopenitoneum at radio logic examination of abdomen without preparation induce to emergency surgery. This study proves usefulness of. peritoneum puncture-wash in the difficult cases. Lf echograph is avialable in emergency it can serve substitute of peritoneum puncture-wash, if we consider relibihty of its results at the present time. The therapeutical management is well codified. The early diagnosis alone can allow to improve the prognosis

Lesperitonites par perforation typhique: [a propos de 17 cas]

We report here a study of 17 acute typhic peritonitis cases seen in the service of visceral emergencies of the U.H.C. Ibn Sina of Rabat: -Typhic perforation represents 0,25 of the cases activited to the activited the services and 2,1% of the g‚n‚ral peritonitis cases -Positive diagnosis was obvious in most cases because richness of clinical picture and the existence of radioiogical pneumoper-itoneum in 87% of cases. The therapeutical management consisted in the exteriorization of typhic perforation in 7 cases and in 30-50 cm resection of the latest pathological intestinal loop.- Our results are similar to those reperted in literature

L'adenome prostatique chez l'adulte jeune: a propos de 35 cas

The authors study the benign prostatic hyperplasia morbidity in 35 patients younger than 46 years old. They Concluded that the benign prostatic hyperplasia exposes to the same complications as those of the old patients: urinary infection, bladder lithiasis, hydronephrosis, pyelonephritis, and uremia, in addition to the post-operativ fertility repercussion

Lesgrossesses uterines aux urgences chirurgicales: [a Propos de 60 cas]

The ovula graft outside uterus is relatively frequent. Our work is unpretentions contribution to the study of extra uterine pregnancies cases, managed in the Service of Visceral Surgical Emergencies [Pr. Balafrej] of Rabat Avicennes Hospital from 13 February 1985 to June 1989

Pelvi-peritonite aigue d'origine genitale chez la femme: [a propos de 44 cas]

The peliv-peritonitis is a medical emergency, but in some cases, it can be chirurgical emergency which should not be ever looked. The diagnosis should be precise and rapidly givers: the clinic may be erronuous and does not reflect The importance of the anatomic lesions, which nessiciate the use of the caselioscopy in most cases. The caselioscopy enables one to affirm the diagnosis, to direct the etiologic diagnosis, to practise the bacteriologiie prelevements, to make a local treatment and to give a prognosis. The treatment to cure is in the first place medical, the use of which depend the cure

Mise au point sur les tumeurs primitives du diaphragme: a propos d'une observation

At the occasion of a recent observation and well documented of diaphragmatic rhabdomyosarcoma in a young patient 18 years old, the author propose a brief news paper of literature

Pheochromocytomes: a propos de 13 cas

We report a serie of 13 pheochromocytomes cases which one bladder seat, 75% patients hadedent hypertension, with poroxyns acces and increased V.M.A. in 75% 10 topogrghic diagnosis was possible with intravenous urography, retropneumoperitoneal insuffocation and arteriography, echography and scan confirmed diagnosis in one recent case. 70% of patients tumorectomy ameliored

Les tumeurs malignes du testicule en 1986

The authors give in this publication all the acquisitions about the cancer of the testis and propose a therapeutic protocol. A best approach of the malignant tumors of the testis will be made by the collaboration of the clinician, the biologist, the anatomopathologist, the surgeon, the radiotherapist and the chemotherapist, the treatment of the cancer of the testis depend of the anatomopathologic variety. Actualy, the seminomatous are curable in the most of cases

L'uretere retro-cave: a propos de deux observations

The retrocava ureter is a rare malformation. Many cases can stay asymptomatic until the adult. The diagnosis can be evoqued by the intravenous urography and confirmed by the retrograd ureteropyelography. The conservative surgical treatement must be the rule [ureter transposition, end to end ureteroraphy with or without excision of the retrocaval portion which frequently appears to be intrinsically pathologic

Les contusions des bourses et de leur contenu: a propos de 30 cas

The authors report 30 scrotal contusions; the lesions they discovered [hematoceles, recent trauma of the testis. scrotal or calcified hematoma ..] showed that it is better to operate all contusions of the scrotum. They emphasize the interest of ultra sound exploration of the testis

tumeurs malignes du testicule [Revue de 17 cas et proposition d'une conduite a tenir]

17 cases of testicular cancer reported including 5 cases discovered in ectopic. -A review of new diagnosis methods [pathology and serum mesurements of H.C.G., H.C.G. and efficacy of chemotherapy are pointed-up. A practical diagram, including diagnosis staging [MAIER staging of testis cancer] and the W.H.O] pathology classification, is proposed

cortico-surrenalomes [a propos de 4 observations]

Three cases of non functioning adrenal cortex carcinoma and one case of functioning adrenal tumor [finalization] are related. The authors take oppurtunity to discuss their rarity, symptoms, the problem of diagnosis and the poor long term prognosis

Metastase orbitaire revelatrice d'un cancer du rein [a propos d'une observation]

A case of renal cell carcinoma with metastasis to the right orbit is reported the authors studied the rarity of this case and reviewed the foreign literature

Anurie par obstacle [a propos de 57 cas chez 53 malades]

The authors report 57 cases of anuria with regard to 53 patients. 66% of these cases were imputed to calculoses 22%.to cancer. 4 cases Were noted of anuria arising of the ligature or section of the ureters in gynecologic surgery. The authors observe the nigh frequency of a unique kidney and the dreadful infectious complications especially in the case of late consulting patients. The therapeutic results and the prognosis are also included

diverticules de l'urethre feminin

The authors report 11 cases of diverticulum of the female urethraportance of the clinical examination of the female urethral and the par they review the characteristic of this affection. They emphasize the pre and post micturation radiograms in female