Publications by authors named "Abdelilah Elbakouri"

9 Publications

  • Page 1 of 1

Strangulated Spiegel hernia: About a case and literature review.

Ann Med Surg (Lond) 2021 Jun 28;66:102453. Epub 2021 May 28.

Visceral Surgical Emergency Department, Universitary Hospital Center Ibn Rochd, Casablanca, Morocco.

The anterolateral abdominal Hernias are a frequent reason for consultation; Spiegel's hernia is a rare spontaneous abdominal anterolateral hernia (0.12% of abdominal hernias) for patients between 40 and 70 years old, There are risk factors such as intra-abdominal hyperpressure secondary to morbid obesity, multiple pregnancies and chronic cough. The surgery is the standard treatment; whether by raphy or prosthetic mesch. We report the case of a 42 year old male admitted to the emergency room for an occlusion syndrome due to the strangulated spiegel hernia with caecal and appendicular contents.
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http://dx.doi.org/10.1016/j.amsu.2021.102453DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8188248PMC
June 2021

Ischemic volvulus of the transverse colon caused by intestinal malrotation: A case report.

Int J Surg Case Rep 2021 Jun 18;83:105971. Epub 2021 May 18.

Departement of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco; Faculty of Medecine and Pharmacy, Hassan II University, Casablanca, Morocco.

Introduction: Congenital Intestinal malrotation is a complex disorder caused by incomplete or abnormal rotation of the intestine during fetal development. Volvulus of the transverse colon secondary to intestinal malrotation is a rare cause of acute abdomen in adults. It has a high risk of mortality, hence the need for an urgent diagnosis and surgical intervention.

Case Report: We report an unusual case of volvulus of the transverse colon caused by intestinal malrotation. A 21-year-old women presented abdominal pain with nausea and vomiting. On clinical examination, the abdomen was tympanic to percussion with peritoneal sensitivity. The abdominal X-ray revealed a massive obstruction of the distended large intestine with a "U-shaped" loop. He underwent an exploratory laparotomy that revealed the diagnosis of transverse colon volvulus with intestinal malrotation. His condition was treated surgically by transverse colectomy with colostomy. The patient died on the second day following a hemodynamic instability.

Conclusion: Transverse colonic volvulus is a rare entity with a high mortality, so it requires urgent diagnosis and surgical intervention.
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http://dx.doi.org/10.1016/j.ijscr.2021.105971DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8163956PMC
June 2021

Fish bone perforation of the small bowel: A case report.

Ann Med Surg (Lond) 2021 May 27;65:102348. Epub 2021 Apr 27.

Department of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco.

Introduction: Fish bone is one of the most common accidently ingested foreign bodies. Normally, it is eliminated from the gastrointestinal (GI) system without any symptomatology, only 1% of the cases will develop a perforation of the GI tract requiring surgical intervention.

Presentation Of Case: A 70-year-old man, presented with a 48h evolving abdominal pain, important abdominal distension, nausea, vomiting, and a last bowel movement reported 2 days ago, The abdomino-pelvic CT-scan objectified a distension of the terminal ileum measured at 30mm, The exploration revealed a sharp foreign body,at the 15 proximal centimeters of the terminal ileum, which penetrated through the wall of the ileum. The foreign body was removed and we noticed that it is a fish bone. The patient recovered well.

Discussion: Clinical manifestations are determined by the location of the perforation and the preoperative diagnosis is always difficult to reach. Computed tomography (CT) scan is the indicated method to identify ingested foreign bodies and surgery is the treatment of choice.

Conclusion: Delay in diagnosis and treatment can be associated with significant morbidity and mortality.
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http://dx.doi.org/10.1016/j.amsu.2021.102348DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8111590PMC
May 2021

Gastrointestinal manifestations related to infection with SARS-COV-2: Appendicular syndrome (A case report).

Ann Med Surg (Lond) 2021 May 14;65:102288. Epub 2021 Apr 14.

Department of Visceral Surgical Emergency (P35), UHC Ibn ROCHD, Casablanca, Morocco.

Introduction: The clinical symptomatology of SARS-CoV-2 disease may manifest as an appendicular syndrome. The abdominal CT scan can be used to rule out or confirm the diagnosis of acute appendicitis and a chest CT scan can make the diagnosis of SARS-CoV-2 infection.

Observation: We report the observation of a 30-year-old patient, with no particular pathological history, who presented with appendicular syndrome without extra-digestive signs, and especially, without respiratory syndrome. The CRP was at 35mg/l. A thoracoabdominal CT scan was requested to detect an eventual appendicitis. With three straight frosted glass areas on the thoracic area suggesting COVID 19 infectious pneumopathy, a PCR was requested to detect a positive SARS-CoV-2 viral RNA, then the patient was appendectomized. Post-operative follow-up was simple and the patient was transferred to a department dedicated to covid-19-positive patients for further management.

Conclusion: CT scan is necessary before considering emergency surgery for acute appendicitis because it can change the patient's management circuit.
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http://dx.doi.org/10.1016/j.amsu.2021.102288DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8043916PMC
May 2021

Pneumatosis cystoides intestinalis with pneumoperitoneum secondary to stenosing pyloro-duodenal peptic ulcer: Case series of three patients and literature review.

Int J Surg Case Rep 2021 Apr 13;81:105772. Epub 2021 Mar 13.

Department of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco; Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

Introduction: Pneumatosis cystoides intestinalis (PCI) is a rare condition, which can affect the entire gastro-intestinal tract. It can be idiopathic or most often secondary to various diseases. The causes remain multiple and the stenosing peptic ulcer is one of them. We report three case reports of pneumatosis cystoides with pneumoperitoneum intestinalis secondary to stenosing pyloro-duodenal peptic ulcer.

Case Presentation: We report a case series of three patients with PCI that presented to the emergency department with a reassuring clinical picture with the discovery in imaging of a pneumoperitoneum. All our patients presented with a pyloro-duodenal stenosis secondary to a complicated peptic ulcer, one of which was treated surgically and the other two endoscopically.

Discussion: The objective of this report is to provide an update on pneumatosis cystoides intestinalis secondary to stenosing pyloro-duodenal peptic ulcer, by specifying its etiopathogenic, diagnostic and therapeutic characteristics.

Conclusion: Knowledge of this pathology is necessary in order to avoid unnecessary abusive surgery.
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http://dx.doi.org/10.1016/j.ijscr.2021.105772DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8010462PMC
April 2021

Sub-acute transverse colon volvulus an exceptional cause of large bowel obstruction: Case report.

Ann Med Surg (Lond) 2021 Mar 3;63:102154. Epub 2021 Feb 3.

Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

Introduction: The sub-acute form of transverse colon volvulus manifests with signs and symptoms of large bowel obstruction. The diagnosis is most often done intraoperatively. We report a rare case of transverse colon volvulus in a 65-year-old female patient with no particular pathological or surgical history.

Case Presentation: Sub-acute transverse colon volvulus in an elderly woman with no pathological or surgical history. Manifested with signs and symptoms of colonic obstruction. Surgically treated by a two-stage procedure with good postoperative outcomes.

Discussion: The transverse colon volvulus represents only 2-4% of all colonic volvulus. We discuss the diagnostic and therapeutic approach of our case of transverse colon volvulus through a literature review.

Conclusion: Transverse colon volvulus should be considered as a differential diagnosis in the face of large bowel obstruction. Early diagnosis and treatment improve the prognosis.
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http://dx.doi.org/10.1016/j.amsu.2021.01.102DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7890129PMC
March 2021

Total gastric necrosis following acute pancreatitis in a patient with COVID -19: Case report and literature review.

Ann Med Surg (Lond) 2021 Feb 21;62:362-364. Epub 2021 Jan 21.

Visceral Surgical Emergency Department, Faculty of Medicine and Pharmacy, Universitary Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco.

The Coronavirus Disease Pandemic - 2019 (COVID-19) has spread to more than 200 countries worldwide, affecting more than 2 million people and >120,000 deaths, Acute pancreatitis of infectious origin can be caused by different viruses but currently no study has concluded that COVID-19 is directly responsible for acute pancreatitis. We report the case of a COVID-19 patient admitted to the emergency room in a state of respiratory distress associated with stage E pancreatitis according to the classification of balthazar whose surgical exploration found total necrosis of the stomach. A total gastrectomy was performed with an esophagostomy and a wide drainage of the abdominal cavity, the postoperative sequelae were marked by the death of the patient at D6 postoperatively by cardiorespiratory arrest.
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http://dx.doi.org/10.1016/j.amsu.2021.01.061DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7826052PMC
February 2021

Nutcracker syndrome due to aorto-mesenteric compression in adults: Case report and literature review.

Int J Surg Case Rep 2020 20;77:730-732. Epub 2020 Nov 20.

Visceral Surgical Emergency Department, Faculty of Medicine and Pharmacy, Universitary Hospital Center Ibn Rochd, Hassan II University, Casablanca, Morocco.

Nutcracker syndrome is a rare entity that corresponds to an abdominal pain following compression of the left renal vein during its passage between the aorta and the superior mesenteric artery, with a peak prevalence in adults between 20 and 30 years old, The typical clinical presentation includes hematuria, orthostatic proteinuria with or without flank pain. doppler ultrasound has a sensitivity of 78% and specificity of 100%, Both CT and MRI can show the compression of the left renal vein between the aorta and the superior mesenteric artery. We report the case of a young patient admitted to the emergency room for abdominal pain mainly localized in the left hypochondrium, with microscopic hematuria, a CT scan was performed showing a reduced aorto mesenteric angle with a compression of the left renal vein and collateralization of venous circulation of left gonadal vein.
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http://dx.doi.org/10.1016/j.ijscr.2020.11.088DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7718136PMC
November 2020

[Pancreatic heterotopia as an unusual cause of upper gastrointestinal bleeding].

Presse Med 2015 Mar 19;44(3):368-9. Epub 2014 Dec 19.

CHU Ibn Rochd, service de chirurgie générale III, Casablanca 20360, Maroc.

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http://dx.doi.org/10.1016/j.lpm.2014.05.025DOI Listing
March 2015
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