Publications by authors named "Ittimade Nassar"

13 Publications

  • Page 1 of 1

Infected Urachal Sinus in an Adult.

Cureus 2021 Jun 16;13(6):e15693. Epub 2021 Jun 16.

Radiology, Ibn Sina University Hospital, Rabat, MAR.

Urachal anomalies are infrequent in the adult population and may represent a diagnostic challenge. Few cases of urachal sinuses are reported and are usually asymptomatic unless a complication occurs, most likely infectious. Infected urachal sinus' clinical manifestations are a purulent umbilical discharge, abdominal pain, and a periumbilical mass. We report the case of a late presentation of an infected urachal sinus in a male adult. Clinical and imaging features allowed accurate diagnosis. Antibiotic therapy was followed by the urachal remnant's surgical excision. The postoperative course was uneventful. Histological examination revealed no signs of malignancy.
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http://dx.doi.org/10.7759/cureus.15693DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8281809PMC
June 2021

Primary hepatic lymphoma in liver cirrhosis: A rare case report.

Radiol Case Rep 2021 Aug 12;16(8):2179-2183. Epub 2021 Jun 12.

Radiology Department, Ibn Sina University Hospital, Mohammed V University, Rabat, Morocco.

Primary hepatic lymphoma is rare. Clinical and radiological presentations are not specific. The diagnosis is often late. Chronic hepatitis or cirrhosis, especially post-viral C usually precedes primary liver lymphoma. The differential diagnosis arises mainly with other hepatic tumors, such as atypical hypovascular cellular hepatocellular carcinoma when there is liver cirrhosis and with hypovascular hepatic metastases, especially colorectal, stomach and lung metastases. Other differential diagnosis are tuberculosis or sarcoidosis, particularly when there is multiple lesions. We report the case of a 52-year woman, with a history of hepatitis C infection, presenting liver cirrhosis with multiple hepatic lesions. Radiological aspect was not specific which makes it difficult to distinguish from other hepatic tumors, especially hypovascular liver metastases.
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http://dx.doi.org/10.1016/j.radcr.2021.05.028DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8218733PMC
August 2021

Left circumflex artery fistula to left atrium: a rare case report.

Radiol Case Rep 2021 Aug 8;16(8):1985-1987. Epub 2021 Jun 8.

Radiology department, Ibn Sina University Hospital, Mohammed V University, Rabat.

Coronary artery fistulas are rare congenital anomalies of coronary termination. There are 3 types: (1) cameral coronary fistulas, (2) pulmonary coronary fistulas, and (3) bronchial coronary fistulas. Left circumflex coronary artery to left atrial fistula are exceptional. Imaging, especially the CT angiogram, must establish an anatomical classification of the fistula for therapeutic purposes, by specifying its origin, its path, its size and its termination. We report a rare case of the left circumflex coronary artery to left atrial fistula in a 31 year old man, which is an uncommon presentation of coronary termination anomalies. The CT coronary angiogram must describe the origin segment of the fistula and the drainage site which have therapeutic consequences.
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http://dx.doi.org/10.1016/j.radcr.2021.04.081DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8203572PMC
August 2021

Cystic mass of the right iliac fossa: don't forget about lymphatic malformation.

BJR Case Rep 2021 May 22;7(3):20200165. Epub 2020 Dec 22.

Department of Radiology, University Hospital Center IBN SINA, Mohammed V-Souissi University, Rabat, Morocco.

Lymphatic malformation or cystic lymphangioma is a benign tumour of the lymphatic vessels. It is more commonly reported among children and has polymorphic clinical presentations. The diagnosis is based on imaging but requires histological confirmation. The treatment of choice is surgical excision for the abdominal and symptomatic localization. We report the case of a 30-year-old female who consulted for right iliac fossa pain mimicking an acute appendicitis. The physical examination revealed a slight tenderness in the right iliac fossa without fever or palpable mass. Though the biological screening was normal, the imaging exploration has revealed the presence of a multiloculated cyst located in the right iliac fossa at the ascending colon and measuring 15 cm. The mass matches with lymphatic malformation. Therefore, a laparoscopy was performed, and complete resection of the cystic tumor was accomplished with right hemicolectomy. The histologic exam has confirmed the diagnosis. Colonic lymphatic malformation is a rare and benign tumour, requiring a complete surgical excision to minimise any recidivism. The definitive diagnosis remains histological.
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http://dx.doi.org/10.1259/bjrcr.20200165DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8171127PMC
May 2021

An unusual cause of obstructive jaundice: Lemmel's syndrome.

BJR Case Rep 2021 Apr 15;7(2):20200166. Epub 2020 Dec 15.

Department of Radiology, University Hospital Center IBN SINA, Mohammed V-Souissi University, Rabat, Morocco.

Lemmel's syndrome is a rare and misdiagnosed cause of obstructive jaundice. The cause of the obstacle is a duodenal diverticulum located at the periampullary generating a compression effect on the common bile duct with secondary dilation of the extra- and intra-hepatic bile ducts. Late diagnosis of this entity is common and may lead to unnecessary further investigations and therapeutic delay. There are only few case reports of this rare condition. We report a case of 77-year-old female presenting with obstructive jaundice due to Lemmel's syndrome. The diagnosis was made on a set of clinical, biological and radiological arguments with good improvement after medical treatment.
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http://dx.doi.org/10.1259/bjrcr.20200166DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8008456PMC
April 2021

Reorganization of the imaging units in the context of the COVID-19 pandemic: experience of the Ibn Sina University Hospital in Rabat.

Pan Afr Med J 2020 11;35(Suppl 2):30. Epub 2020 May 11.

Medical Emergencies Department, Nosocomial Infection Control Committee, Ibn Sina Hospital, Rabat, Morocco.

The global health system is currently facing the new SARS-COV 2 pandemy. This exceptional situation requires, from our African health systems, to reorganize and readapt the usual protocols when they were carried out before the crisis and/or their urgent implementation otherwise. As imaging is one of the pillars of the diagnosis of infection with this emerging virus, it was essential to rethink the imaging department organization so as to dedicate a unit to COVID-19 activity while maintaining the usual emergency activity within the Ibn Sina university hospital in Rabat. The protection of exposed personnel and the bio-cleaning of radiology equipment and rooms also became an evidence. The active involvement of the administration, the Clinical Pharmacy Department and the Nosocomial Infections Control Committee is a key to the success of this reorganization.
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http://dx.doi.org/10.11604/pamj.supp.2020.35.2.23239DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7875740PMC
March 2021

COVID-19 pneumonia in a patient with sarcoidosis: A case report.

Clin Case Rep 2021 Feb 23;9(2):910-913. Epub 2020 Dec 23.

Radiology Department Ibn Sina University Hospital Center Rabat Morocco.

Key prognostic elements to consider in sarcoidosis patients who contract COVID-19 pneumonia are pulmonary involvement, the underlying immune system dysfunction, immunosuppressive therapies' use, and the increased risk for hypercoagulability.
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http://dx.doi.org/10.1002/ccr3.3684DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7869356PMC
February 2021

Chronic dissection of the abdominal aorta as a rare complication of Takayasu disease.

Radiol Case Rep 2020 Nov 4;15(11):2188-2191. Epub 2020 Sep 4.

Central Radiology Department, CHU Ibn Sina, Rabat, Morocco.

Takayasu's arteritis exposes to complications of varying severity, such as arterial stenosis, thrombosis, and more rarely aneurysms. Aortic dissection is a rare complication of Takayasu's disease, reported in few times in the literature, only 7 of which concern the abdominal aorta. We report the case of a 41-year-old woman followed for Takayasu disease for 15 years, who presented an asymptomatic and chronic dissection of the abdominal subrenal aorta. The patient underwent conservative medical treatment. After a follow-up of 17 months, the aortic dissection was still asymptomatic, with a stable appearance on follow-up imaging. To our knowledge, this is the first case report of asymptomatic aortic dissection as a rare complication of Takayasu disease.
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http://dx.doi.org/10.1016/j.radcr.2020.08.018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7481880PMC
November 2020

Hydatid pulmonary embolism: An exceptional complication of hydatid disease.

Radiol Case Rep 2020 May 7;15(5):545-547. Epub 2020 Mar 7.

Central Radiology Department, Ibn Sina Hospital, Mohamed V University, BP 10100, Rabat, Morocco.

We present an extremely rare case of a young man with hydatid pulmonary embolism caused by a direct invasion of the pulmonary artery by a hydatid cyst. Even if it is a benign parasitic disease, it can lead to serious complications such as arterial, systemic, or multivisceral dissemination or being responsible for an anaphylactic shock. Because of the clinical polymorphism, the diagnosis can be delayed. Therefore, it is necessary to know when conduct a chest CT angiography which is the gold standard for the positive diagnosis.
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http://dx.doi.org/10.1016/j.radcr.2020.01.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7063108PMC
May 2020

[About a lymphatic lumbago].

Presse Med 2019 Feb 18;48(2):210-212. Epub 2019 Jan 18.

Université Mohammed V, hôpital Avicenne, service de radiologie, Rabat, Maroc.

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http://dx.doi.org/10.1016/j.lpm.2018.11.020DOI Listing
February 2019

[Upper gastrointestinal bleeding in portal hypertensive gastropathy reveals a wandering spleen].

Presse Med 2016 Oct 4;45(10):935-937. Epub 2016 Aug 4.

Hôpital Ibn Sina, service de radiologie centrale, rue Mfadel Cherkaoui, quartier Souissi BP 6527, Rabat, Maroc.

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http://dx.doi.org/10.1016/j.lpm.2016.06.005DOI Listing
October 2016

Kienböck's disease: a case report.

Pan Afr Med J 2015 16;22:246. Epub 2015 Nov 16.

Department of Medical Imaging, Mohammed V University, URAC 30, Faculty of Medicine and Pharmacy, Rabat, Morocco.

Kienböck disease is a condition characterized by avascular necrosis of the lunate bone. Advanced imaging can aid in the diagnosis and staging of Kienböck disease. Magnetic resonance imaging (MRI) is an important adjunct to diagnosis. In particular, MRI is helpful early in the disease when plain radiographs may not reveal abnormalities. A 17-year-old man with Kienböck disease who underwent radiography and MR is described in this article.
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http://dx.doi.org/10.11604/pamj.2015.22.246.6837DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4764308PMC
October 2016

Tuberculosis of the greater trochanter.

Rheumatology (Oxford) 2009 Oct 18;48(10):1330-1. Epub 2009 Aug 18.

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http://dx.doi.org/10.1093/rheumatology/kep185DOI Listing
October 2009
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