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Exudative ascites revealing an Idiopathic Hypereosinophilic Syndrome Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201755 Khadija Lamii1*, Ahmed Bellabah1, Wafae Hliwa1, Fouad Haddad1, Mohmed Tahiri1, Wafae Badre Page No. 1-4 1 Eosinophilic ascites may be an important clinical sign of idiopathic hypereosinophilic syndrome (SHI), and it should be kept in mind in the absence of evidence for any other recognized cause of eosinophilia. We report a 34-year-old woman, presented for isolated exudative ascites rich in Eosinophilic Polynuclear. Laboratory tests highlighted a persistent hypereosinophilia at 7191 /mm3. The computerized tomography scan showed moderate ascites. Multiple biopsies revealed eosinophil count high in sigmoid and descending colon. Bone marrow aspiration showed hypercellularity with 16% mature eosinophils, without blasts. Cytogenetic analysis showed a normal karyotype. The expression of a FIP1L1-PDGFRA (FIP1-like 1/ Platelet derived growth factor receptor alpha) fusion protein and no identifiable etiology for eosinophilia, all these findings were suggestive of a diagnosis of idiopathic hypereosinophilic syndrome with myeloproliferative variant and prednisone was started, with good outcomes in clinical and biological. A preventive treatment with Imatinib was proposed. The patient remained asymptomatic (24-month decline). Keywords: Idiopathic Hypereosinophilic Syndrome, Eosinophilic Polymorphonuclear, Eosinophilic ascites, FIP1L1-PDGFR. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=571http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-5-283-1-4.pdf

KNOWLEDGE OF COELIOSCOPY BY THE MOROCCAN GENERAL POPULATION (About 1000 peoples) Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201755 D. Erguibi1*, M.S. Rochd2, R. Boufettal3, S.R. Jai4 F. Chehab5. Page No. 5-16 1 Laparoscopic surgery has flourished in recent years in many surgical specialties: digestive, gynecological and urological, minimizing the mimicry of laparotomic gestures too aggressive, sometimes for pathologies so benign. In order to evaluate the knowledge, fears and quality of information of the Moroccan population with regard to laparoscopic surgery, a survey was carried out over a one-year period from 01/07/2005 to 30/01/06/2016 at the level of eight Moroccan regions.The results of our survey showed that the Moroccan population is inadequate in terms of laparoscopic surgery, risks and benefits. Also, many people have false information about the use of laser or carbon dioxide. In order for celiac surgery, a topical technique that is promoted to a definite future, to develop, this technique should not put patients at greater risk than those inherent in conventional surgery. This will be done by respecting the technical and safety rules that govern their practice and above all to inform the patient and therefore the general population about the technique, its progress, its complications and above all its advantages in order to sensitize them for easier access to care. Keywords: Moroccan population- laparoscopy- indications- complications laser. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=572http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-5-285-5-16.pdf

DIAGNOSTIC AND THERAPEUTIC STRATEGY IN MANAGEMENT OF THYROID HYDROCARBONS IN SURGICAL SURGERY : ABOUT 89 CASES Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201755 D. D. Erguibi*, , R. Boufettal, S.R. Jai And F. Chehab. Page No. 17-25 1 Our studyconsists in reporting the experience of the General Surgery Service Wing III, CHU Ibn Rochd Casablanca, in the management of thyroid goitres, in order to analyze the anatomo-clinical aspects, the means of investigation, management in a surgical environment. We collected data on 89 cash in the service between June 2013 and June 2015. The initial assessment included an examination, a complete clinical examination and a paraclinical assessment mainly made of a thyroid ultrasound and a hormonal thyroid assessment made mainly of the TSH. The meanage of our patients was 49 years and the sex ratio was 11.71 (82F / 7H). The duration of evolution was more than 2 yearsin 31% of the cases, 58% of the patients had consulted for an asymptomatic mass. Our patients were thyroids in 100% of cases. Ultrasound showed multi heteronodular goitre in 89% of cases and 34% of cases were classified TIRADS 3. There was no evidence of diploid character in all cases. The reconciled pathologies were benignin 86% of cases and malignantin 14% of cases, the latter being mainly represented by papillary carcinoma (9.76%).The surgical technique represented by total thyroidectomyin 100% of cases in ourseries, systematically associating nerve research recurrence and parathyroids, showed post-operative results not very different from published studies in particular recurrent complications (5.61%) and parathyroid (16.85%). Keywords: Thyroid, goiter, thyroidectomy complication. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=573http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-5-286-17-25.pdf

GASTROINTESTINAL STROMAL TUMORS : Retrospective study of 5 cases Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201755 D. Erguibi1*, M.S. Rochd2, R. Boufettal3, S.R. Jai4 And F. Chehab5. Page No. 26-31 1 Gastrointestinal stromal tumors are the most common mesenchymal tumors of the digestive tract. These tumors are mostly localized in the stomach and small intestine. The particularity of these tumors is related to the discovery on the surface of its cells of the expression of a growth receptor with Tyrosine Kinase activity called C-kit. Our retrospective study focused on 5 cases of digestive stromal tumors diagnosed, treated and followed in the department of visceral surgery (Wing 3) of CHU IBN ROCHD of Casablanca. The aim of this work is to illustrate the clinical, paraclinical, histopathological, prognostic, evolutionary and therapeutic characteristics of these tumors using 5 clinical observations and a general review of the literature. Keywords: Gastric Gastrointestinal Stromal Tumors- GIST- Epidemiology- Diagnosis- Treatment- Evolution http://www.scientiaresearchlibrary.com/archive-abs.php?arc=574http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-5-287-26-31.pdf

Surgical treatment of duodenal adenocarcinoma in 2 cases Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201755 D. Erguibi1*, A. Nouri1, R. Boufettal1, S.R. Jai 1And F. Chehab1. H. Tabakh2, N. Touil2, O. Kacimi2, N. Chikhaoui2 Page No. 32-37 1 The adenocarcinoma of the duodenum is a rare malignant tumor, its diagnosis is often delayed due to clinical latency. The diagnosis is based on endoscopy and the anatomatomopathological study, while ultrasound and computed tomography allow the assessment of extension. The treatment is essentially surgical.We report a retrospective study of two cases of adenocarcinoma of the duodenum hospitalized in the department of general surgery (wing3) of CHU IBNO ROCHD CASABLANCA during a period from 2007 to 2013 in order to determine the epidemiological, diagnostic, therapeutic and evolutionary profile of the adenocarcinoma of the duodenum.The age of our patients is 37 years and 61 years, both patients were male. Clinical symptomatology is nonspecific, dominated by high digestive stenosis. Oesogastroduodenal fibroscopy with biopsy confirmed the diagnosis. One of our patients has benefited from a cephalic duodenopancreatectomy and the other from a gastro-jejunal derivation. The evolution is marked by the improvement of the general condition of the 1st and the death of the 2nd after a decline of 14 months. The prognosis of this disease is related to the extent of the tumor and the type of treatment. Improved survival is dependent on early diagnosis and radical surgery. Keywords: duodenal adenocarcinoma, Cephalic duodenopancreactectomy, Prognosis. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=575http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-5-288-32-37.pdf

DUPLICITE DE LULNA OU DIMELIE ULNAIRE AVEC POLYDACTYLIE A SEPT DOIGTS A PROPOS DUN CAS. Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201755 TRAORE Diakaridia*, EL Mohtadi AGHOUTANE, Tarik SALAMA, Redouan EL FEZZAZI Page No. 38-41 1 The Ulnar dimelia or Ulnar duplication is a very rare congenital anomaly of the upper limb in its classical form which combines ulna duplication ,total absence of the radius and polydactyly. The complexity of treatment is related to stiffness of the elbow and wrist. The results are satisfactory aesthetically, but less functionally. We report the case of 2 year old girl with severe stiffness of the elbow, wrist and polydactyly. She is operated in 2 steps, whose relay is provided by motor rehabilitation. Keywords: Duplication Ulna Children http://www.scientiaresearchlibrary.com/archive-abs.php?arc=576http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-5-290-38-41.pdf

ACCIDENTAL INGESTION OF BATTERIES IN CHILDREN Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201755 D. TRAORE*, I. YARO, K. FOURAIJI , M. EE. KAMILI , M. OULAD SAIAD Page No. 42-44 1 Accidental ingestion of batteries in children is strong resurgence due to their use in products that are available to children. The electric battery is not a foreign body like the others, two specific injury mechanisms are involved , firstly burns due to electrolysis , the other by the release of toxic chemicals . The Interest of this study is to educate on the toxicity caused by batteries. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=577http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-5-291-42-44.pdf

DISTAL HYPOSPADIAS IN CHILDREN TREATMENT AND COMPLICATION: about 284 cases Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201755 D. TRAORE*, M. QOREICHI, ML. TOURE, K. FOURAIJI, EE. KAMILI, M. OULAD SAIAD Page No. 38-40 1 Introduction: Hypospadias is the most common genital malformation. Its prevalence is estimated at 3-8 cases per 1,000 male births. Its management is surgical. Complications are the most important challenge despite the progress of surgical techniques. Methods: A retrospective study on 284 cases, during the period of 6 years from 2009 to 2016, to identify the epidemiological and clinical aspects and the management of distal hypospadias. The surgical techniques used were Duplay , Duplau- SnodGrass(TIP), Mathieu, and Koff. The minimum follow-up was 6 months. Throught this study and a literature review, we will try to describe the particular clinical entity and take stock of the complications related the differents treatments Keywords: Distal hypospadias- Children- Treatment- complication http://www.scientiaresearchlibrary.com/archive-abs.php?arc=579http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-5-289-38-40.pdf

DUPLICITE DE LULNA OU DIMELIE ULNAIRE AVEC POLYDACTYLIE A SEPT DOIGTS A PROPOS DUN CAS. Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201755 TRAORE Diakaridia*, EL Mohtadi AGHOUTANE, Tarik SALAMA, Redouan EL FEZZAZI Page No. 41-44 1 The Ulnar dimelia or Ulnar duplication is a very rare congenital anomaly of the upper limb in its classical form which combines ulna duplication ,total absence of the radius and polydactyly. The complexity of treatment is related to stiffness of the elbow and wrist. The results are satisfactory aesthetically, but less functionally. We report the case of 2 year old girl with severe stiffness of the elbow, wrist and polydactyly. She is operated in 2 steps, whose relay is provided by motor rehabilitation. Keywords: Duplication Ulna Children http://www.scientiaresearchlibrary.com/archive-abs.php?arc=580http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-5-290-41-44.pdf

ACCIDENTAL INGESTION OF BATTERIES IN CHILDREN Scientia Research LibraryJournal of Applied Science And Research2348 - 0416201755 D. TRAORE*, I. YARO, K. FOURAIJI , M. EE. KAMILI , M. OULAD SAIAD Page No. 45-47 1 Accidental ingestion of batteries in children is strong resurgence due to their use in products that are available to children. The electric battery is not a foreign body like the others, two specific injury mechanisms are involved , firstly burns due to electrolysis , the other by the release of toxic chemicals .The Interest of this study is to educate on the toxicity caused by batteries. http://www.scientiaresearchlibrary.com/archive-abs.php?arc=581http://www.scientiaresearchlibrary.com/archive/JASR-2017-5-5-291-45-47.pdf