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Dive into the research topics where Haithem Zaafouri is active.

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Featured researches published by Haithem Zaafouri.


BMC Surgery | 2017

Ascending Cholangitis secondary to migrated embolization coil of gastroduodenal artery pseudo-aneurysm a case report

Haithem Zaafouri; Anis Hasnaoui; Sonia Essghaeir; Dhafer Haddad; Meriam Sabbah; Ahmed Bouhafa; Jamel Kharrat; Anis Ben Maamer

BackgroundGastroduodenalartery (GDA) pseudo-aneurysms are very rare. Their clinical importance lies in the eventuality of rupture, causing bleeding and ultimately exsanguination.Case presentationWe report the case of a man, with prior history of biliary surgery, presenting with haemobilia secondary to a rupture of GDA pseudo-aneurysm eroding the main bile duct. The patient was treated with coil embolization. This technique is considered to be safe. However, on the long term, some complications may occur. In our case, the patient presented with cholangitis subsequent to coil migration in the lower bile duct. This situation was managed using endoscopic retrograde cholangiopancreatography (ERCP) allowing coil extraction with favorable evolution.ConclusionsGDA pseudo-aneurysms are very rare. Bleeding, secondary to the rupture of these lesions, is a serious complication that could lead to death. Diagnosis and treatment of ruptured GDA pseudo-aneurysms rely on angiography. This method is considered to be safe. Cholangitis secondary to coil migration in the main bile duct is exceedingly rare,but remains an eventuality that physicians should be cognizant of.


British journal of medicine and medical research | 2016

Idiopathic Sclerosing Encapsulating Peritonitis Revealed by Intestinal Obstruction.

Haithem Zaafouri; Emir Ariane; Amine Lahmidi; Dhafer Haddad; Ahmed Bouhafa; Anis Ben Maamer

Sclerosing encapsulating peritonitis (SEP) is a very rare entity characterized by encasement of small intestine by a fibrocollagenous membrane. It is divided into primary (idiopathic) which is named as abdominal cocoon and secondary forms. The preoperative diagnosis is difficult and most cases are diagnosed intraoperatively. A conservative treatment approach is the most suitable management strategy in asymptomatic idiopathic SEP. In this paper, we aimed to present a case of idiopathic SEP revealed by intestinal obstruction.


Journal of Gastroenterology and Hepatobiliary Disorders | 2015

Surgical Treatment of Choledocal Cyst with Choledocolithiasis

Haithem Zaafouri; Alia Zouaghi; Amine Lahmidi; Ahmed Bouhafa; Anis Ben Maamer

Choledochocele is also known as Todani type III cyst or intraduodenal diverticulum and represents only 4% of all choledochal cysts. It is defined as a cystic dilatation of the distal intramural portion of the common bile duct protruding into the duodenal lumen. It remains an uncommon anomaly of the biliary tract with small malignant potential. Definitive treatment of the choledochocele can be carried out operatively or by endoscopic sphincterotomy. We report a case of a 39 year old female patient on whom we successfully performed surgery with a Roux-en-Y hepatico-jejunostomy.


Journal of Gastroenterology, Pancreatology & Liver Disorders | 2014

Acute Torsion of the Gallbladder

Haithem Zaafouri; Skander Mrad; Noomen Haoues; Rabii Noomene; Abderraouf Cherif; Ali Ben

An 89 year old man presented to the emergency department with a two days history of acute onset abdominal pain in the upper right quadrant, with fever, vomiting and malaise. His medical history included peptic ulcer disease and tobacco abuse. There was no significant relevant past surgical history. He was dehydrated at presentation with the following vital signs: HR86 b/min, BP-100/50 mmHg, T-38.5°C. Focused abdominal examination demonstrated tenderness to palpation in the right upper quadrant, and a positive Murphy’s sign. Laboratory blood tests revealed a leukocytosis of 22.7×103/L, C-reactive protein of 48 mg/L and normal kidney and liver function tests. Abdominal ultrasonography (Figure 1) and computed tomography (CT) scan (Figure 2) showed a clearly enlarged gallbladder with a thickened wall of 7 mm, with fluid sub-hepatically. They demonstrated no gallstone. Free air within the gallbladder wall was not seen. He was admitted to our hospital with the diagnosis of acute cholecystitis. After resuscitation emergency laparotomy through a midline incision was performed. On entering the abdominal cavity, a gangrenous distended gallbladder with omentum adhesed to it circumferentially was immediately noted (Figure 3). It was rotated more than 360 degrees anticlockwise around its mesentery. The gallbladder torsion was reduced and a cholecystectomy was then performed in the standard fashion, with placement of a drain in the gallbladder fossa. No gallbladder stones were found in the specimen. Histology revealed transmural necrosis consistent with volvulus. His post-operative course was unremarkable and he was discharged on post-operative day 3.


Arab Journal of Gastroenterology | 2012

Primary intestinal lymphangiectasia or Waldmann's disease: a rare cause of lower gastrointestinal bleeding.

Anis Ben Maamer; Jawhar Baazaoui; Haithem Zaafouri; Wided Soualah; Abderraouf Cherif


Archive | 2015

Hirschsprung’s disease in adults: Clinical and therapeutic features

Noomen Haoues; Haithem Zaafouri; Manel Mabrouk; Rabii Noomene; Mariam Bel Hadj Salah; Abderraouf Cherif; Ahmed Bouhafa; Anis Ben Maamer; Skander Mrad


International Journal of Medicine and Surgery | 2018

UNINTENTIONAL POST-OPERATIVE OPEN ABDOMINAL WALL IN NON-TRAUMATIC PATIENTS: A MONOCENTRIC RETROSPECTIVE STUDY IN TUNISIA

Anis Hasnaoui; Dhafer Haddad; Haithem Zaafouri; Ahmed Bouhafa; Anis Ben Maamer


BMC Surgery | 2018

Gastric leiomyosarcoma and diagnostic pitfalls: a case report

Anis Hasnaoui; R. Jouini; Dhafer Haddad; Haithem Zaafouri; Ahmed Bouhafa; Anis Ben Maamer; Ehsen Ben Brahim


The Pan African medical journal | 2017

Cholécystectomie laparoscopique ambulatoire: première expérience en Tunisie

Haithem Zaafouri; Skander Mrad; Nizar Khedhiri; Dhafer Haddad; Ahmed Bouhafa; Anis Ben Maamer


Journal Africain d'Hépato-Gastroentérologie | 2017

Étude de la sensibilité de l’échographie dans le diagnostic des polypes vésiculaires

Haithem Zaafouri; Anis Hasnaoui; I. Ben Hssan; Alia Zouaghi; Ahmed Bouhafa; A. Ben Maamer

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Ahmed Bouhafa

Tunis El Manar University

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Anis Ben Maamer

Tunis El Manar University

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Dhafer Haddad

Tunis El Manar University

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Anis Hasnaoui

Tunis El Manar University

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R. Jouini

Tunis El Manar University

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