Hassan Chtata

Acute systemic embolism due to an idiopathic floating thrombus of the thoracic aorta: success of medical management: a case report

BackgroundIdiopathic thoracic aortic mural thrombi are rare. They can be responsible for dramatic systemic embolization. Early treatment is imperative because of their high morbidity and mortality rate.Case presentationA 55-year-old previously healthy Moroccan male came in an array of acute right lower limbs pain and abdominal sensibility. Severe systemic embolism involving the lower extremities, spleen, kidney, and digestive tract, due to an idiopathic mural thrombus of the thoracic aorta was diagnosed. He received medical treatment leading to the complete disappearance of the thrombus and the effects caused by the latter.ConclusionsWhen faced unexplained peripheral embolization, research for a thrombus of the thoracic aorta should be performed. Medical treatment should be considered for its management, especially in patients with high surgical risk.

Late Complication of a Femoral Monitoring Catheter: A Case of Femoral False Aneurysm Treated Surgically

Femoral false aneurysms are rare. They are one of the main complications of femoral catheterization, trauma of this area, or the use of intravenous drugs. They usually occur in the days after femoral puncture, and only rarely occur years after the procedure or incident. Treatment often requires complex surgical methods. We report the management of a patient with a ruptured infected femoral false aneurysm that was diagnosed 4 years after a femoral puncture performed in intensive care unit to perform peripheral arterial catheter hemodynamic monitoring. The patient was operated with exclusion of the aneurysm and prosthetic bypass, associated with intravenous antibiotics adapted to the bacterial strain grown from the operative site, which resulted in a favorable outcome.

Endovascular Treatment of 2 True Degenerative Aneurysms of Superficial Femoral Arteries.

We report the rare observation of a 58-year-old patient presenting 2 degenerative aneurysms of the superficial femoral arteries, with a rupture of the right aneurysm, treated by covered stents, with a satisfying midterm follow-up. The endovascular approach is a minimally invasive procedure which should be proposed as the first-line treatment to all the patients presenting aneurysms of the superficial femoral arteries, both asymptomatic as complicated.

Pseudoaneurysm of the Posterior Tibial Artery After Posterior Tibial Tendon Transfer.

Pseudoaneurysm of the posterior tibial artery is an uncommon condition that, left untreated, can lead to hemorrhage, thrombosis, or emboli. We present the case of a 54-year-old male who developed pseudoaneurysm of the posterior tibial artery 4 months after undergoing tibialis posterior tendon transfer for management of peroneal nerve palsy, which had developed as a complication of hip arthroplasty.

Drop-Attacks Revealing a Cervical Cystic Lymphangioma.

We report the case of a 28-year-old man who presented in emergency for recurrent drop-attacks. Ultrasound imaging and angio computed tomography revealed a left cervical tumor, and the patient underwent surgery. The diagnosis of cystic lymphangioma was done on the anatomic characteristics of the surgical specimen and the results of the histological study. This is the first reported case of late diagnosis of a cervical cystic lymphangioma revealed by recurrent drops attack.

Multiple Visceral Artery Aneurysms: An Uncommon Manifestation of Antineutrophil Cytoplasmic Antibody Vasculitis

The antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis mainly affect small vessels. They are an exceptional etiology of visceral artery aneurysms, which are themselves unusual and potentially serious vascular disease. We report the case of a patient followed for vasculitis associated with ANCA with kidney disease who presented with symptomatic aneurysm of the inferior mesenteric artery and aneurysm of the superior mesenteric artery.

Ruptured Carotid Aneurysm Revealing a Behcet's Disease

We report the case of a 20-year-old male who was operated for a large ruptured aneurysm of the right common carotid artery, revealing a Behcets disease. The aneurysm was excised and the right common carotid artery was repaired with a polytetrafluoroethylene prosthesis. None of the criteria of the International Study Group for Behcets disease was present at the time of the diagnosis.

Small bowel schwannoma revealed during an inguinal hernia: a case report

IntroductionThe association of bowel tumor and inguinal hernia is rare. We report according to our research the first case of the migration of a small bowel schwannoma into an inguinal hernia.Case presentationWe report the case of a 51-year-old Moroccan malen admitted for a non-reducible right inguinal hernia in which surgical exploration showed the presence of a small bowel tumor that had migrated into his hernia sac. A histopathological examination of the tumor was in favor of a small bowel schwannoma.ConclusionSmall bowel schwannoma is an exceptional clinical entity for which the diagnosis is difficult; its confirmation needs histological and immunohistochemical studies.

Thrombus flottant emboligène de la crosse aortique : un autre succès du traitement anticoagulant

Le thrombus flottant de la crosse de l’aorte, sur aorte non pathologique, est rare. Il est responsable de 0,1 % des embolies systemiques chez la femme jeune [1]. Le traitement reste l’objet de controverses. Des resultats favorables par le seul traitement anticoagulant ont ete rapportes [1]. Nous rapportons un cas de thrombus flottant de la crosse de l’aorte chez une femme jeune, revele par une ischemie aigue du membre superieur gauche, traite avec succes par heparine seule.ObservationMme [...]

Un syndrome d’hyperperfusion avec hémorragie intracérébrale mortelle sur endartériectomie carotidienne

IntroductionLe syndrome d’hyperperfusion cerebrale avec hemorragie intracrânienne, apres endarteriectomie ou stenting carotidien, est associe a une morbi-mortalite importante [1, 2]. La physiopathologie de ce syndrome reste obscure [3]. Parmi les hypotheses avancees, la perte d’autoregulation des capillaires cerebraux liee a l’ischemie chronique est le mecanisme le plus souvent retenu. Mais les modifications hemodynamiques survenant apres la revascularisation carotidienne [...]