Khalid Rabbani

Unusual localization of hydatidosis: Hydatid cyst of gallbladder

The case of a 38-year-old man suffering from hydatid cyst located in the gallbladder is presented. Although Morocco remains an endemic area for echinococcosis, this presentation of the disease is rare. Pericyst was tightly attached to the liver. Complete pericystectomy followed by cholecystectomy was done. Histopathology confirmed the presence of calcified hydatid cyst of the gallbladder. Perioperative adjuvant medical therapy with albendazole was administered. In a 2-year follow-up, no recurrence has occurred.

Foreign body of the rectum: An unusual case

When the early phase is over and the patient presents with upper abdominal pain, a history of recent or remote penetrating thoracoabdominal trauma on the left side should give rise to clinical suspicion of a delayed diaphragmatic hernia complication like incarceration or strangulation of the herniated stomach.[3] Proper radiological examinations will help in diagnosis.[2] Chest X-ray is the initial radiologic investigation, which reveals absence of fundic gas in its normal position, elevation of the hemidiaphragm with its absent sharp outline and coiled nasogastric tube located within the left hemithorax. Oral administration of barium or water-soluble contrast may enhance the detection of bowel within the chest.[2] MDCT is the most appropriate second-line study.[2,4] Multiplanar reformations of high spatial resolution improve the accuracy of CT in demonstrating diaphragmatic defects and hernias. The demonstration of conclusive radiologic findings of collar sign as a constriction of hollow viscus at the diaphragmatic defect and dependent viscera sign as abdominal organs set against posterior ribs enhances the diagnosis of posttraumatic diaphragmatic hernia.[4] The management strategy includes hernia reduction, pleural drainage and repair of the diaphragmatic defect.[3]

A Rare Internal Herniation in Adult: Meckel’s Diverticulum

Intestinal obstruction due to Meckel’s diverticulum is the most common presentation in adults. There are various mechanisms by which it can cause intestinal obstruction such as volvulus of small intestine around a fibrous band extending from Meckel’s diverticulum to umbilicus, intussusception, and Littre’s hernia. We report the case of a young adult operated on emergency for acute intestinal obstruction. The CT scan suggested a nonspecific internal herniation. Surgical exploration confirmed a rare type of obstruction due to Meckel’s diverticulum.

Fatal hypoglycaemia from IGF II hyperproduction as a complication of a mesenteric gastrointestinal stromal tumour

a Gastroenterology Department, King Mohamed VI Hospital, FMPM, UCAM, King Mohamed VI University Hospital, Medical School of Marrakech, Cadi Ayyad University, Marrakech, Morocco b Surgery Department, King Mohamed VI Hospital, FMPM, UCAM, King Mohamed VI University Hospital, Medical School of Marrakech, Cadi Ayyad University, Marrakech, Morocco c Endocrinology Department, King Mohamed VI Hospital, FMPM, UCAM, King Mohamed VI University Hospital, Medical School of Marrakech, Cadi Ayyad University, Marrakech, Morocco d Anatomical Pathology Department, King Mohamed VI Hospital, FMPM, UCAM, King Mohamed VI University Hospital, Medical School of Marrakech, Cadi Ayyad University, Marrakech, Morocco

Calcified liver hydatid cyst compressing the gall bladder.

A 48-year-old male patient was admitted to suffering from hydatid disease located in the gall bladder. Although Morocco remains an endemic area for echinococcosis, this presentation of the disease was rare. The pericyst was tightly attached to the liver. Complete pericystectomy with cholecystectomy was done. Histopathology confirmed the presence of a calcified hydatid cyst of the gall bladder. Perioperative adjuvant medical therapy with albendazole was administered. After a 2-year follow-up, no recurrence occurred.

COLORECTAL CANCER IN MARRAKECH TENSIFT ELHAOUZ, EPIDEMIOLOGICAL AND ANATOMOPATHOLOGICAL ASPECTS, ABOUT 2584 CASES IN 19 YEARS.

Khalid Rabbani, Jihane Hakam, Youssef Narjis, Redouane Benelkhaiat, Abdelouahed Louzi, Hamid El Idrissi Dafali and Abdenasser Finech. Surgical department of Mohamed VI University hospital, Marrakech, Morocco. ...................................................................................................................... Manuscript Info Abstract ......................... ........................................................................ Manuscript History

HEPATIC ACTINOMYCOSIS: A CASE REPORT.

Hicham Kachkach, Youssef Saydi, Khalid Rabbani, Youssef Narjis, Abdelouahed Louzi, Ridouan Benomar Benelkhaiat and Benasser Finech. Departement of general surgery, CHU Mohamed VI, Marrakech. ...................................................................................................................... Manuscript Info Abstract ......................... ........................................................................ Manuscript History