Mohamed Mongi Bacha

Post kidney transplantation Kaposi's sarcoma: the experience of a Mediterranean North African center.

The aim of this study was to determine the overall and specific incidences of Kaposis sarcoma (KS) in a cohort of 568 kidney transplant recipients (KTR) in a single North African Mediterranean center.

Phéochromocytome surrénalien chez un insuffisant rénal chronique en dialyse péritonéale

Pheochromocytoma is a rare tumor responsible for paroxysmal hypertension which is difficult to control. Diagnosis is important because it represents a curable form of hypertension. Few cases of pheochromocytoma patients with end-stage renal failure were reported in the literature. These cases are specially responsible for diagnosis and therapeutic problems. We report here a case of an end-stage renal failure patient who has pheochromocytoma, he was treated by automated peritoneal dialysis. The patient is a 47-year-old man who has an IgA glomerulonephritis. On peritoneal dialysis, his blood pressure level remains high despite four antihypertensive drugs association and adequate dialysis. Furthermore, the patient suffered from headaches, sweats and palpitations. This leads to suspect pheochromocytoma. Thus, urinary excretion rates of metanephrines and normetanephrines were high. Radiographic diagnosis tests were negative but MIBG scintigraphy was able to localise the tumor in the left suprarenal gland. He had coelioscopic left adrenalectomy without complications, microscopic studies showed an hyperplasia of the adrenal medulla. Soon after surgery his blood pressure was well controlled by one antihypertensive drug. We conclude that refractory hypertension, as a possible diagnosis, is uncommon in peritoneal dialysis patients. Pheochromocytoma must be eliminated by careful evaluation.

Considérations sur la mise en place d’un registre des receveurs d’un greffon rénal et d’un registre des donneurs vivants dans les pays maghrébins

Considérations sur la mise en place d’un registre des receveurs d’un greffon rénal et d’un registre des donneurs vivants dans les pays maghrébins Consideration on the implementation of a registry of renal transplant recipients and a registry of living donors in the Maghreb countries Benyounès Ramdani , Dalila Khemri , Fethi Ben Hamida , Tarik Sqalli , Younes Boulahia , Lilia Ben Fatma , Inass Laouad , Ali Benziane , Mohamed Mongi Bacha , Karim Zouaghi , Mohamed El Hassan Trabelsi , Cécile Couchoud l,*