Rasmussen Encephalitis: A Late CT Discovery within Partial Seizures in a Young Adult
Anouar Daki, Reda Taoussi, Lahlou Othman, Hajar Khattab, Houria Tabakh, Abdellatif Siwane, Najwa Touil, Omar Kacimi, Nabil Chikhaoui
SAS J Med | 333-335
DOI : 10.36347/sasjm.2021.v07i07.008
Rasmussen encephalitis (RE) is a unilateral hemispheric encephalitis whose main clinical features include refractory focal epilepsy or epilepsia partialis continua, hemiparesis, and progressive cognitive decline. Despite theautoimmune pathogenesis of RE, the only definitive therapeutic option is currently represented by surgery. This is a case of a 23-year-old women, with a background of partial epilepsy resistant to carbamazepine occurring every 3 or 4 months, which first imaging investigations never shown any plausible cause. The patient had neither history of prenatal disease. She presented to us within a 48 hours of partial, reversible hemiparesis and loss of consciousness. A brain computed tomography (CT) was performed showing a cortical hemiatrophy.
The Ileo Sigmoidal Node: A Rare Cause of Bowel Obstruction
A. Daki, R. Taoussi, A. Laanait, A. Siwan, O. kacimi, N. Touil, N. Chikhaoui
SAS J Med | 330-332
DOI : 10.36347/sasjm.2021.v07i07.007
The objective of this work is to highlight and discuss a rare cause of intestinal obstruction with a poor prognosis, through the case of an intestinal obstruction on ileo sigmoidal volvulus or (ileo sigmoidal node) for which we will discuss its clinical, paraclinical, therapeutic and evolutionary characteristics, with review of the literature. This is a 45 year old patient, without any particular pathological history, admitted for abdominal defence of sudden onset associated with a cessation of matter and gas, the biological work-up objective a hyperleucocytosis at 15000 (G/L), with a CRP at 45 mg/l, the abdominal film without preparation objective a gallic and colonic distension with the presence of a hydroareic level, An abdomino-pelvic CT scan was requested as a matter of urgency and showed distension of the gallbladder and colonic anses with evidence of a transitional level upstream of an ileo-sigmoid loop, immediate surgical management was required with a sigmoidectomy and resection of 25 cm of the small bowel. The postoperative follow-up was marked by a disappearance of the pain with resumption of intestinal transit. Although ileo sigmoidal volvulus is a rare cause of bowel obstruction, diagnosis should be made early to avoid bowel necrosis.
Polycystic Disease of the Pancreas: Rare Case Report
Alae Eddine El Aissaoui, El Ouazzani Ettayeb, Tarik Souiki, Ahmed Zerhouni, Imane Toughrai, Khalid Mazaz, Karim Ibn Majdoub
SAS J Med | 384-386
DOI : 10.36347/sasjs.2021.v07i07.006
Isolated polycystic disease of the pancreas is an extremely rare condition, usually found incidentally at imaging on asymptomatic patients. Cystic lesions of the pancreas are most oftenly seen in association with polycystic kidney disease and Von Hippel Lindau syndrome. Cross-sectional imaging and cystic fluid analysis play an important role in differentiating these congenital cysts from neoplastic cysts and pancreatic pseudocysts. The indications for surgery remain rare due to the very long asymptomatic evolution. The monitoring of these lesions generally shows the stability of most cysts. We report the case of a 33 years old patient who presented a polycystic disease of the pancreas incidentally discovered in imaging.