A Case Report: A Rare Case of Multiple Chest Wall Schwannomas Associated with Uterine Leiomyoma and Infertility
Kawkabani Nadine,
Darwish Rula,
Boustros Omar,
Bejjani Simon,
El Achkar Nancy,
Abou Khalil Bassam
Issue:
Volume 4, Issue 1, January 2018
Pages:
1-4
Received:
12 November 2017
Accepted:
14 December 2017
Published:
8 January 2018
Abstract: Schwannomatosis is a tumor predisposition syndrome characterized by development of multiple schwannomas that are slow-growing encapsulating neurogenic tumors. It is a recurrent condition and patients lack usually the classic cutaneous stigmata, vestibular schwannomas or brain parenchyma tumors. Many papers have incriminated the mutation of the SMARCB1 gene in this disease which has been also observed in cases of uterine leiomyoma. This report describes a rare case of multiple chest wall schwannomas associated to a uterine fibroma. A genetic study done did not show any SMARCB1 gene mutation. Subsequently a further genetic counselling and a whole exome sequencing were recommended especially that the patient underwent many trials of failed IVF and two miscarriages despite resection of all the tumors.
Abstract: Schwannomatosis is a tumor predisposition syndrome characterized by development of multiple schwannomas that are slow-growing encapsulating neurogenic tumors. It is a recurrent condition and patients lack usually the classic cutaneous stigmata, vestibular schwannomas or brain parenchyma tumors. Many papers have incriminated the mutation of the SMAR...
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Cardiopulmonary Bypass Complications in a West African Country (Senegal)
Abdel-Kémal Bori Bata,
Amadou Gabriel Ciss,
Momar Sokhna Diop,
Papa Salmane Ba,
Papa Amath Diagne,
Ndeye Fatou Sow,
Gaye Magaye,
Souleyman Diatta,
Mohamed Leye,
Etienne Birame Sene,
Diene Samba,
Papa Adama Dieng,
Assane Ndiaye,
Mouhamadou Ndiaye
Issue:
Volume 4, Issue 1, January 2018
Pages:
5-9
Received:
30 November 2017
Accepted:
20 December 2017
Published:
9 January 2018
Abstract: Although cardiopulmonary bypass (CPB) has simplified open heart surgery, it causes adverse effects on the body’s systems. This study aims to report the complications related to CPB at the Cardiac Surgery Center of the University Hospital in Dakar (Senegal). This is a retrospective analytical and descriptive study covering a 24 months period (from January 2015 to December 2016). All adult and children patients who underwent open heart surgery using CPB machines were included in this study. 193 patients were eligible during this study’s period. Patients' mean age was 23 ± 15 years (range, 2–65), and 52% were female patients. Two complications were observed during CPB. One case of hemolysis and one case of an impossible weaning from CPB. Post-CPB complications were allocated as follows: hematological complications (88.5%) followed by cardiovascular (56%), pleuropulmonary (22.4%), septicemia (4%), renal (3%), systemic inflammatory response syndrome (SIRS) (2%) and neurologic (1%) complications. The overall hospital mortality was 5%. One (1) patient died intra operatively and nine (9) patients in the intensive care unit. The morbidity and mortality related to CPB in our cardiac surgery center is superimposed to those of the literature.
Abstract: Although cardiopulmonary bypass (CPB) has simplified open heart surgery, it causes adverse effects on the body’s systems. This study aims to report the complications related to CPB at the Cardiac Surgery Center of the University Hospital in Dakar (Senegal). This is a retrospective analytical and descriptive study covering a 24 months period (from J...
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Morbidity and Mortality of Rheumatic Valvulopathy Surgery in Young Adults in Senegal
Ciss Amadou Gabriel,
Diop Momar Sokhna,
Sow Ndeye Fatou,
Ba Pape Salmane,
Diagne Papa Amath,
Diatta Souleymane,
Gaye Magaye,
Leye Mohamed,
Sene Etienne Birame,
Dieng Papa Adama,
Ndiaye Assane,
Ndiaye Mouhamadou
Issue:
Volume 4, Issue 1, January 2018
Pages:
10-13
Received:
21 December 2017
Accepted:
16 January 2018
Published:
8 February 2018
Abstract: Rheumatic heart valve disease is the most important cardiovascular diseases in young African people. It’s a cause of a heavy morbidity and mortality. The aim of this study is to evaluate the morbidity and mortality of valve surgery in young adults. It was a retrospective and monocentric study over 2 years. We had evaluated 69 patients with an average age of 32 years [16-63years]. Epidemiological, clinical, paraclinical, interventional and post interventional data were collected from archived patient records. The processing of this data was treated by SPSS v 16 and Excel software. Stage III dyspnea was the main symptom. Risk factors for postoperative mortality were cardiac insufficiency (p=0.006) and aortic valve position (p=0.009). Postoperative complications were dominated by hemodynamic instability (23%), pulmonary complications (20%) and infectious complications (3%). Postoperative mortality was 5.8%. Our late mortality was 2.9%.Two cases of minor accidents to anticoagulation drugs were noted. The evolution was favorable for 85.5% of patients. In Africa, rheumatic heart disease remains the most common valvular heart disease with high morbidity and mortality. Cardiac surgery when it is available improves the quality of life of patients. The high cost of this surgery makes it’s not always available. The prophylaxis of streptococcal bacterial attacks remains the best way for prevention.
Abstract: Rheumatic heart valve disease is the most important cardiovascular diseases in young African people. It’s a cause of a heavy morbidity and mortality. The aim of this study is to evaluate the morbidity and mortality of valve surgery in young adults. It was a retrospective and monocentric study over 2 years. We had evaluated 69 patients with an avera...
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