https://mbmj.org/index.php/atd/issue/feed Advances in Thoracic Diseases 2021-10-23T19:47:34+00:00 Pr Mohamed BOUCHIKH mohamedbouchikh@mbmj.org Open Journal Systems <p><strong>Advances in Thoracic Diseases (ISSN : 2550-6048)</strong> is an international, peer reviewed open access journal covering wide range of subjects in thoracic and respiratory diseases and relevant areas.</p> https://mbmj.org/index.php/atd/article/view/495 A Rare Case of Primary Posterior Mediastinal Hydatid Cyst with False Aortic Aneurysm 2021-10-23T19:47:28+00:00 Rachid Taoufiq drtaoufiq@gmail.com Mohammed Bouchikh bouchikh@gmail.com Safa Sabur sabur.safa07@gmail.com Wafae Elaamadi wafae.elaamadi91@gmail.com Labiba Sbiki labiba.sbiki@gmail.com Imane Lefqih imanelfq@gmail.com Hachem Taleb Elmine h.taleb2018@gmail.com Abdelkader Mesnaoui mesnaoui56@gmail.com Abdellah Achir abdachir@yahoo.fr <p>Hydatid cystic disease caused by the parasite <em>Echinococcus granulosus</em> is one of the major health problems in underdeveloped countries. Mediastinal localization is very rare. We report a rare case of hydatid disease in the posterior mediastinum with an enormous aorta defect. The patient underwent vascular graft placement without shunting or bypass.</p> 2021-06-06T00:00:00+00:00 Copyright (c) 2021 Taoufi R et al. https://mbmj.org/index.php/atd/article/view/469 Ectopic Pleural Thymoma Discovered by COVID-19 : A Case Report 2021-04-02T16:21:49+00:00 Sara Waguaf swaguaf@gmail.com Souheil Boubia souheilboubia@gmail.com Mohamed Ridai mohamedridai@gmail.com <p>Ectopic pleural thymoma is a rare entity.In this paper, we present the case of ectopic pleural thymoma discovered in patient with COVID-19.<br />A case of 49-year-old man with COVID-19 pneumonia who had constant right pleural mass during her hospitalization that was finally diagnosed as ectopic pleural thymoma.<br />A complete surgical resection was achieved after recovery of patient from COVID-19 and a postoperative diagnosis of WHO type AB, modified Masaoka stage I tumor was attained.<br />Ectopic pleural thymoma is an uncommon neoplasm., that is likely to be discovered by COVID-19. A complete surgical resection is the key for a best prognosis.</p> 2021-10-23T00:00:00+00:00 Copyright (c) 2021 Sara WAGUAF https://mbmj.org/index.php/atd/article/view/470 Solitary fibrous tumor of the pleura with Doege-Potter syndrome. 2021-04-02T10:34:30+00:00 Sara Waguaf swaguaf@gmail.com Souheil Boubia souheilboubia@yahoo.fr Najat Id El Haj najatidelhaj@yahoo.fr Abdellah Fatene afatene@gmail.com Mohamed Ridai m.ridai@yahoo.fr <p>Solitary fibrous tumor of pleura (SFTP) is a rare tumor. Complete tumor resection is the curative treatment and the key to preventing recurrence.</p> <p>We present here the case of a 65-year-old female diagnosed with a Doege-Potter syndrome who underwent resection of pleural solitary fibrous tumor.</p> 2021-04-27T00:00:00+00:00 Copyright (c) 2021 Waguaf S et al. https://mbmj.org/index.php/atd/article/view/420 Lung Carcinoid Tumors and Paraneoplastic Cushing's Syndrome: Diagnostic and Therapeutic Difficulties - A Case Report 2021-04-28T04:10:49+00:00 Hela Kamoun dr.hela.kamoun@gmail.com Aymen Ayari dr.hela.kamoun@gmail.com Hadhemi Rejeb dr.hela.kamoun@gmail.com Sarra Zairi dr.hela.kamoun@gmail.com Hanene Smadhi dr.hela.kamoun@gmail.com Leila Fekih dr.hela.kamoun@gmail.com Mohamed Lamine Megdiche dr.hela.kamoun@gmail.com <p><strong>Introduction.</strong> - Paraneoplastic Cushing's syndrome is a rare cause of endogenous hypercorticism. It is caused by ectopic secretion of ACTH by a non-pituitary endocrine tumor. The aetiological biological and radiological data are often inconclusive, which creates a problem of differential diagnosis with Cushing's disease. In addition, these tumors are often small and their location is extremely variable. As a result, the difficulties of localization require the use of specific imaging techniques.<br /><strong>Observation.</strong> - We report the observation of a 44-year-old man suffering from diabetes and high blood pressure, presenting a severe and rapidly progressive Cushing syndrome, in connection with a hypercorticism caused by an ectopic ACTH secretion. The thoracic computed tomography performed within the framework of a search for a neoplastic origin objectified a 15 mm nodule isolated at the level of the middle lobe, the scintigraphy with octreotide marked with indium-111 found a significant fixation at the level of the lung nodule. The patient had a middle lobe lobectomy. The outcome was favorable with regression of Cushing's syndrome. Pathological examination was in favor of a typical carcinoid tumor, and the immunohistochemical complement showed tumor cell positivity for ACTH, CD56, chromogranin, and synaptophysin.<br /><strong>Conclusion.</strong> - This observation illustrates the dilemma between the need to locate an ectopic ACTH secretion and the control of aggressive and threatening Cushing's syndrome. Early use of the octreotide scintigraphy should be considered if a topographic diagnosis of the causative tumor cannot be done through conventional imaging techniques.</p> 2021-09-18T00:00:00+00:00 Copyright (c) 2021 Hela Kamoun, Aymen Ayari, Hadhemi Rejeb, Sarra Zairi, Hanene Smadhi, Leila Fekih, Mohamed Lamine Megdiche https://mbmj.org/index.php/atd/article/view/294 The Endobronchial Inflammatory Myofibroblastic Tumor 2021-02-27T17:10:53+00:00 Imane LEFQIH imane.lefqih@gmail.com Labiba SBIKI labiba.sbiki@gmail.com Hachem TALEB ELMINE lebsarhachem63@gmail.com Safa SABUR sabur.safa07@gmail.com Rachid TAOUFIQ drtaoufiq@gmail.com Abdellah ACHIR abdachir@yahoo.fr Mohamed BOUCHIKH mohamedbouchikh@mbmj.org <p>The inflammatory myofibroblastic tumor is a rare tumor described in the literature as a type of inflammatory pseudotumor. It mainly has a pulmonary location but can appear at endobronchial or mediastinal sites on rarely. While it is a benign tumor, it can sometimes be unpredictable due to its invasive characteristic as well as its resurgence after complete excision.</p> <p>We report the case of a patient presenting hemoptysis. The bronchoscopy revealed a bud in the left upper lobe bronchus, and the biopsy pointed to a myofibroblastic tumor. In one month, interval, the bud extended to the left main bronchus, hence the indication of a left pneumonectomy, performed by posterolateral thoracotomy. The study of the operative specimen confirmed the biopsy diagnosis.</p> <p>The particularity of our case is the endobronchial presentation and the fast evolution of this inflammatory myofibroblastic tumor, which requires a pneumonectomy.</p> 2021-02-27T00:00:00+00:00 Copyright (c) 2021 LEFQIH I et al. https://mbmj.org/index.php/atd/article/view/496 Risk Factors for Sever Forms of COVID-19 - A Second Level Moroccan Hospital Experience 2021-10-23T19:47:23+00:00 Rachid Taoufiq drtaoufiq@gmail.com Meryem Essabbani essabbanimeryeminfectiologie@gmail.com Nour Elhouda Mouhib nourelhouda.mouhib@gmail.com Samira Mokahli S.mokahli@gmail.com Sara Bougar bougar.sara@gmail.com Nour Elhouda Oubejja doudichir@gmail.com <p>The new coronavirus (2019-nCoV) has caused the death of more than 1.68 million patients worldwide, including 6,909 deaths registered in Morocco until 12/20/2020. The main objective of this study is to investigate epidemiological, clinical, and paraclinical factors predicting progression to the severity in order to identify patients at risk and adopt strategies for individualized management.<br />We conduct this observational, descriptive, and analytical study from 01/09/2020 to 25/12/2020, at AL FARABI regional hospital in Oujda. 567 patients were eligible for our study out of 2000 patients who were admitted since our first case on April 2020. Our sample was divided into two groups based on pulse oxygen saturation on admission. We identified 294 as a Severe/Critical case and 273 as a Mild/Moderate form on admission. The mean age was significantly higher in the severe group (63.28 ± 12.4 vs 55.13 ± 17.2). The sex ratio M/F was 0.87. Compared with non-severe cases, severe cases exhibited more comorbidities, including diabetes (60.4% vs 39.6%; P 0.003), and hypertension (63.6% vs 26.4%; P 0.002). Several biological parameters were associated with disease severity in univariate analysis, the most important being lymphopenia, elevated C-reactive protein, and ferritin levels. lymphopenia (OR 3.76; 95% CI, 4.25-9.23), elevated C-reactive protein (OR, 5.7; 95% CI, 3.84-8.48) ferritin levels (OR, 3.6; 95% CI, 1.64-7.89) were significantly associated with severe cases of COVID-19. Mortality is 2.9% for all of our patients; it increases to 4.5% if we consider severe cases only. Identification and evaluation of epidemiological, clinical, and paraclinical parameters are important to identify patients at high risk of SARS-COV2 severity to guide treatment.</p> 2021-09-28T00:00:00+00:00 Copyright (c) 2021 Taoufiq R et al. https://mbmj.org/index.php/atd/article/view/243 Which Management for Gunshot Chest Wounds in a War Zone Hospital? 2021-10-23T19:47:34+00:00 Maman Bachir Abdoulaye bachmed@hotmail.fr Adakal Ousseini ousseniadakal@gmail.com Rabiou SANI rabiousani2@gmail.com Rachid SANI sani.rachid@gmail.com <p><strong>Introduction:</strong>&nbsp; Gunshot chest wounds are a life-threatening surgical emergency without immediate management.&nbsp;<strong>Method:</strong> The study period is two years, covering cases admitted from June 2017 to May 2019.&nbsp;The surgical service of the regional hospital center (CHR) of Diffa in Niger is one of the main second-level referral structures where victims of the armed conflict that started in 2014 in the Lake Chad basin are referred and treated. Through this study, we report the preliminary results of the hospital management gunshot chest.&nbsp;<strong>Results:</strong> Firearm-related chest wounds accounted for 9.22% of firearm injury admissions, interesting especially young man subjects.&nbsp;Penetrating thoracic lesions involved 14 patients, 12 of whom had high and medium-abundant effusion treated by thoracic drainage. Two patients had a pulmonary contusion and a fatal tamponade pattern respectively. <strong>Conclusion:</strong> Emergency chest drainage is a first-line saving procedure in the treatment of thoracic wounds with firearms in armed conflict.</p> 2021-01-11T00:00:00+00:00 Copyright (c) 2021 Maman Bachir A et al.