HICHAM JALAL - Academia.edu (original) (raw)
Papers by HICHAM JALAL
Scholars journal of medical case reports, May 11, 2024
Scholars journal of medical case reports, Oct 21, 2023
SAS Journal of Medicine
Rapunzel syndrome is a rare gastrointestinal pathology in the paediatric population, characterize... more Rapunzel syndrome is a rare gastrointestinal pathology in the paediatric population, characterized by an extension of ingested intragastric hairs to an intestinal or even colonic extension. We report a case of gastroduodenal and intestinal trichobezoar in a 5-year-old girl, who consulted with an occlusive syndrome in whom the diagnosis of gastric and intestinal trichobezoar was diagnosed by ultrasound and confirmed intra-operatively. Our aim is to clarify the value of imaging in the diagnosis of this entity.
Annals of Pediatric Surgery
Background Invasive aspergillosis (IA) is one of the rarest opportunistic fungal infections and h... more Background Invasive aspergillosis (IA) is one of the rarest opportunistic fungal infections and has increased in frequency worldwide in recent years. It is a life-threatening infection associated with high mortality rates. Invasive pulmonary aspergillosis (IPA) is the most severe form of the disease. Extrapulmonary forms can develop as a primary infection or occur as part of a disseminated infection from the lung in severely immunocompromised patients. The major limitation in the management of these infections is the challenge of early diagnosis. Case presentation Here we report a case of secondary cutaneous aspergillosis that developed from extensive pulmonary aspergillosis in a 3-year-old female who underwent immunosuppressive therapy for a diagnosed Behçet disease (BD). Aspergillus hyphae were identified on skin biopsies. Cultures grew Aspergillus fumigatus. The diagnosis of cutaneous aspergillosis enabled us to diagnose IPA, although there was no mycopathological proof of lung i...
Open Journal of Pediatrics
Scholars Journal of Medical Case Reports
Inguinal hernia is a frequent pathology in digestive surgery. It consists of the passage of abdom... more Inguinal hernia is a frequent pathology in digestive surgery. It consists of the passage of abdominal or pelvic contents through the inguinal orifice. It is rare for the contents of the hernial sac to be bladder. Its discovery is most often fortuitous since no clinical sign generally allows it to be detected. The treatment is surgical which consists of reintegrating the bladder intra-pelvic. We report the case of a patient, in whom the diagnosis of an inguinal bladder hernia was made fortuitously after realizing an uro-scanner within the framework of the etiological assessment of a ureterohydronephrosis.
Scholars Journal of Medical Case Reports
Morel-Lavallée lesion is a closed soft-tissue degloving injury that remains rare and whose manage... more Morel-Lavallée lesion is a closed soft-tissue degloving injury that remains rare and whose management is not yet standardized. It is a closed delamination between the fascia superficialis and the cutaneous-subcutaneous tissue. This empty space is filled with fluid and may be complicated by surinfection and tissue necrosis. Regularly described in heavy traumatology, but can also be seen in post-surgical situations, it should not be ignored in routine practice. We present the case of post-surgical Morel-Lavallée lesion and we discuss the clinical presentation, pathophysiology, imaging features of Morel-Lavallée lesions. Role of imaging in guiding prompt and appropriate treatment has also been discussed.
International Journal of Advanced Research
A 7-year-old girl, a history of cleft palate surgery, presented with primary complaints of severe... more A 7-year-old girl, a history of cleft palate surgery, presented with primary complaints of severe back pain with radiation to both lower limbs below the knees 2 months following, with inability to stand or walk, of unknown cause history. Her obstetric, developmental, and family history was normal. Inspection of her posture on standing revealed severe sagittal plane deformity including lumbosacral kyphosis and lumbar hyperlordosis with flexion at hips and knees (crouched position). with back pain radiating to the legs, motor and sensory dysfunction of the lower extremities, bladder dysfunction, and saddle anesthesias. Plain radiography and computed tomography (CT scan) showed bilateral L5 pars defect, dysplastic L5- S1 facets, trapezoidal L5 vertebral body, retroverted sacrum with rounding of proximal endplate, and complete anterior descent of the L5 vertebrae to the sacrum (Figures 2(a)–2(d)). Magnetic resonance imaging (MRI) of lumbosacral region revealed severe dural compression...
Scholars Journal of Medical Case Reports, 2021
Scholars Journal of Medical Case Reports, 2021
Case Report Intra renal teratoma is an extremely rare tumor. Only few cases have been published i... more Case Report Intra renal teratoma is an extremely rare tumor. Only few cases have been published in the literature. In its renal location, the diagnosis of teratoma is rarely mentioned preoperatively since its clinical and radiological signs are not very specific, the final diagnosis is often confirmed by the pathological study. We report the case of a cystic intra renal teratoma in a three-month-old infant who underwent an enlarged nephrectomy with pathologic confirmation of the diagnosis. Surgery is the treatment of choice for intrarenal teratoma. It is usually not sensitive to chemotherapy, so this diagnosis should always be borne in mind in front of a cystic kidney mass in order to avoid chemotherapy that is harmful to these young patients.
The Pan African medical journal, 2018
Orbital cellulitis is rare but potentially severe in children. Diagnosis is primarily based on cl... more Orbital cellulitis is rare but potentially severe in children. Diagnosis is primarily based on clinical examination and imaging (CT or MRI). This study aims to highlight the role of imaging, in particular CT scan, in the diagnosis and in the treatment of this pathology. We conducted a retrospective study of 56 cases of orbital cellulitis, whose data were collected in the Department of Radiology at the Hospital mother and child CHU Mohamed VI, Marrakech over a period of six years (January 2011-October 2017). Patients underwent cranio-orbital CT scan. The average age of patients was 5 years, with a slight female predominance. The disease mainly involved the sinus (22 patients). The analysis of computed tomography results highlighted 37 cases of preseptal cellulitis (66%), 3 cases of isolated retroseptal cellulitis (5%), 16 cases of mixed cellulitis (28%), 8 cases of exophthalmia (14%) and 4 cases of subperiosteal abscess (7%). Orbital cellulitis is a serious infection in children, aff...
Case Report The encephalopathy/encephalitis syndrome with reversible lesion of the splenium of th... more Case Report The encephalopathy/encephalitis syndrome with reversible lesion of the splenium of the corpus callosum (MERS) is a clinical-radiological syndrome, associating encephalopathy and a specific radiological image. This syndrome is more frequently described in the Asian population and has been associated with certain viral and bacterial infections, including influenza. In this case, patients usually present general symptoms before the onset of neurological symptoms. We report the case of a 06-year-old child who presented a flu-like syndrome associated with dysarthria and ataxia then a disorder of consciousness. The cerebral CT scan showed a hypodensity of the splenium of the corpus callosum and the cerebral MRI showed an increased diffusion with restriction of the ADC of the same region. The influenza A virus was isolated in the nasopharyngeal swab. The neurological symptoms of MERS can be highly variable, mainly in the paediatric population. Clinicians should be aware of this...
Scholars Journal of Medical Case Reports, 2021
Pan African Medical Journal, 2020
Hepatic toxocarosis is caused by the dog´s roundworm, Toxocara canis. Responsible for an eosinoph... more Hepatic toxocarosis is caused by the dog´s roundworm, Toxocara canis. Responsible for an eosinophilic inflammatory syndrome causing liver damage that can be detected on ultrasound, computed tomography and sometimes magnetic resonance imaging. We report the case of a nineyear-old child, living in countryside, with a notion of cohabitation with canids. He presented a digestive symptomatology revealed by abdominal pain, with a hemeosinophilia in the hemogram. The etiological assessment of hyper eosinophilia objectified a positive Toxocara canisserology. The imaging assessment in search of digestive visceral lesions, found multiple heterogeneous hypoechogenic areas, poorly defined, scattered in the liver.
SAS Journal of Medicine, 2020
Scholars Journal of Medical Case Reports, 2020
Scholars Journal of Medical Case Reports, 2020
SAS Journal of Medicine, 2020
Scholars Journal of Medical Case Reports, 2020
Scholars journal of medical case reports, May 11, 2024
Scholars journal of medical case reports, Oct 21, 2023
SAS Journal of Medicine
Rapunzel syndrome is a rare gastrointestinal pathology in the paediatric population, characterize... more Rapunzel syndrome is a rare gastrointestinal pathology in the paediatric population, characterized by an extension of ingested intragastric hairs to an intestinal or even colonic extension. We report a case of gastroduodenal and intestinal trichobezoar in a 5-year-old girl, who consulted with an occlusive syndrome in whom the diagnosis of gastric and intestinal trichobezoar was diagnosed by ultrasound and confirmed intra-operatively. Our aim is to clarify the value of imaging in the diagnosis of this entity.
Annals of Pediatric Surgery
Background Invasive aspergillosis (IA) is one of the rarest opportunistic fungal infections and h... more Background Invasive aspergillosis (IA) is one of the rarest opportunistic fungal infections and has increased in frequency worldwide in recent years. It is a life-threatening infection associated with high mortality rates. Invasive pulmonary aspergillosis (IPA) is the most severe form of the disease. Extrapulmonary forms can develop as a primary infection or occur as part of a disseminated infection from the lung in severely immunocompromised patients. The major limitation in the management of these infections is the challenge of early diagnosis. Case presentation Here we report a case of secondary cutaneous aspergillosis that developed from extensive pulmonary aspergillosis in a 3-year-old female who underwent immunosuppressive therapy for a diagnosed Behçet disease (BD). Aspergillus hyphae were identified on skin biopsies. Cultures grew Aspergillus fumigatus. The diagnosis of cutaneous aspergillosis enabled us to diagnose IPA, although there was no mycopathological proof of lung i...
Open Journal of Pediatrics
Scholars Journal of Medical Case Reports
Inguinal hernia is a frequent pathology in digestive surgery. It consists of the passage of abdom... more Inguinal hernia is a frequent pathology in digestive surgery. It consists of the passage of abdominal or pelvic contents through the inguinal orifice. It is rare for the contents of the hernial sac to be bladder. Its discovery is most often fortuitous since no clinical sign generally allows it to be detected. The treatment is surgical which consists of reintegrating the bladder intra-pelvic. We report the case of a patient, in whom the diagnosis of an inguinal bladder hernia was made fortuitously after realizing an uro-scanner within the framework of the etiological assessment of a ureterohydronephrosis.
Scholars Journal of Medical Case Reports
Morel-Lavallée lesion is a closed soft-tissue degloving injury that remains rare and whose manage... more Morel-Lavallée lesion is a closed soft-tissue degloving injury that remains rare and whose management is not yet standardized. It is a closed delamination between the fascia superficialis and the cutaneous-subcutaneous tissue. This empty space is filled with fluid and may be complicated by surinfection and tissue necrosis. Regularly described in heavy traumatology, but can also be seen in post-surgical situations, it should not be ignored in routine practice. We present the case of post-surgical Morel-Lavallée lesion and we discuss the clinical presentation, pathophysiology, imaging features of Morel-Lavallée lesions. Role of imaging in guiding prompt and appropriate treatment has also been discussed.
International Journal of Advanced Research
A 7-year-old girl, a history of cleft palate surgery, presented with primary complaints of severe... more A 7-year-old girl, a history of cleft palate surgery, presented with primary complaints of severe back pain with radiation to both lower limbs below the knees 2 months following, with inability to stand or walk, of unknown cause history. Her obstetric, developmental, and family history was normal. Inspection of her posture on standing revealed severe sagittal plane deformity including lumbosacral kyphosis and lumbar hyperlordosis with flexion at hips and knees (crouched position). with back pain radiating to the legs, motor and sensory dysfunction of the lower extremities, bladder dysfunction, and saddle anesthesias. Plain radiography and computed tomography (CT scan) showed bilateral L5 pars defect, dysplastic L5- S1 facets, trapezoidal L5 vertebral body, retroverted sacrum with rounding of proximal endplate, and complete anterior descent of the L5 vertebrae to the sacrum (Figures 2(a)–2(d)). Magnetic resonance imaging (MRI) of lumbosacral region revealed severe dural compression...
Scholars Journal of Medical Case Reports, 2021
Scholars Journal of Medical Case Reports, 2021
Case Report Intra renal teratoma is an extremely rare tumor. Only few cases have been published i... more Case Report Intra renal teratoma is an extremely rare tumor. Only few cases have been published in the literature. In its renal location, the diagnosis of teratoma is rarely mentioned preoperatively since its clinical and radiological signs are not very specific, the final diagnosis is often confirmed by the pathological study. We report the case of a cystic intra renal teratoma in a three-month-old infant who underwent an enlarged nephrectomy with pathologic confirmation of the diagnosis. Surgery is the treatment of choice for intrarenal teratoma. It is usually not sensitive to chemotherapy, so this diagnosis should always be borne in mind in front of a cystic kidney mass in order to avoid chemotherapy that is harmful to these young patients.
The Pan African medical journal, 2018
Orbital cellulitis is rare but potentially severe in children. Diagnosis is primarily based on cl... more Orbital cellulitis is rare but potentially severe in children. Diagnosis is primarily based on clinical examination and imaging (CT or MRI). This study aims to highlight the role of imaging, in particular CT scan, in the diagnosis and in the treatment of this pathology. We conducted a retrospective study of 56 cases of orbital cellulitis, whose data were collected in the Department of Radiology at the Hospital mother and child CHU Mohamed VI, Marrakech over a period of six years (January 2011-October 2017). Patients underwent cranio-orbital CT scan. The average age of patients was 5 years, with a slight female predominance. The disease mainly involved the sinus (22 patients). The analysis of computed tomography results highlighted 37 cases of preseptal cellulitis (66%), 3 cases of isolated retroseptal cellulitis (5%), 16 cases of mixed cellulitis (28%), 8 cases of exophthalmia (14%) and 4 cases of subperiosteal abscess (7%). Orbital cellulitis is a serious infection in children, aff...
Case Report The encephalopathy/encephalitis syndrome with reversible lesion of the splenium of th... more Case Report The encephalopathy/encephalitis syndrome with reversible lesion of the splenium of the corpus callosum (MERS) is a clinical-radiological syndrome, associating encephalopathy and a specific radiological image. This syndrome is more frequently described in the Asian population and has been associated with certain viral and bacterial infections, including influenza. In this case, patients usually present general symptoms before the onset of neurological symptoms. We report the case of a 06-year-old child who presented a flu-like syndrome associated with dysarthria and ataxia then a disorder of consciousness. The cerebral CT scan showed a hypodensity of the splenium of the corpus callosum and the cerebral MRI showed an increased diffusion with restriction of the ADC of the same region. The influenza A virus was isolated in the nasopharyngeal swab. The neurological symptoms of MERS can be highly variable, mainly in the paediatric population. Clinicians should be aware of this...
Scholars Journal of Medical Case Reports, 2021
Pan African Medical Journal, 2020
Hepatic toxocarosis is caused by the dog´s roundworm, Toxocara canis. Responsible for an eosinoph... more Hepatic toxocarosis is caused by the dog´s roundworm, Toxocara canis. Responsible for an eosinophilic inflammatory syndrome causing liver damage that can be detected on ultrasound, computed tomography and sometimes magnetic resonance imaging. We report the case of a nineyear-old child, living in countryside, with a notion of cohabitation with canids. He presented a digestive symptomatology revealed by abdominal pain, with a hemeosinophilia in the hemogram. The etiological assessment of hyper eosinophilia objectified a positive Toxocara canisserology. The imaging assessment in search of digestive visceral lesions, found multiple heterogeneous hypoechogenic areas, poorly defined, scattered in the liver.
SAS Journal of Medicine, 2020
Scholars Journal of Medical Case Reports, 2020
Scholars Journal of Medical Case Reports, 2020
SAS Journal of Medicine, 2020
Scholars Journal of Medical Case Reports, 2020