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1Retroperitoneal paragangliomas : 4 个案例的报告显示文摘 We reviewed the data of all patients managed for retroperitoneal paragangliomas(PGLs)between June 2010and June 2011 to present our experience concerning this uncommon entity to highlight diagnostic and therapeutic challenges of retroperitoneal PGLs.All patients were admitted to the department of general and hepatobiliary surgery in the regional hospital of Jendouba,Tunisia.The size of the tumor was taken at its largest dimension,as determined in a computed tomography(CT)scan and pathological reports.There were 4 patients(all women)with a median age of 48 years(range46-56 years).Abdominal pain was the commonest presentation.CT showed and localized the tumors which were all retroperitoneal.All patients had successfu surgical resection of the tumors under invasive arterial blood pressure monitoring.One patient underwent surgery for a presumed tumor of the pancreatic head.The fresh-mount microscopic study of the peroperative biopsy yielded inflammatory tissue without malignancy and no resection was performed.Final histologica examination of the biopsy concluded PGL.A secondlaparotomy was performed and the tumor was entirely resected.The diagnosis was made after surgery by histology in all patients.The control of the blood pressure was improved after surgery in 3 patients.Paragangliomas are rare tumors.The retroperitoneal localization is uncommon.Complete surgical resection remains the only curative treatment but it is often challenging as these tumors are located near multiple vital blood vessels.Helmi Kallel Hassen Hentati Amine Baklouti Ali Gassara Ahmed Saadaoui Ghassen Halek Sana Landolsi MA El Ouaer Wajdi Chaieb Fethia Maamouri Saber Manna? 2014World Journal of Gastrointestinal Surgery2014,6,4:3
2Acinar cell carcinoma of the pancreas in a young patient with chronic pancreatitis显示文摘BACKGROUND:Acinar cell carcinoma (ACC) is a rare malignancy of the pancreas arising from acinar cells.Unlike ductal adenocarcinoma,this tumor rarely presents with pancreatitis.METHODS:We present a case of ACC associated with chronic calcifying pancreatitis,and a review of the literature focusing on diagnosis and management.RESULTS:A 43-year-old man was proposed for Wirsungojejunal derivation for chronic pancreatitis.Histopathological examination of the tissue extracted revealed an ACC.Duodenopancreatectomy was performed.Six months postoperatively,the patient developed hepatic metastasis and was treated with gemcitabine as palliative chemotherapy.CONCLUSIONS:The clinical presentation of ACC of the pancreas is not specific and the tumor can be underdiagnosed when associated with chronic pancreatitis.Data regarding course,treatment,and prognosis of this tumor are generally lacking.Fatima-Zahra Kebir Ahlem Lahmar Nafaa Arfa Saber Manai Mohamed Ali El Ouaer Saadia Bouraoui Carole Gouttalier Sabah Mezabi-Regaya 2010Hepatobiliary & Pancreatic Diseases International2010,9,1:3
3Laparoscopic cholecystectomy on a previously operated abdomen显示文摘Bouasker I El Ouaer MA Smaali I 0,,02:1
4Laparoscopic cholecystectomy on a previously operated abdomen 显示文摘Bouasker I E1 Ouaer MA Smaali I 2010Tunis Med2010,88,2:1
5Laparascopic cholecys-tectomy on a previously operated abdomen显示文摘Bouasker I El Ouaer MA Smaali I 2010Tunis Med2010,88,2:1
6Parietal abscess revealing a lost gallstone 8 years after laparoscopic cholecystectomy显示文摘Bouasker I Zoghlami A EI Ouaer MA 2010Tunis Med2010,88,4:1
7Laparascopic choleeystectomy on a previously operated abdomen显示文摘Bouasker I El Ouaer MA Smaali I 2010Tunis Med2010,88,2:1
8New record of the scalloped ribbon fish, Zu cristatus ( Osteichthyes : Trachipteridae) in Tunisian waters (central Mediterranean) 显示文摘BRADAI M N OUAER A E 2012Marine Biodiversity Records2012,,5:1
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