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See detailLe cas clinique du mois. Rupture couverte d'un anevrysme infectieux post-typhique de l'aorte abdominale sous-renale.
SCHILS, Fabian ULg; SakalihasanN, Natzi ULg; Sente, J. M. et al

in Revue Médicale de Liège (1999), 54(10), 786-8

Mycotic aneurysms are uncommon but remain one of the most challenging clinical problems for the vascular surgeon. They are associated with high morbidity and mortality, and the clinical signs and symptoms ... [more ▼]

Mycotic aneurysms are uncommon but remain one of the most challenging clinical problems for the vascular surgeon. They are associated with high morbidity and mortality, and the clinical signs and symptoms are non specific. We report here the case of an abdominal aorta mycotic aneurysm due to salmonellosis treated by insertion of an arterial homograft. [less ▲]

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See detailLe cas clinique du mois. Sarcome primitif de l'artere pulmonaire.
Pestieau, S.; Detry, Olivier ULg; Canivet, Jean-Luc ULg et al

in Revue Médicale de Liège (1996), 51(11), 681-3

Nous rapportons un cas rare de sarcome de l'artère pulmonaire, diagnostiqué chez un patient souffrant de décompensation cardiaque. L'échographie cardiaque transoesophagienne et la tomodensitométrie ... [more ▼]

Nous rapportons un cas rare de sarcome de l'artère pulmonaire, diagnostiqué chez un patient souffrant de décompensation cardiaque. L'échographie cardiaque transoesophagienne et la tomodensitométrie thoracique ont permis un diagnostic précis de masse dans l'artère pulmonaire. Le traitement instauré fut une résection chirurgicale, aidée par une circulation extra corporelle et un arrêt cardiaque en hypothermie, et l'analyse anatomopathologique de la pièce réséquée a décris la présence d'un sarcome peu différencié de l'artère pulmonaire. Quoiqu'un traitement postopératoire complémentaire par chimiothérapie a été entrepris, le pronostic vital du patient reste sombre à moyen terme au vu des données de la littérature. [less ▲]

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See detailLe cas clinique du mois. Sclérose hepato-portale chez un patient traité par azathioprine
Roland, S.; Delwaide, Jean ULg; Cornet, G. et al

in Revue Médicale de Liège (1998), 53(8), 450-453

We report a case of hepatoportal sclerosis in a renal transplant patient treated with azathioprine. The initial symptom was ascites. On the biochemical level, there were cholestasis without cytolysis or ... [more ▼]

We report a case of hepatoportal sclerosis in a renal transplant patient treated with azathioprine. The initial symptom was ascites. On the biochemical level, there were cholestasis without cytolysis or hepatocellular insufficiency. A presinusoidal portal hypertension was found on haemodynamic studies, without portal thrombosis at CT-scan. A diagnosis of hepatoportal sclerosis was evoked on histology and attributed to azathioprine. This case gives an illustration of a classical albeit rare complication of azathioprine. The indolent pattern of the disease and the risk of variceal bleeding point out the need for a hepatic follow-up during the treatment. [less ▲]

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See detailLe cas clinique du mois. Sterilet en position annexielle: une complication rare
Cristinelli, S.; Nisolle, Michelle ULg; Foidart, Jean-Michel ULg

in Revue Médicale de Liège (2006), 61(11), 747-9

The intrauterine device (IUD) is a widely used, effective and reversible means of birth control. Its insertion can be associated with perforation of the utuerus. This is a rare complication, but with ... [more ▼]

The intrauterine device (IUD) is a widely used, effective and reversible means of birth control. Its insertion can be associated with perforation of the utuerus. This is a rare complication, but with possible serious clinical consequences. There is an increased risk of uterine perforation if the IUD is inserted during 6 months of post-partum or after uterine evacuation. A follow up by sonography is essential. The surgical removal of the ectopic IUD is imperious. [less ▲]

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See detailLe cas clinique du mois. Syndrome carcinoïde sur tumeur sécrétante du grêle terminal avec cardiopathie
Compere, C.; Geronooz, Isabelle; Croes, F. et al

in Revue Médicale de Liège (2001), 56(9), 599-606

Uncommon but classically described, intestinal carcinoid tumors represent a variety of neuroendocrine tumors. Able to secrete amines and hormones, they can produce characteristic symptoms called ... [more ▼]

Uncommon but classically described, intestinal carcinoid tumors represent a variety of neuroendocrine tumors. Able to secrete amines and hormones, they can produce characteristic symptoms called "carcinoid syndrome". A cardiopathy is sometimes associated with the disease and carries a high risk of mortality and morbidity. [less ▲]

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See detailLe cas clinique du mois. Syndrome d'hypertension porto-pulmonaire associe a une hypoxemie severe.
Kolan, C.; Ghuysen, Alexandre ULg; Lambermont, Bernard ULg et al

in Revue Médicale de Liège (2001), 56(8), 543-7

We report the case of a patient with liver cirrhosis who was admitted to the emergency room for rapid occurrence of dyspnea and severe hypoxemia at rest. Lung CT-scan and echocardiography did not disclose ... [more ▼]

We report the case of a patient with liver cirrhosis who was admitted to the emergency room for rapid occurrence of dyspnea and severe hypoxemia at rest. Lung CT-scan and echocardiography did not disclose any right-to-left shunt and right-sided heart catheterization evidenced major precapillary pulmonary hypertension. The present feature supports the hypothesis that the pulmonary complications of cirrhosis, the hepatopulmonary syndrome and the portopulmonary hypertension, which are usually considered as mutually exclusive, may coexist. In such circumstances, the right failing heart is the major determinant to the immediate prognosis. [less ▲]

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See detailLe cas clinique du mois. Syndrome de Claude Bernard-Horner revelant une dissection carotidienne spontanee.
Verdin; Holemans; Otto, B. et al

in Revue medicale de Liege (2013), 68(1), 11-5

We report a case of spontaneous carotid artery dissection suspected by the appearance of Horner's syndrome. Under medical treatment, the intramural hematoma resolved within 3 months. The patient had an ... [more ▼]

We report a case of spontaneous carotid artery dissection suspected by the appearance of Horner's syndrome. Under medical treatment, the intramural hematoma resolved within 3 months. The patient had an uneventful recovery, without any residual neurologic deficit. Spontaneous arterial dissection is responsible for a hematoma in the arterial wall without significant trauma. The pathogenesis remains unknown. Predisposing factors seem to exist. The clinical presentation is variable mainly due to local compression of adjacent structures which can precede a transient or permanent neurological deficit. The diagnosis is confirmed by Doppler US, CT angiography or magnetic resonance angiography, the best optional investigations. The treatment mainly consists of stroke prevention by anticoagulation versus antiplatelet therapy. The role of surgery and/or endovascular techniques has not yet been confirmed. [less ▲]

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See detailLe cas clinique du mois. Syndrome de Down et myxoedeme: description d'un cas et revue de la litterature
Serpe, Philippe ULg; Gaillard, J. F.; Serpe, J. N. et al

in Revue Médicale de Liège (2004), 59(3), 131-135

A case of myxedema secondary to undetected hypothyroidism developed in a 48 year old 21-trisomic male. This paper presents a short discussion about different possible diagnoses and a review of the ... [more ▼]

A case of myxedema secondary to undetected hypothyroidism developed in a 48 year old 21-trisomic male. This paper presents a short discussion about different possible diagnoses and a review of the literature concerning the relationship between Down Syndrome and hypothyroidism or other diseases. [less ▲]

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See detailLe cas clinique du mois. Syndrome de Moskowitz chez une patiente traitée par ticlopidine
Franchimont, D.; Frere, Pascale ULg; Lebrun, F. et al

in Revue Médicale de Liège (1996), 51(3), 214-6

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See detailLe cas clinique du mois. Syndrome du bebe bleu: la verite cachee au fond du puits.
PIAZZA, Justine ULg; Douin, C.; Bodson, Liliane ULg et al

in Revue medicale de Liege (2014), 69(4), 175-9

Methemoglobinemia is a rare disorder preferentially affecting children. The outcome may be dramatic when the disorder remains unidentified, however early recognition using unspecific exams allows prompt ... [more ▼]

Methemoglobinemia is a rare disorder preferentially affecting children. The outcome may be dramatic when the disorder remains unidentified, however early recognition using unspecific exams allows prompt therapy. We report the case of a 14-month-old baby who presented with a sudden access of cyanosis resulting from acute methemoglobinemia. Careful investigation identified contamination of familial food by an excess of nitrates related to the use of well water from rural location. [less ▲]

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See detailLe cas clinique du mois. Syndrome dyskinetique majeur induit par la ranitidine
Fouddah, A.; Canivet, Jean-Luc ULg; Damas, Pierre ULg

in Revue Médicale de Liège (2001), 56(8), 548-551

We report a case of severe dyskinetic syndrome, consisting of intense myoclonia movements, associated with choreiform activity involving the face and upper extremities. The abnormal movements occurred in ... [more ▼]

We report a case of severe dyskinetic syndrome, consisting of intense myoclonia movements, associated with choreiform activity involving the face and upper extremities. The abnormal movements occurred in a patient with confusion and visual hallucinations. This syndrome had an abrupt onset in a patient recovering from coronary artery bypass surgery complicated by an early post-operative cardiac arrest and acute renal failure. Dyskinesia appeared several days after intravenous administration of ranitidine for stress ulcer prophylaxis. Several etiologies were raised in this case among which were post-anoxic myoclonia and metabolic encephalopathy. Cessation of histamine receptor blocker therapy for 48 hours was associated with return of normal cognitive function and disappearance of abnormal movements. This confirmed the iatrogenic nature of the syndrome related to administration of ranitidine. [less ▲]

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See detailLe cas clinique du mois. Syndrome malin des neuroleptiques et paralysie generale
Foatelli, F. M.; gernay, p; Lievens, Isabelle ULg et al

in Revue Médicale de Liège (2006), 61(12), 807-11

Described in 1960 by Jean Delay in relation to the use of haloperidol, neuroleptic malignant syndrome remains relatively rare, and poorly known by the medical profession. The emergence of the atypical ... [more ▼]

Described in 1960 by Jean Delay in relation to the use of haloperidol, neuroleptic malignant syndrome remains relatively rare, and poorly known by the medical profession. The emergence of the atypical antipsychotic agents and preventive measures which have become general in recent years in hospital departments using dopamine receptor antagonists has not altered the prognosis, which remains potentially fatal in approximately a quarter of cases. This article proposes a descriptive summary of this syndrome in terms of clinical and biological diagnostics as well as of evolution, epidemiology, differential diagnosis and treatment. It describes the case of a patient affected by general paralysis having developed a neuroleptic malignant syndrome, thus the hypothesis what the neuroleptic malignant syndrome preferentially arises in subjects having underlying organic or metabolic problems and provides food for thought regarding the main medical and psychiatric overlaps, the use of dopaminergic agents and the behaviour to be adopted when dealing with a patient presenting with inaugural psychiatric symptomatology. [less ▲]

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See detailLe cas clinique du mois. Transplantation hépatique pour un hémangio-endothéliome épithélioïde du foie
Tonglet, M.; Delfosse, V.; Detry, Olivier ULg et al

in Revue Médicale de Liège (2009), 64(2), 68-70

L’hémangioendothéliome épithélioïde est une affection maligne rare qui peut survenir dans le foie. Lorsque la forme est multifocale et bilobaire, la transplantation hépatique constitue le traitement ... [more ▼]

L’hémangioendothéliome épithélioïde est une affection maligne rare qui peut survenir dans le foie. Lorsque la forme est multifocale et bilobaire, la transplantation hépatique constitue le traitement curateur de cette affection. Dans cet article, les auteurs décrivent le diagnostic et le traitement d’une femme de 52 ans souffrant d’un hémangioendothéliome épithélioïde hépatique traitée par transplantation du foie. [less ▲]

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See detailLe cas clinique du mois. Troubles electrolytiques severes dans l'anorexie mentale.
Scheen, André ULg

in Revue Médicale de Liège (1995), 50(1), 16-7

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See detailLe cas clinique du mois. Un cas de syndrome de Munchausen (trouble factice).
Kjiri, K.; Ajamieh, A.; Hansenne, Michel ULg et al

in Revue Médicale de Liège (1998), 53(7), 390-2

Factitious disorders are characterized by physical or psychological symptoms that are intentionally produced or feigned in order to assume the sick role. In the particularly severe type presented by ... [more ▼]

Factitious disorders are characterized by physical or psychological symptoms that are intentionally produced or feigned in order to assume the sick role. In the particularly severe type presented by Munchausen syndrome, the person's entire life may consist of either trying to get admitted to or staying in hospitals. From the case of a 47 year old patient exhibiting symptoms of neurological aspect associated with psychological complaints, the issue of differential diagnosis of a factitious disorder is addressed. The integration of the reported symptomatology to the subject's personal history seems indispensable to the understanding and the global therapy of the patient. [less ▲]

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See detailLe cas clinique du mois. Un cas rare d'épanchement pleural unilatéral: le syndrome d'hyperstimulation des ovaires.
Barile, D.; Bataille, Yoann ULg; Duysinx, Bernard ULg et al

in Revue Médicale de Liège (2008), 63(7-8), 474-9

Ovarian hyperstimulation syndrome is the most severe iatrogenic complication of fertilization modern methods. This syndrome is characterized by a massive cystic ovarian enlargement associated with an ... [more ▼]

Ovarian hyperstimulation syndrome is the most severe iatrogenic complication of fertilization modern methods. This syndrome is characterized by a massive cystic ovarian enlargement associated with an acute body fluid shift. Ascite is the most frequent manifestation of this syndrome. In some rare cases ovarian hyperstimulation syndrome is complicated by massive unilateral pleural effusion without ascite. We describe the case of a 36 year old woman who developed a massive unilateral pleural effusion without ascite. An ovarian hyperstimulation syndrome was diagnosed. Chest tube drainage improved patient parameters and symptoms. We discuss the diagnostic approach of pleural effusions. [less ▲]

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See detailLe cas clinique du mois. Une cause inhabituelle de sciatalgie nécessitant un traitement chirurgical : le kyste arthrosynovial lombaire
Lommers, Emilie ULg; Gillet, Philippe ULg

in Revue Médicale de Liège (2010), 65(12), 665-8

We describe the case of a 46-year-old woman suffering from an hyperalgic sciatica caused by a lumbar synovial cyst. These are uncommon lesions associated with degenerative spine disease. They may be ... [more ▼]

We describe the case of a 46-year-old woman suffering from an hyperalgic sciatica caused by a lumbar synovial cyst. These are uncommon lesions associated with degenerative spine disease. They may be asymptomatic or may produce symptoms resulting from nervous structures compression. They are commonly found at the L4-L5 level, the site of maximum mobility. Their etiopathogeny is still unclear but degenerative spinal instability is the strongest factor for their growth. MRI is the most effective for the diagnosis. Conservative management is usually unsuccessful. Resection with or without fusion remains the more appropriate therapeutic option. [less ▲]

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See detailLe cas clinique du mois. Une nephropathie galopante chez un patient diabetique de type 2.
Philips, Jean-Christophe ULg; Scheen, André ULg; Firre, E. et al

in Revue Médicale de Liège (1998), 53(4), 171-4

We report the case of a patient with insulin-requiring type 2 diabetes who exhibited a rapid deterioration of his renal function leading to haemodialysis in a few months. Various diagnosis were considered ... [more ▼]

We report the case of a patient with insulin-requiring type 2 diabetes who exhibited a rapid deterioration of his renal function leading to haemodialysis in a few months. Various diagnosis were considered to explain this rapid deterioration, excluding diabetic nephropathy as major etiology. The exploration, especially renal biopsy, demonstrated the presence of a glomerulonephritis due to the deposition of immune complexes associated to active hepatitis C rather than diabetic glomerulosclerosis. A treatment with interferon-alpha allowed to partially restore renal function, this recovery permitting the interruption of hemodialysis, with a current follow-up of more than 6 months. [less ▲]

Detailed reference viewed: 109 (2 ULg)