Advances in Thoracic Diseases 2021-07-30T21:53:31+00:00 Pr Mohamed BOUCHIKH 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> A Rare Case of Primary Posterior Mediastinal Hydatid Cyst with False Aortic Aneurysm 2021-07-30T21:53:31+00:00 Rachid Taoufiq Mohammed Bouchikh Safa Sabur Wafae Elaamadi Labiba Sbiki Imane Lefqih Hachem Taleb Elmine Abdelkader Mesnaoui Abdellah Achir <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. Lung Carcinoid Tumors and Paraneoplastic Cushing's Syndrome: Diagnostic and Therapeutic Difficulties - A Case Report 2021-04-28T04:10:49+00:00 Hela Kamoun Aymen Ayari Hadhemi Rejeb Sarra Zairi Hanene Smadhi Leila Fekih Mohamed Lamine Megdiche <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 Solitary fibrous tumor of the pleura with Doege-Potter syndrome. 2021-04-02T10:34:30+00:00 Sara Waguaf Souheil Boubia Najat Id El Haj Abdellah Fatene Mohamed Ridai <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. The Endobronchial Inflammatory Myofibroblastic Tumor 2021-02-27T17:10:53+00:00 Imane LEFQIH Labiba SBIKI Hachem TALEB ELMINE Safa SABUR Rachid TAOUFIQ Abdellah ACHIR Mohamed BOUCHIKH <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. Which Management for Gunshot Chest Wounds in a War Zone Hospital? 2021-04-27T18:20:16+00:00 Maman Bachir Abdoulaye Adakal Ousseini Rabiou SANI Rachid SANI <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.