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Njoumi N(1), Najih M, Haqqi L, Atolou G, Bougtab A, Hachi H, Benjelloun S.


Author information:

(1)Service de chirurgie viscérale, HMIMV, Rabat, Maroc.


PMCID: PMC3428178

PMID: 22937198  [Indexed for MEDLINE]


Pan Afr Med J. 2012;12:58. Epub 2012 Jul 2.

Souadka A(1), Majbar MA, Bougutab A, El Othmany A, Jalil A, Ahyoud FZ, El Malki HO, Souadka A.


Author information:

(1)1 University Mohammed Vth Souissi, Rabat, Medical School, Surgical Department,

National Institute of Oncology, Rabat, Morocco 2 University Mohammed Vth Souissi,

Rabat, Medical School, Department of General Surgery, Rabat, Morocco 3 University

Mohammed Vth Souissi, Rabat, Medical School, Medical Center of Clinical Trials and Epidemiological Study (CRECET), Rabat, Morocco 4 Cheikh Zaid Ibn Soltan

Foundation, Cheikh Zaid International University Hospital, Rabat, Morocco 5 Surgical Department, Al Azhar Oncological Center, Rabat, Morocco.


BACKGROUND: Pseudocontinent perineal colostomy is one of the techniques that helps recover the body image of patients undergoing abdominoperineal resection. This technique is rarely used internationally given its unknown functional results.

OBJECTIVE: The study aimed to evaluate 1-year functional outcomes of perineal pseudocontinent colostomy and to determine the risk factors for « poor » functional results.

DESIGN: This study is a retrospective interventional case series.

SETTINGS: This study was conducted at a tertiary care university hospital and oncological center in Morocco.

PATIENTS: From January 1993 to December 2007, 149 patients underwent pseudocontinent perineal colostomy after abdominoperineal resection for low rectal adenocarcinoma.

INTERVENTION: Pseudocontinent perineal colostomy was performed with the use of the Schmidt technique after abdominoperineal resection.

MAIN OUTCOME MEASURES: One-year functional results were assessed according to the Kirwan classification system. Functional results were considered « poor » when the  Kirwan score was C, D, or E. Univariable and multivariable analyses were used to  evaluate the impact of age, sex, type of surgery, irrigation frequency, palpable  muscular ring, concomitant chemoradiotherapy, stage, and perineal complications on functional results.

RESULTS: One hundred forty-six patients were analyzed. According to the Kirwan system, the scores showed that 100 (68.5%) patients had « good » continence results (stage A-B) and 46 (31.5%) patients had altered functional results (stage C-D-E). With the exception of pelvic recurrences, no conversions from a perineal colostomy to an abdominal colostomy were performed for dissatisfactory functional results. In multivariate analysis, the only independent predictive factors of poor functional results were the occurrence of perineal complications (OR, 3.923; 95% CI, 1.461-10.35; p = 0.007) and extended resection (OR, 3.03; 95% CI, 1.183-7.750; p = 0.021) LIMITATION OF THE STUDY:: This study is an observational  retrospective study on selected patients (mainly a young population).

CONCLUSIONS: This study showed that perineal complications and extended resection are associated with poor functional results after pseudocontinent perineal colostomy. These data can help clinicians to better inform patients about the outcomes of this technique and to assist them in choosing the right reconstruction technique after abdominoperineal resection.


DOI: 10.1097/DCR.0b013e31829f8cd5

PMID: 24022531  [Indexed for MEDLINE]


Dis Colon Rectum. 2013 Oct;56(10):1143-8. doi: 10.1097/DCR.0b013e31829f8cd5.

Njoumi N(1), Tarchouli M(1), Ratbi MB(1), Elochi MR(2), Yamoul R(1), Hachi H(1),  Bougtab A(1).


Author information:

(1)Service de chirurgie II, Institut National d’Oncologie, CHU Ibn Sina, Faculté  de Medecine et de Pharmacie de Rabat, Maroc.

(2)Service d’anatomie pathologique, HMIMV, Rabat, Maroc.


DOI: 10.11604/pamj.2013.16.131.2864

PMCID: PMC4024435

PMID: 24847393  [Indexed for MEDLINE]


Pan Afr Med J. 2013 Dec 8;16:131. doi: 10.11604/pamj.2013.16.131.2864. eCollection 2013.

Boujoual M(1), Amrani M(2), Bougtab A(3).


Author information:

(1)Gynécologie Obstétrique, faculté de Médecine et de pharmacie Oujda, Maroc.

(2)Anatomie pathologique, Institut National d’Oncologie Rabat, Maroc.

(3)Chirurgie II, Institut National d’Oncologie Rabat, Maroc.


DOI: 10.11604/pamj.2014.17.257.3292

PMCID: PMC4189858

PMID: 25309657  [Indexed for MEDLINE]


Pan Afr Med J. 2014 Apr 8;17:257. doi: 10.11604/pamj.2014.17.257.3292. eCollection 2014.

Boujoual M(1), Hachi H(2), Merrouni MA(3), El Khannoussi B(4), Bougtab A(2).


Author information:

(1)Gynécologie Obstétrique, Faculté de Médecine et de Pharmacie d »Oujda, Université de Oujda, Oujda, Maroc.

(2)Chirurgie, Institut National d’Oncologie Rabat, Maroc.

(3)Centre de Radiologie Ibn Sina, Tanger, Maroc.

(4)Anatomie pathologique, Institut National d’Oncologie, Rabat, Maroc.


DOI: 10.11604/pamj.2014.17.288.3312

PMCID: PMC4198268

PMID: 25328584  [Indexed for MEDLINE]


Pan Afr Med J. 2014 Apr 15;17:288. doi: 10.11604/pamj.2014.17.288.3312. eCollection 2014.

Boujoual M(1), Hachi H(2), Rimani M(3), El Khannoussi B(4), Bougtab A(2).


Author information:

(1)Gynécologie Obstétrique, Faculté de Médecine Oujda, Rabat.

(2)Chirurgie Institut National d’Oncologie, Rabat.

(3)Centre d’Anatomie Pathologique Hassan, Rabat.

(4)Anatomie Pathologique Institut National d’Oncologie, Rabat.


DOI: 10.11604/pamj.2014.17.303.2560

PMCID: PMC4198271

PMID: 25328599  [Indexed for MEDLINE]


Pan Afr Med J. 2014 Apr 21;17:303. doi: 10.11604/pamj.2014.17.303.2560. eCollection 2014.

Benmansour A(1), Laanaz S(2), Bougtab A(1).


Author information:

(1)Department of Surgical Oncology, National Institute of Oncology, Rabat, Morocco.

(2)Department of Medical Oncology, National Institute of Oncology, Rabat, Morocco.


The Stewart-Treves syndrome was first described in 1948, it’s an angiosarcoma developed on a longstanding lymphadenomatous limb, more often after radical mastectomy. Diagnosis is made on skin biopsy and the prognosis is poor when radical surgery can’t be performed. We report the case on a Stewart-Treves syndrome in a sixty-six years old woman who underwent radical mastectomy for breast carcinoma ten years earlier. Surgery was not feasible at the time of diagnosis, and we lost touch of the patient even if chemotherapy was decided. Radical surgery is the best treatment to date for this rare disease.

Conservative surgery with adjuvant radiotherapy is also possible. Systemic chemotherapy is reserved for locally advanced unresectable and metastatic forms. We advocate long term follow-up for every post mastectomy lymphedema to diagnosis this fatal disease when curable.


DOI: 10.11604/pamj.2014.19.2.4178

PMCID: PMC4282868

PMID: 25574331  [Indexed for MEDLINE]


Pan Afr Med J. 2014 Sep 1;19:2. doi: 10.11604/pamj.2014.19.2.4178. eCollection 2014.


El Kacemi H(1), Aissa A(1), Bazine A(1), Kebdani T(1), Bougtab A(2), Benjaafar N(1).


Author information:

(1)Service de Radiothérapie, Institut National d’Oncologie de Rabat, CHU Ibn Sina, BP 6213 Rabat, Maroc.

(2)Service de Chirurgie, Institut National d’Oncologie de Rabat, CHU Ibn Sina, BP 6213 Rabat, Maroc.


DOI: 10.11604/pamj.2014.19.274.3604

PMCID: PMC4391893

PMID: 25870729  [Indexed for MEDLINE]


Pan Afr Med J. 2014 Nov 12;19:274. doi: 10.11604/pamj.2014.19.274.3604. eCollection 2014.

Jakhlal N(1), Njoumi N(1), Hachi H(1), Bougtab A(1).


Author information:

(1)Service de Chirurgie K, Institut National d’Oncologie de Rabat, Maroc.

Solid pseudopapillary tumours of the pancreas are rare tumours of uncertain etiology which mostly affects young women. Their prognosis is good especially after complete resection. We report a new case of a young woman; abdominal pain revealed solid pseudopapillary tumour. The diagnosis is based on histological examination associated with immunohistochemistry of the piece of resection removed with caudal splenopancreatectomy.


DOI: 10.11604/pamj.2016.24.104.8301

PMCID: PMC5012806

PMID: 27642443  [Indexed for MEDLINE]


Pan Afr Med J. 2016 May 31;24:104. doi: 10.11604/pamj.2016.24.104.8301. eCollection 2016.

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