BIOGRAPHIE

Après avoir accompli son cursus complet de médecine à la Faculté de Médecine de Bruxelles ULB, le Dr EL MOUSSAOUI Imad s'est spatialisé en chirurgie, durant sa formation, il a eu l’opportunité de se former au contact de spécialistes mondialement connus et dans des centres d’expertises: Hôpital Universitaire ERASME Bruxelles, Hôpital Universitaire Paul Brousse Paris...

Diplômé de Chirurgie de

- La Faculté de MEDECINE de BRUXELLES ULB

- La Faculté de MEDECINE de Paris XI

Strangulation of giant rectal prolapse

El Moussaoui Imad, Limbga A., Dika M., & Mehdi A. Scottish Medical Journal 2018, 63(2), 57–59.

Introduction

Rectal prolapse is the complete protrusion of the rectum through the anal canal, incarceration rarely complicates rectal prolapse. Even more rarely, it becomes strangulated and gangrenous, necessitating emergency surgery.

Case presentation

We present the first reported case of strangulated acute rectal prolapse as the first manifestation of rectal prolapse. The patient was a 26-year-old man who presented with a 20×6 cm semi-spherical mass extra-anally. Rectosigmoidectomy with sacral rectopexy was performed, resecting 20 cm of the incarcerated rectum and sigmoid colon. The postoperative course was uneventful with a good final result after colostomy closure and continuity restoration.

Conclusion

The successful treatment of this patient illustrates the value of surgery in this difficult and unusual case scenario of rectal incarceration.

Staple line reinforcement during sleeve gastrectomy with a new type of reinforced stapler.

El Moussaoui Imad, Limbga A.,  & Mehdi A. Minerva Chirurgica 2018, 73(2), 127-132

Methods

We conducted a retrospective review of 290 patients who underwent laparoscopic sleeve gastrectomy between January 2013 and January 2016 in which reinforced GIA™ or standard GIA™ was used. Patients preoperative characteristics, Operative time, staple line leaks, staple line bleeds, stenosis, and complications requiring reoperation were collected.

Acute Appendicitis Due to

Metastasis of Prostatic Adenocarcinoma

El Moussaoui Imad, Diamand R,

Dika M, Limbga A, Mehdi A. Journal of Current Surgery 2015, Vol. 5, No. 4

Introduction

Acute appendicitis due to metastasis of prostatic carcinoma is very rare, and only five cases of metastasis of prostatic carcinoma are described in the literature.

Case presentation

We report the case of a 73-year-old man with a history of an adenocarcinoma of the prostate with multiple bone metastases. The patient was admitted to the emergency department with symptoms and signs of an acute appendicitis which was confirmed by computed tomography (CT). Laparoscopic surgical exploration was performed, affirming an acute appendicitis with a suspicious lesion in the appendix base. Due to the location of the lesion, an ileocecectomy was performed. Histopathological and immunohistochemical examinations of the specimen showed an extrinsic infiltration of the appendix by adenocarcinoma metastasis expressing the prostate-specific antigen (PSA). These results confirmed an acute appendicitis caused by metastasis of prostatic adenocarcinoma.

Immunoglobulin G4-related sclerosing oesophagitis in a 9-year-old girl.

El Moussaoui Imad,Lingier P,

Demetter P, Verset L. 

Histopathology 2018 ;73(1):173-174

Immunoglobulin G4 (IgG4)‐related disease is a fibroinflammatory disorder characterised by a histopathological pattern of dense lymphoplasmocytic inflammation, fibrosis, obliterative phlebitis and demonstration of dominance of IgG4‐positive plasmocytes. Recognition of the disease entity is vital, due its frequent misdiagnosis as a malignant tumour which can result in unnecessary treatment measures, including surgery. Despite recent insights into the mechanisms behind IgG4‐related disease, a review of the literature yields only 13 (adult) cases of IgG4‐related disease occurring within the oesophagus.1 Our findings highlight the need for IgG4 immunohistochemial staining of eosophageal biopsies especially in patients with mucosal ulceration, chronic inflammation and plasmocytosis on biopsy, even in children.

Appendicitis and Prostatic Adenocarcinoma

El Moussaoui Imad. 3rd Global Experts

Meeting on Medical Case Reports,

May09-10,2016, New Orleans, USA

​Acute appendicitis due to metastasis of prostatic carcinoma is very rare, and only five cases of metastasis of prostatic carcinoma are described in the literature.

We report the case of a 73-year-old man with a history of an adenocarcinoma of the prostate with multiple bone metastases. The patient was admitted to the emergency department with symptoms and signs of an acute appendicitis which was confirmed by computed tomography (CT). Laparoscopic surgical exploration was performed, affirming an acute appendicitis with a suspicious lesion in the appendix base. Due to the location of the lesion, an ileocecectomy was performed. Histopathological and immunohistochemical examinations of the specimen showed an extrinsic infiltration of the appendix by adenocarcinoma metastasis expressing the prostate-specific antigen (PSA). These results confirmed an acute appendicitis caused by metastasis of prostatic adenocarcinoma.

Modified Laparoscopic Merendino procedure as Reversal of Roux-en-Y Gastric Bypass

El Moussaoui Imad, Loi P, Closset

J,  Belgian Surgical Week, Ostende 2019,

Belgium

Although RYGB is the gold standard for treating morbid obesity, it carries the risk of rare but serious long-term complications that require surgical revision. In this video we report the case of 43-yer-old woman who underwent laparoscopic Roux-en-Y gastric bypass 7 years ago, the patient has a severe dumping syndrome and a reflux resistant to medical treatment, it is decided to revise the Roux-en-Y gastric bypass, performing a Modified Laparoscopic Merendino procedure as Reversal of Roux-en-Y Gastric Bypass. Unfortunately, at the end of the procedure, an ischemia of the transplanted jejunal segment is caused by an iatrogenic lesion of its vascularity during the procedure, we decide to resect this ischemic transplanted jejunal segment and restore gastric continuity with side-to-side anastomosis between the new gastric pouch and the excluded stomach.