Searchable abstracts of presentations at key conferences in endocrinology

ea0081ep1085 | Thyroid | ECE2022

The diffuse sclerosing form of papillary carcinoma of the thyroid

Abir Meherzi , Njima Marwa Ben , Bellakhdhar Mouna , Malika El Omri , Houas Jihene , Wassim Kermani , Mohamed Abdelkefi

Objective: Papillary thyroid carcinoma is the most common malignant tumor of the thyroid, the diffuse sclerosing variant is however very rare and represents between 0.7 and 6.7% of all papillary thyroid carcinomas. We propose through this poster to study its clinical, epidemiological, therapeutic and prognostic characteristics.Matherials and methods: We report two cases of diffuse papillary sclerosing carcinoma of the thyroid, collected at the ENT and CC...

ea0081ep1127 | Thyroid | ECE2022

Graves’ disease: surgical management

Abir Meherzi , Sghaier Habiba Ben , Bellakhdhar Mouna , Malika El Omri , Houas Jihene , Wassim Kermani , Mohamed Abdelkefi

The goal of this study is to examine the role of surgery in the treatment of Graves’ disease and to assess the surgical outcomes.Methods: We present the results of a retrospective analysis of 31 Graves’ disease cases operated on in the ENT and cervico-facial surgery departments of Farhat Hached Sousse Hospital during a six-year period [2015-2021]. Our group consisted of 05 males and 26 women. The average age ranged from 12 to 70 years. Between ...

ea0081ep1128 | Thyroid | ECE2022

Hypoparathyroidism Post-total thyroidectomy: pathophysiology and management

Abir Meherzi , Jemli Safa , Bellakhdhar Mouna , Malika El Omri , Houas Jihene , Wassim Kermani , Mohamed Abdelkefi

Thyroid surgery is a frequent procedure that has certain risks. After a complete thyroidectomy, hypocalcemia is the most prevalent consequence. It has a variety of causes, with hypoparathyroidism being the most frequent and dangerous.Materials and procedures: A retrospective analysis collected 27 cases of patients who had a total thyroidectomy complicated by hypocalcemia among 320 patients who underwent a total thyroidectomy throughout the study period, ...

ea0081ep1129 | Thyroid | ECE2022

Management of refractory Graves’ disease

Abir Meherzi , Sghaier Habiba Ben , Bellakhdhar Mouna , Malika El Omri , Houas Jihene , Wassim Kermani , Mohamed Abdelkefi

The goal of this paper is to analyze the factors that cause people to flee medical treatment and to put forth management guidelines. Materials and methodes: This is a retrospective analysis of 27 instances with Graves’ disease that were resistive to medical treatment after escaping from well-conducted medical treatment in the ENT and cervico-facial surgery departments at Farhat Hached Sousse Hospital over a six-year period [2015-2021]. Results: All of the patients were pu...

ea0090ep1062 | Thyroid | ECE2023

Papillary carcinoma of the thyroid in Basedow disease : case report

A Meherzi , S Jemli , E Laabidi , Omri M El , M Bellakhdher , W Kermani , M Abdelkefi

Introduction: The occurrence of Basedow disease does not eliminate the possibility of an associated thyroid cancer. Thyroid carcinoma in Basedow disease is particularly rare (1 to 2%). Most often, it is a papillary carcinoma. This is most often a chance discovery. We report a case of a papillary carcinoma in a Basedow disease taken care of in our department. Case Report : This was a 39-year-old hypertensive diabetic woman followed in endocrinology for Ba...

ea0063p88 | Calcium and Bone 1 | ECE2019

A case of primary hyperparathyroidism due to a giant parathyroid adenoma extending into the mediastinum

Ghammem Monia , Houas Jihene , Bellakhdhar Mouna , Meherzi Abir , Kermani Wassim , Abdelkafi Mohamed

Introduction: Primary hyperparathyroidism is a common disease. It is generally caused by a solitary parathyroid adenoma. Adenomas weighing more than 3.5 g are classified as giant. These giant parathyroid adenomas constitute a rare clinical entity.Case report: A 54-year-old woman was referred to our ENT department for management of newly diagnosed hypercalcaemia. She had no significant medical history. She reported mild constipation, muscular weakness, na...

ea0063p202 | Diabetes, Obesity and Metabolism 1 | ECE2019

Necrotizing external otitis: a severe form of otitis in diabetic patients

Ghammem Monia , Houas Jihene , Bellakhdher Mouna , Meherzi Abir , Kermani Wassim , Abdelkafi Mohamed

Introduction: Necrotizing external otitis (NEO) is a serious life-threatening infection of the external ear and skull base condition. The precise etiology of this condition is unknown. Diabetes mellitus is well known to be one of the most tightly associated characteristics seen in NEO patients. It is documented that diabetes causes endarteritis and microangiopathy, leading to poor microcirculation and impaired polymorphonuclear cell function.Patients and...

ea0063p385 | Thyroid 1 | ECE2019

Synchronous papillary carcinomas in thyroglossal duct cyst and micro carcinomas in thyroid gland: report of 3 new cases

Ghammem Monia , Houas Jihene , Bellakdher Mouna , Meherzi Abir , Kermani Wassim , Abdelkafi Mohamed

Introduction: Thyroglossal duct carcinoma (TDCCa) is a very rare finding and its presentation is similar to a benign cyst. Carcinoma arising in this tract is uncommon. It is still debated whetherTDCCa originates from the thyroid gland, from the thyroglossalduct it self (de novo theory) or from both. Although the differentiation may be difficult, this distinction can play a crucial role in treatment decisions regarding the inclusion of thyroidectomy as part of the treatment.</p...

ea0063p395 | Thyroid 1 | ECE2019

An unexpected finding of a bronchogenic cyst mimicking thyroid cyst

Ghammam Monia , Houas Jihene , Bellakhdher Mouna , Meherzi Abir , kermani Wassim , Abdelkefi Mohamed

Introduction: Bronchogenic cysts are rare benign congenital anomalies related to the abnormal budding of the tracheobronchial tree during embryological development. They are usually located in the mediastinum and intrapulmonary regions. Localization in the cervical area is unusual, and specially, bronchogenic cysts presenting as thyroid cyst are quite rare.Case report: A 43-year-old woman presented with a seven months’ thyroid mass. The patient had ...

ea0063p787 | Thyroid 2 | ECE2019

Cervical lymph node metastasis in thyroid microcarcinoma

Bellakhdhar Mouna , Houas Jihene , Ghammem Monia , Meherzi Abir , Kermani Wassim , Abdelkefi Mohamed

Introduction: Thyroid microcarcinoma with palpable cervical node metastasis is a rare clinical situation. Through this work, we aim to study its clinical, therapeutic and evolutionary features.Material and methods: We conducted a retrospective study over 14 cases of thyroid microcarcinoma presenting with a palpable cervical lymph node metastasis collected on the ENT department of Farhat Hached hospital over 28 years (1990–2017).<p class="abstext...