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Contribution of CT in the Exploration of Non-Traumatic Pathologies of the Lumbar Spine in Adults in Bangui

Open Journal of Radiology 2024年第3期14卷 125-134页

作者： bangue songrou francky kouandongui Timothée Mobima Yannick Héritier Sombot Borel Tambala Stéphane Kouzou Judith Guiaba Kette Euloge Tapiade Bidan Richard Bazogo National Center of Medical Imaging of Bangui Bangui Central Africa Republic Maman Elisabeth DOMITIEN Hospital Bangui Central Africa Republic Community Hospital of Bangui Bangui Central Africa Republic

Background: In Central African Republic, a study carried out in 2019 highlighted the limits of conventional radiography in the diagnosis of non-traumatic lower back pain in adults. Objective: The objective of this study is to show the value of CT scanning in the exploration of non-traumatic pathologies of the lumbar spine in adults. Patients and Method: Retrospective and descriptive cross-sectional study covering the files of patients aged at least 18 years old, sent for lumbar scanning from March 1 to December 31, 2021 at the medical imaging center. Results: In total, 593 scan examinations were performed including 159 (26.8%) examinations of the lumbar spine. The average age of the patients was 49.84 years. The majority were male (66%). 127 (79.8%) were referred mainly to the neurology and rheumatology departments. Common low back pain (n = 97, 61%) was the main reason for requesting a CT scan. The lumbar scan was performed without contrast product in 88.7% of cases. In total, 148 (93.1%) examinations were pathological and dominated by overall disc overhang (62.2%) and somatic and interapophyseal osteoarthritis (16.9%). The other lesions were spondylodiscitis (7.4%), tumor-like lesions (3.4%) and narrow lumbar canal (1.4%).

关键词： CT Scanning Lumbar Bangui Adults

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Contribution of CT Scanning in the Investigation of Cranioencephalic Lesions in Bangui

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Open Journal of Radiology 2024年第3期14卷 156-165页

作者： bangue songrou francky kouandongui Timothée Mobima Borel Tambala Yannick Héritier Sombot-Soule Stéphane Kouzou Judith Guiaba Kette Euloge Tapiade Bidan Richard Bazogo National Center of Medical Imaging of Bangui Bangui Central African Republic Maman Elisabeth DOMITIEN Hospital Bangui Central African Republic Community Hospital of Bangui Bangui Central African Republic

Introduction: Cranioencephalic exploration has always played a major role in CT scans. In the Central Africa Republic (CAR), the lack of cross-sectional imaging before the year 2020 meant that no study had focused on cranioencephalic lesions. The aim of this study was to contribute to improving the management of cranioencephalic pathologies in CAR. Patients and Method: The study took place at the Bangui National Medical Imaging Centre (CNIMB). It was a retrospective study over a two-year period (March 1, 2021 to February 30, 2023). All patients referred for cranioencephalic CT scans were included, regardless of age or sex. Results: 1745 CT scans were performed, 575 of which were cranioencephalic CT scans. The majority of patients were male (53%). Most lived in the capital Bangui (90.9%). Patients aged 61 and over were the most representative. The distribution of patients by requesting department showed that the reception and emergency department was one of the least requesting departments. The main abnormalities observed were strokes, 82.1% of which were ischaemic strokes and 17.9% haemorrhagic strokes. Strokes were followed by degenerative lesions. Post-traumatic injuries included haemorrhagic contusions (38.3%), subdural haematomas in 20.5% of cases, and extradural haematomas (9.3%). Craniofacial lesions (fractures) were observed in 45.8% of cases. Conclusion: Cranioencephalic scans accounted for 1/3 of CT examinations performed during the study period. It revealed pathologies that could not be detected by conventional means. All in all, CT scans contributed to the diagnosis of cerebral pathologies.

关键词： Cranioencephalic Scan National Medical Imaging Centre Bangui

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Abdominal Pregnancy: About a Case Observed at the Maternity of the Community University Hospital Center, Bangui, Central African Republic

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Open Journal of Obstetrics and Gynecology 2021年第3期11卷 296-302页

作者： G. D. Kossa-Ko-Ouakoua A. Koirokpi S. Matoulou-Mbala Wa-Ngogbe R. M’Betid-Degana E. Serdouma F. kouandongui bangue songrou G. R. Dotte N. R. Ngbale A. Sepou Department of Gynecology and Obstetrics Community University Hospital Center Bangui Central African Republic Department of Gynecology and Obstetrics Sino-Central African Friendship University Hospital Center Bangui Central African Republic Medical Imaging Department Community University Hospital Center Bangui Central African Republic Medical Oncology Department Community University Hospital Center Bangui Central African Republic

Abdominal pregnancy is a life threat to both mother and fetus requiring surgery regardless of the age of pregnancy. We report a case of abdominal pregnancy, delivered by laparotomy with a live newborn. This is a 31-year-old woman with 34 weeks and 2 days of amenorrhea whose ultrasound showed an abdominal pregnancy. Laparotomy extracted a newborn female weighing 3000 grams with APGAR at birth rated at 7/10 at one minute. The postoperatives were simple. The patient was discharged on the 14th postoperative day on 20 mg methrotrexate injection once a week for four weeks.

关键词： Abdominal Pregnancy Laparotomy Live Newborn Central African Republic

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