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Retroperitoneal Teratoma in Infants: About a Case in the Medical Imaging Department of the Mother and Child Hospital Center “Luxembourg”

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Open Journal of Medical Imaging 2022年第2期12卷 73-81页

作者： Issa Cisse Mamoudou Camara chomba abdoulaye kone Toumin Camara Diakaridia Traore Mahamane Mariko Souleymane Sanogo Moussa Konate Siaka Sidibe Medical Imaging Department CH Mother-Child “Luxembourg” Bamako Mali Medical Imaging Department CHU Point G Bamako Mali Internal Medicine Department Siguiri Prefectural Hospital Siguiri Guinea Department of Pediatric Surgery CH Mother-Child “Luxembourg” Bamako Mali

Introduction: Retroperitoneal teratoma is a rare congenital tumour, representing only 1% to 10% of primary retroperitoneal tumors in children, far behind ovarian and testicular locations. There is a clear female predominance with a sex ratio of 3.4/1. The purpose of this study is to review the clinical manifestations, the mode of revelation of retroperitoneal teratoma, the diagnostic means and the anatomopathologic aspect of retroperitoneal teratoma, then to show the contribution and the limits of the various imaging examinations: ultrasound, CT and MRI in the diagnosis of retroperitoneal teratoma. Observation: We report the case of a mature retroperitoneal teratoma discovered in a 10-month-old male infant. The diagnosis evoked by ultrasound and abdominal CT was confirmed by histological study of the excised specimen. The postoperative evolution after 3 months was favorable in particular with no signs of recurrence. Conclusion: Retroperitoneal teratoma is a rare congenital tumour. The complete imaging assessment including ultrasound and computed tomography is necessary preoperatively in order to make the diagnosis and to clearly determine the relationship with the various organs. The anatomopathological study confirms the diagnosis of retroperitoneal teratoma. Tumor excision must be radical to avoid recurrence, which readily occurs in a malignant form. Even if the tumor appears benign, postoperative monitoring based on clinical, biological and radiological examination is essential.

关键词： Tumours Mature Retroperitoneal Teratoma Child

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Epidemiology of the outbreak,vectors and reservoirs of cutaneous leishmaniasis in Mali:A systematic review and meta-analysis

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Asian Pacific Journal of Tropical Medicine 2016年第10期9卷 963-968页

作者： abdoulaye Kassoum kone Doumbo Safiatou Niare Mahamadou Ali Thera Kassoum Kayentao abdoulaye Djimde Pascal Delaunay Bourema Kouriba Pascal del Giudice Arezki Izri Pierre Marty Ogobara K Doumbo Malaria Research and Training Center Department of Epidemiology of Parasitic Diseases/Faculty of Medicineand Dentistry/ UMI-3189/University of ScienceTechnique and Technology of BamakoBP 1805BamakoMali Inserm U1065 Centre Mediterraneen de Medecine MoleculaireC3MUniversite de Nice-Sophia Antipolis151route St Antoine de GinestiereBP2319406204 Nice CedexFrance AND Parasitologie-MycologieHopital de l'ArchetCentre Hospitalier Universitaier de NiceFrance Unit of Infectious et Tropical Diseases Hospital Bonnet 83700 FrejusFrance Parasitology-Mycology Hospital AvicenneParis 13 UniversityUMR 190Aix-Marseille UniversityFrance

Objective: To compile available data and to estimate the burden, characteristics and risks factors of cutaneous leishmaniasis(CL) in Mali. Methods: Articles in English and French were searched in Hinari, Google scholar and PubM ed. Unpublished studies were identified by searching in ***. Terms used were Cutaneous leishmaniasis Mali; Leishmaniasis Mali, Leishmania major Mali; or Phlebotomus Mali or Sergentomyia Mali. We select descriptive studies on CL and sandflies in Mali. Data were extracted and checked by the author, then analyzed by region, by study population and type of biological tests, meta-analysis approach with STATA software was used. Results: Nineteen published(n=19) and three unpublished were included. CL epidemiology was characterized by occurrence of clinical cases in different areas of Mali, outbreaks restricted to known areas of transmission and isolated cases diagnosed in travelers. In endemic areas, population at risk are young age persons, farmers, ranchers, housewives, teachers and military personnel. The annual incidence ranged from 290 to 580 cases of CL. Leishmania major is the main species encountered throughout the country(North Savanna, Sahel and Sub-Saharan areas), and Phlebotomus duboscqi has been identified as the vector and Sergentomyia(Spelaeomyia)darlingi as possible vector. The overall estimated prevalence of positive LST(Leishmanin Skin Test) was 22.1%. The overall frequency of CL disease among suspected cases was 40.3%. Conclusions: Although descriptive, hospital-based and cross-sectional studies are robust enough to determine the extent of CL in Mali; future well-designed eco-epidemiological studies at a nationwide scale are needed to fully characterize CL epidemiology and risk factors in Mali.

关键词： Epidemiology Leishmaniasis Cutaneous Risk Factors Vectors Reservoirs Mali

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Neglected Elbow Dislocation with Conservation of Elbow Function, Concerning a Case in Abidjan (Ivory Coast)

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Open Journal of Orthopedics 2018年第4期8卷 127-131页

作者： Seydou Gnombena N’golo kone abdoulaye Bana Eric Gnanbro Dogba Centre Hospitalier Universitaire de Cocody Abidjan Ivory Coast

We report a case of elbow neglected dislocation with preservation of function in a 35-year-old patient. The clinical examination, ten years after the trauma, objectified a posterior dislocation of the elbow with a functional stiffness. Therapeutic abstention was decided in front of moderate functional discomfort. The high frequency of these neglected dislocations in our areas is due to the first-line appeal of patients to the bonesetters. The treatment is surgical for non-functional elbows with a risk of residual stiffness. Therapeutic abstention is recommended for functional elbows.

关键词： Elbow Dislocation Neglected

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Phytochemical Characterization and Evaluation of the Antibacterial Activity of Leaf Extracts of Mitragyna inermis (Willd.) O. Ktze on the in Vitro Growth of Clinical Strains Staphylococcus aureus, Escherichia coli and Pseudomonas aeruginosa Involved in Gastro Enteritis

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Journal of Biosciences and Medicines 2024年第6期12卷 101-113页

作者： Monon kone Youssouf Zanga Traore Tidiane Kamagate Ahmont Landry Claude Kablan abdoulaye Toure Karamoko Ouattara Adama Coulibaly Department of Biochemistry-Genetics Training and Research Unit Biological Sciences Peleforo Gon Coulibaly University Korhogo Cte dIvoire Department of Mathematics-Physics-Chemistry Training and Research Unit Biological Sciences Peleforo Gon Coulibaly University Korhogo Cte dIvoire Department of Biology and Health Training and Research Unit of Bioscience University of Flix Houphout-Boigny Abidjan Ivory Coast Department of Microbiology and Molecular Biology Training and Research Unit of Agriculture Fisheries Resources and Agro-Industry University of San Pedro San Pedro Cte dIvoire

Gastroenteritis constitutes a group of diarrheal diseases of infectious origin, responsible for absenteeism from work, morbidity and mortality, especially among aged people. This study aimed to evaluate the antibacterial activity of Mitragyna inermis extracts on the in vitro growth of Staphylococcus aureus, Escherichia coli and Pseudomonas aeruginosa involved in gastroenteritis. Phytochemical screening was carried out using two distinct methods. The detection of phytochemical compounds by tube coloring and chromatography on a thin layer of silica gel. The sensitivity of organisms was evaluated by the agar well method. The dilution method in liquid medium coupled with spreading on Mueller Hinton agar helped determine the CMB/MIC activity ratios. The investigations show that the extract has the best extraction yield (75.86% ± 0.20%) compared to the aqueous macerated (61.8% ± 0.08%) and decocted (66.6% ± 0.12%). These extracts contain several phytochemical compounds such as flavonoids, polyphenols, tannins, alkaloids, saponosides, coumarins and sterols and terpenes. These substances are endowed with biological activities and could be at the origin of antibacterial activity observed with M. inermis extracts. The analysis of antibacterial activity showed that the germs are sensitive to the extracts with inhibition diameters ranging from 8.30 ± 0.53 to 17.87 ± 0.58 mm. The ethanolic extract was the most active with diameters varying from 15.07 ± 0.62 to 17.87 ± 0.58 mm on all the germs tested. E. coli and S. aureus were the most sensitive germs to the extracts. P. aeruginosa was the least sensitive germ. Activity reports indicate that the extracts exert bactericidal activity on E. coli and S. aureus but bacteriostatic activity on P. aeruginosa. These results justify the use of M. inermis leaves in a traditional environment to treat gastroenteritis.

关键词： Phytochemical Characterization Antibacterial Activity Mitragyna inermis Gastro Enteritis

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Left Pyelic Bifidity and Ectopic Ureteral Superolateral Intravesical Homolateral Ectopic Junction Revealed by a Urinary Calculus Apropos of a Case at the Pasteur Clinic

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Open Journal of Medical Imaging 2022年第3期12卷 123-130页

作者： abdoulaye kone Oucoumba Diarra Mamoudou Camara Youssouf kone Abba Ata Omar Moussa Traore Ibrahima Coulibaly Moussa Konate Kassim Sidibe Toumin Camara Youssouf Diawara Cheick Oumar Toure abdoulaye Mody Camara Salia Coulibaly Mahamadou Diallo Adama Diaman Keita Aboubacar S. Ndiaye Siaka Sidibe Faculty of Medicine and Odontostomatology Bamako Mali Medical Imaging Department of the University Hospital of Point G Bamako Mali Radiology Department of CSREF Commune III Bamako Mali Medical Imaging Service Mother Child Hospital Luxembourg Bamako Mali FSTS Gamal Abdel NasserConakry Guinea Radiology Department of the Jacques Boutard Hospital Saint-Yrieix-la-Perche France France Medical Imaging Department of the Pasteur Polyclinic Bamko Mali DCSSA Bamako Mali General Medicine Department of the Siguiri Prefectural Hospital Siguiri Guinea Medical Imaging Service Health Center of Ref Commune IV Bamako Mali Medical Imaging Department of Mali Hospital Bamako Mali Medical Imaging Department of KATI Hospital Bamako Mali Medical Imaging Department of GABRIEL TOURE Hospital Bamako Mali

Introduction: Malformations of the excretory tract are abnormalities due to a disorder of embryogenesis. According to some authors, their frequency varies from 0.30 to 5.25 per 1000. The aim of this study was to highlight the CT uroscan aspect of pyelic bifidity with intravesical ureteral ectopic junction revealed by a urinary calculus and to explain the interest of CT uroscan in the management of urinary pathologies. Result: We report the observation of a 37-year-old overweight patient with a body mass index equal to 28, a history of surgery and extracorporeal litho-thipsis dating back 10 years. He was referred to the Imaging Department in the context of renal colic. The uroscanner made it possible to highlight a left pyelic bifidity associated with an ectopic abutment of the left ureter on the superolateral wall of the bladder, a calculation in the left ectopic ureteral meatus measured at 4 mm in axial diameter. He noted upstream of these lesions, a uretero-pyelo-calicielle dilation on double homolateral pyelon. On late cuts, a slight delay in left renal excretion was noted. The right kidney was also the site of a hyperdense calculation of 1257 HU density and measured 4 mm in transverse diameter with a non-obstructive appearance. Due to a lack of means, our patient was subjected to oral medication, hygiene and dietary rules and rigorous monitoring. Conclusion: At the end of this study, the uroscanner is presented as the reference examination to better explore urinary pathologies. At the same time, it makes it possible to carry out a study of the organs surrounding the urinary tract. Always think about the association of several urinary pathologies each time you see a patient for renal colic.

关键词： Bifidity Pyelic Uroscanner Ectopia Lithiasis

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Sociodemographic and Scanographic Aspects of Primary Bronchopulmonary Cancer in a Hospital in Mali

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Open Journal of Medical Imaging 2021年第4期11卷 104-114页

作者： Mody abdoulaye Camara Moussa abdoulaye Ouattara Hawa Diarra Mohamed Maba Traore Boubacar Mama Toure Nouhoum Simpara Néné Koumare Mamadou Ndiaye Salia Coulibaly abdoulaye kone Moussa Konate Ilias Guindo Konate Zakaria Mamadou Bakary Coulibaly Seydou Coulibaly Siaka Sidibe Department of Medical Imaging of the Mali Hospital Bamako Mali Department of Thoracic Surgery of the Mlai Hospital Bamako Mali Pediatric Unit at the Common Reference Health Center VI Bamako Mali Department of Medical Imaging of the CHU of Kati Bamako Mali Bamako Infirmary Hospital Bamako Mali Medical Imaging Department of CHME Luxembourg Bamako Mali Department of Gynecology of the Mali Hospital Bamako Mali

Summary: A malignant tumour that develops from the bronchial epithelium and then invades the lungs. It ranks third after colorectal and breast cancer. In Mali, computed tomography (CT) is the main imaging tool used at all stages of treatment. We had initiated this study with the objective of specifying the place of CT in the diagnosis of primary bronchopulmonary cancer at the hospital of Mali. Method: This is a prospective and descriptive study conducted by the Medical Imaging and Thoracic Surgery departments at Mali Hospital from March 2014 to February 2015. All the patients who have benefited from a CT scan and presenting at least one histologically confirmed bronchopulmonary tumor were included. Results: We were recruiting 60 patients with bronchopulmonary cancers out of 500 referred for a thoracic CT scan performed, a frequency of 12%. There was one male patient with a sex ratio of 4H/1F. The average age was 60 years. The history of smoking was 85%. The symptoms were dominated by general condition (63.33%), cough (25%) and haemoptysis (58.33%). CT scans were performed in all patients. The lesions were located more in the lower lobes (71%). The tumours were: heterogeneous tissue density (70%), spiculated contours (80%), and the histology was more non-small cell carcinoma. Conclusion: The incidence of bronchopulmonary cancer is very high and its prognosis is poor at an advanced stage. The evaluative role of CT and biopsy guidance has given it a place of choice in its management. The diagnosis of certainty remains histology.

关键词： Sociodemographic and Scanographic Aspects of Primary Bronchopulmonary Cancer in a Hospital in Mali

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TyphicIleal Perforation at Kati Chu-BSS for Diagnostic and Therapeutic Aspects (Mali)

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Surgical Science 2021年第8期12卷 286-295页

作者： Koniba Keita abdoulaye Diarra Sidiki Keita Salia Coulibaly Oulematou Coulibaly Amadou Traoré Assitan kone Oumou Koné Fodé Mory Keita Daouda Diallo Boubacar kone Drissa Traoré Bacary T. Dembélé General Surgery Department Hospital BSS Kati Mali General Surgery “A” Department Hospital Point-G Bamako Mali Medical Imaging Department Hospital BSS Kati Mali Reference Heath Centre of the Commune VI Bamako Mali General Surgery Department Hospital Gabriel Touré Bamako Mali General Surgery “B” Department Hospital Point-G Bamako Mali Anesthesia Resuscitation Department Hospital BSS Kati Mali

Ileal perforation of typhus origin is a common and serious complication of typhoid fever in tropical environments. It is one of the main causes of morbidity in surgery in Mali. However, it would be preventable if salmonellosis were properly managed upstream, and if our living environments were cleaned up. The purpose of this study is to report on the experience of the Kati UHC General Surgery Department in the management of peritonitis by typhic perforation and to assess its prognosis. Patients and Method: This is a retrospective descriptive study that took place from January 2007 to December 2020 in the General Surgery department of the Hospitalo-University BSS Center of Kati (Mali). We have included patients who have undergone peritonitis with confirmed typhic ileal perforation with laparotomy. The other etiologies of peritonitis by ileal perforation were not retained. Results: In 14 years, we collected 89 cases of peritonitis by typhic ileal perforation. It accounted for 3.14% (89/2829) of surgical procedures, 37.5% (89/1181) of visceral surgical emergencies and 27.6% (89/322) of all acute peritonitis causes combined. There were 70 men against 29 women;the sex ratio was 2.4 with an average age of 25.8 years (extremes 8 years to 65 years). Anastomosis resetions (ileo ileal and ileocolic) predominated in 71.8% of patients. However, the ileo stoma was performed in 5.6%. A significant relationship (p 0.05) was observed between high mortality and MPI score > 26. Morbidity was 39.4% with mortality of 15.7%. The average length of stay in hospital was 12.2 days. Conclusion: Typhoid ileal perforation is common in young male adolescents in visceral surgery. This pathology generates significant morbidity. However with the extension of hand washing after Ebola disease its frequency has dropped.

关键词： Typhoid Perforation Diagnostic Surgery

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Epidemiological, Clinical and Radiological Study of Patients Operated on for Spondylolisthesis in the Neurosurgery Department of CH “the Luxembourg” in Bamako

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Open Journal of Medical Imaging 2022年第3期12卷 109-122页

作者： abdoulaye kone Moussa Traore Mamoudou Camara Youssouf kone Moussavou-Imounga Jacqueline Ouncoumba Diarra Mamadou Diarra Youssouf Diawara Oumar Abba Ata Ibrahima Coulibaly Moussa Konate Kassim Sidibe Toumin Camara Cheick Oumar Touré abdoulaye Mody Camara Salia Coulibaly Mahamadou Diallo Adama Diaman Keita Siaka Sidibé Faculty of Medicine and Odontostomatology Bamako Mali Medical Imaging Department of the University Hospital of Point G Bamako Mali Medical Imaging Department of the Pasteur Polyclinic Bamako Mali Medical Imaging Department of GABRIEL TOURE Hospital Bamako Mali Medical Imaging Service Mother Child Hospital Luxembourg Bamako Mali Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry Conakry Guinee Radiology Department of the Jacques Boutard Hospital Saint-Yrieix-la-Perche France Neurosurgery Department of the Mère-enfant le Luxembourg Hospital Bamako Mali Radiology Department of CSREF Commune III Bamako Mali DCSSA Bamako Mali Internal Medicine Department of the Prefectural Hospital of Siguiri Siguiri Guinea Medical Imaging Service Health Center of Ref Commune IV Bamako Mali Medical Imaging Department of Mali Hospital Bamako Mali Medical Imaging Department of KATI Hospital Kati Mali

Introduction: Spondylolisthesis is defined as a permanent anterior sliding of the vertebral body accompanied by the pedicles, the transverse processes and the posterior joints in relation to the underlying vertebra. The prevalence of spondylolisthesis varies between 4% and 9%, according to different authors in France, China and Japan. In Africa, some African authors find a spondylolisthesis rate of 9.93%. The objective of this study was to study the clinical and radiological aspects of spondylolisthesis at the Mother-Child Hospital of Bamako. Methods: Prospective and retrospective descriptive study carried out in the neurosurgery department of CH Mother-Child Luxembourg in Bamako from 2010 to 2018. Result: We collected 42 patients operated on for spondylolisthesis out of 145 patients, i.e., 29% of the department’s activities. The average age of our patients was 51 years old, with extremes of 20 and 75 years old. The sex ratio was 0.81 in favor of women. 61.9% of our patients performed work requiring physical strength. Neurogenic claudication was the predominant clinical sign with 88.1% of cases. CT was the most common way of exploration in 57.1% of cases and CT myelo in 47.6% of cases. Disc herniation was associated with spondylolisthesis in 23% of cases. Spondylolisthesis was grade 1 in 59.6% of cases and was responsible for mixed stenosis in 73.82% of cases. All our patients underwent laminectomy. The evolution at 6 months postoperative was favorable in 64.3% of cases. Conclusion: The diagnosis of spondylolisthesis is radiological and makes it possible to define the type of lesion according to its etiology and its severity, but also to highlight the conflicts with the nervous system which will have to be cured. Field and household work, pregnancy, carrying loads or children on the back could be incriminated.

关键词： Spondylolisthesis Radiology Operated

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Para Testicular Pseudotumeurs of Calcified Gait: A Case Report from the Nianankoro Fomba Segou Hospital (Mali)

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Open Journal of Urology 2022年第12期12卷 602-606页

作者： Ibrahim kone Sory Brehima Samaké abdoulaye Kassogué Mahamoudou Keita Tidiani Traoré Thierno Boubacar Bagayogo Adama Bah Alpha Sanogo Damissa Coulibaly abdoulaye Nouhoum Coulibaly Mamadou Togo Aminata Fofana Urology Department of the Nianankoro Fomba Segou Mali Hospital Ségou Mali General Surgery Department of the Nianankoro Fomba Segou Mali Hospital Ségou Mali Pediatrics Department of Nianankoro Fomba Segou Mali Hospital Ségou Mali Obstetrics and Gynaecology Department of the Nianankoro Fomba Segou Mali Hospital Ségou Mali Forensic Medicine Department of the Nianankoro Fomba Segou Mali Hospital Ségou Mali Cardiology Department of the Nianankoro Fomba Segou Mali Hospital Ségou Mali General Medicine Department of the Nianankoro Fomba Segou Mali Hospital Ségou Mali Ophthalmology Department of Nianankoro Fomba Segou Mali Hospital Ségou Mali ENT Department of the Nianankoro Fomba Segou Mali Hospital Ségou Mali

Fibrous tumors of para testicular location are extremely rare benign tumors. The diagnosis of benignity, which allows a conservative treatment, will be made intraoperatively in front of the macroscopic aspect with well enucleable nodules and confirmed by the extemporaneous anatomopathological examination. We report a case of multiple calcified paratestinal pseudotumors in a 25-year old patient with no particular history, whose benignity was proven by the histology of the operative parts. Our objective was to discuss, from this observation and a review of the literature, the diagnostic and therapeutic aspects of these tumors.

关键词： Pseudotumor Para Testicular Benign

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Rare Antenatal Fetal Malformations of the Anterior Abdominal Wall in Mali: About a Case

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Open Journal of Medical Imaging 2022年第4期12卷 208-214页

作者： Ousmane Traore Ouncoumba Diarra Mamadou N’Diaye Souleymane Sanogo Ilias Guindo abdoulaye kone Hamady Sissoko Mahamadou Diallo Siaka Sidibe Adama Diaman Keita Radiology Department of the Medical Clinic “Marie Curie” Bamako Mali Department of Radiology Center Hospital-University “Le Point G” Bamako Mali Radiology Department Commune III Reference Health Center of Bamako Bamako Mali Radiology Department of the Military Camp of Bamako Bamako Mali Department of Radiology Center Hospital-University “Le Luxembourg” Bamako Mali Radiology Department Center Hospital-University de Kati Bamako Mali Radiology Department of the Medical Clinic “Pasteur” Bamako Mali Department of Radiology Center Hospital-University “Gabriel Toure” Bamako Mali

Abdominal wall malformations correspond to a wide spectrum of congenital anomalies that are due to a defect in the closure of the anterior abdominal wall and can be fatal. We report the case of laparoschisis associated with a poly malformation syndrome in the same fetus at the reference health center of commune III of the district of Bamako. The objective is to clarify the interest of antenatal ultrasound in the diagnosis and prognosis of these malformations. It was a 19-year-old prim gravid woman received as part of the prenatal check-up. Antenatal ultrasound had allowed the diagnosis of malformation of the anterior abdominal wall of the gastroschisis type associated with abnormalities of the neural tube, the urogenital system and the bone skeleton. The antenatal diagnosis of the malformations had motivated the realization of a therapeutic termination of pregnancy at 19 weeks of amenorrhea and 3 days by triggering and vaginal delivery, allowing the confirmation of the diagnosis of gastroschisis and the poly malformation syndrome which is extremely rare. Antenatal ultrasound remains an ideal means of imaging for monitoring pregnancy and had made it possible to make the prognosis and antenatal diagnosis of multiple malformations in association, and to indicate better therapeutic decision-making.

关键词： Malformation Fetus Antenatal Ultrasound Laparoschisis

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