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Ultrasound diameter of the Portal Vein to Healthy Adult in Parakou (Benin)

Open Journal of Medical Imaging 2021年第4期11卷 145-152页

作者： djivèdé Akanni Khadidjatou Sake Alassan Miralda Kiki Babylas djohoun Kofi-Mensa Savi de tove Jean Sehonou Medical Imaging department Faculty of Medicine University of Parakou Parakou Benin Hepato Gastro Enterology department Faculty of Medicine University of Parakou Parakou Benin Hepato Gastro Enterology department Faculty of Health Sciences University of Abomey Calavi Cotonou Benin

Introduction: The portal vein (PVd) diameter is one of the predictive variables of portal hypertension. This diameter can differ according to the population. The objective of this study was to determine the PVd in a healthy adult population in Parakou using ultrasonography. Methods: A cross-sectional descriptive study was conducted in the medical imaging department of the Borgou and Alibori University-affiliated Hospitals in Parakou from July 1st to October 1st, 2019. The study population consisted of 201 healthy adults. The ultrasound diameter of the portal vein was measured at the level of the hepatic hilum on a cross-sectional epigastric view and on an oblique intercostal view. An association was sought between the PVd and sociodemographic and anthropometric factors. Results: The mean age was 28.97 ± 10.56 years and the sex ratio (M/F) was 0.79. The mean PVd in regular breathing (FB) was 9.83 ± 0.95 mm with a 95% confidence interval of [9.70;9.97], a 95th percentile of 11.49 mm with extremes of 7.50 mm and 12.23 mm. PVd was correlated with age, sex, weight, height and abdominal girth. After multiple linear regressions (r = 0.19), there was correlation between the PVd in normal breathing with age (p = 0.0090), weight (p = 0.0026), body mass index (p = 0.0171) and body surface (p = 0.004). Conclusion: A PVd greater in normal adults is less than 12 mm and seems to be correlated to the subject age, weight, body mass index and body surface. A more than 13 mm PVd should lead to the suspicion of portal vein hypertension in adults in our populations.

关键词： Portal Vein Ultrasound Portal Vein Hypertension Parakou

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GASTRIC VOLVULUS: A Case Report and Literature Review

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Surgical Science 2020年第6期11卷 122-126页

作者： d. M. Seto S. G. R. Attolou M. G. Yassegoungbe K. M. Savi de tove S. A. Allode General Surgery Parakou’s University Hospital Center Parakou Benin Visceral Surgery HKM National University Hospital Center Cotonou Benin Pediatric Surgery HKM National University Hospital Center Cotonou Benin Radiology department Parakou’s University Hospital Center Parakou Benin

Background: Gastric volvulus is a rare surgical emergency that causes an upper digestive obstruction due to a rotation of the stomach greater than 180°. Observation: We report the case of a 2-year-old patient referred from a health care facility for incoercible vomiting. On admission, the clinical examination revealed that the condition started about 1 month back with poor general and nutritional condition. Pyloric stenosis was suspected but this hypothesis was rejected based on abdominal ultrasound. Further investigations were done with an abdominal X-ray and an upper gastrointestinal barium study which led to the conclusion of an organo-axial gastric volvulus. The patient died in the course of treatment. Conclusion: Gastric volvulus is an often-misunderstood condition. Upper gastrointestinal barium study remains the gold standard of diagnosis. Its management is surgical.

关键词： Stomach Volvulus Upper Gastrointestinal Barium Study Surgery

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Irritable Bowel Syndrome in General Population of Cotonou: Prevalence and Associated Factors

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Open Journal of Gastroenterology 2023年第3期13卷 117-130页

作者： Comlan N’déhougbèa Martin Sokpon Aboudou Raïmi Kpossou Spéro Ludwig Kpèssou Aden-Henri Rodolph Koffi Vignon Jean Louis Savi de tove Akuvi Claude Gildas Adossou Colette Sylvie Azandjèmè Jean Séhonou Hepato-Gastroenterology department National and University Hospital Hubert Koutoukou Maga (CNHU-HKM) Cotonou Benin Clinique Santé du Sud Cotonou Benin Saint Vincent Hospital Worcester USA Regional Institute of Public Health (IRSP) Ouidah Benin

Introduction: Irritable bowel syndrome (IBS) is a known public health burden in western countries while only a few studies have been published on this disease in Africa. The objective of this study was to determine the prevalence of IBS in the general adult population of Cotonou (Benin), its associated risk factors and its impact on patients’ daily life. Method: This was a descriptive and analytical cross-sectional study conducted over one month. data was collected via a questionnaire. IBS was defined by the Rome IV criteria. Results: A total of 768 participants were included, with a male predominance (sex ratio 1.8). The mean age of the participants was 30.6 years, with extremes of 15 to 76 years. The prevalence of IBS in our study was 4.2%. IBS-d was the most common subtype (34.4%). IBS symptoms were influenced by diet (46.9%), stress (31.3%) and lack of sleep (15.6%). In the univariate analysis, the risk factors associated with IBS were: dendi and Otamari ethnicity (p = 0.015), low level of education (p = 0.047), family history of IBS (p = 0.026), smoking (p Conclusion: despite IBS frequency, patients with IBS rarely seek medical attention. The public should therefore be informed about this condition to reduce its impact on their daily life.

关键词： IBS Rome IV Criteria Associated Factors Cotonou Benin

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Contribution of Imaging to the diagnosis of Non-Traumatic Tendinopathies of the Thoracic Limb in a Resource-Constrained Country

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Open Journal of Radiology 2021年第4期11卷 204-217页

作者： Sonia B. M. G. Adjadohoun Sessi M. H. G. Kiki Maurice M. W. d. Akanni Houlda Tossa Boris Vidégla dossou-Yovo Hilaire Kofi-Mensa S. Savi de tovè Patricia Yèkpè̀ Ahouansou Zavier C. Zomalheto Olivier Biaou Vicentia Boco department of Medical Imaging Faculty of Health Sciences University of Abomey-Calavi Cotonou Benin department of Regional and Teaching Hospital of Borgou/Medical Imaging Faculty of Medicine University of Parakou Parakou Benin department of Rheumatology Faculty of Health Sciences University of Abomey-Calavi Cotonou Benin

Introduction: Tendinopathy of the thoracic limb (TMT) is frequent, and is responsible for an important socio-professional handicap. Medical imaging, in particular, ultrasound has a major role in contributing to the diagnosis. As the use of ultrasound is recent in osteoarticular pathology, especially in Africa, we proposed to determine the contribution of imaging in the diagnosis of tendinopathy of the thoracic limbs in a country with limited resources. Patients and Method: A descriptive and analytical cross-sectional study of patients with tendinopathy of the thoracic limb who consulted the rheumatology department of the CNHU-HKM of Cotonou from August 6, 2019 to October 6, 2019. We evaluated the concordance of thoracic limb tendinopathy between imaging (radiography and ultrasound) and the clinic on the one hand and then between radiography and ultrasound on the other hand. The analysis of the collected data was carried out with the Epi-info software version 7.***.1.0. Then the concordance was evaluated by the kappa coefficient. Results: Fifty- two (52) patients with 104 joints were evaluated. The average age was 54.92 ± 3.40 years. Clinically, rotator cuff tendinopathy was the most frequent abarticular pathology (45.19%). The clinical-ultrasound agreement was strong (k = 0.7527) for the shoulders, very strong (k = 0.9360) for the elbows and moderate for the wrists (k = 0.6695). The clinical-radiographic agreement was weak (k = 0.2316) at the shoulder level and very weak (k = 0.2087) at the elbow level. The radio-ultrasound agreement was very low in the shoulders (k = 0.1522), elbows (k = 0.1859) and wrists (k = 0.0001). Conclusion: The contribution of imaging in the diagnosis of TMT remains certain even in a country with limited resources like ours. Ultrasound is a reliable examination for the diagnosis of non-traumatic tendinopathy of the thoracic limb with a good clinical-ultra- sound concordance a

关键词： Tendinopathy Thoracic Limb Radio-Clinical Concordance Clinical-Ultrasound Concordance Benin

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