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Nuchal Cord at Delivery and Neonatal Outcomes: A Retrospective Cohort Study

Open Journal of Obstetrics and Gynecology 2022年第4期12卷 285-291页

作者： Mbodji Aissatou Gueye Mamour Wade Mouhamadou Ndiaye Mame diarra dia aliou djiby Cisse aliou Ibrahim Rahadat Ndiaye Mor Talla Mbaye Magatte Philippe Maguilen Senghor Health Center Dakar Sénégal Cheikh Anta Diop Univeristy Dakar Sénégal Gaston Berger University Saint-Louis Sénégal

Objective: The present study was aimed at evaluating the outcome of pregnancies with a nuchal cord. Methods: A retrospective population-based study of all deliveries during the years 2011-2020 in Philippe Maguilen SENGHOR Center was conducted. Perinatal outcome of patients with and without nuchal cord was compared. Results: Among 44,958 deliveries during the study period, 1.8% had a nuchal cord, documented at birth (n = 807). Higher rates of labor induction (9.1% vs. 3.2%;p 0.001) and non-reassuring fetal heart rate patterns (RR = 2.366;CI: 1.631 - 3.432) were noted among pregnancies with nuchal cord as compared with the control group. The cesarean delivery rate was significantly higher among pregnancies with a nuchal cord (39.5% vs. 21.8%;RR = 2333;CI: 2.023 - 2.692). Although 5 min Apgar scores lower than 7 were more common in pregnancies with a nuchal cord (7.8% vs. 3.8%;RR = 2.117;CI: 1.629 - 3.363). There was no statistical significance between the two groups for the perinatal mortality. Conclusion: Nuchal cord is associated with prolonged labor and adverse perinatal outcome.

关键词： Nuchal Cord Perinatal Outcome Philippe Senghor Health Center Dakar

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Report of a New Case of Interlocking Heads in a Breech-Vertex Twin Delivery: A Conversation with My Residents

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Open Journal of Obstetrics and Gynecology 2021年第1期11卷 40-47页

作者： Mamour Gueye Mouhamadou Wade Aissatou Mbodji Mame diarra Ndiaye Ndiémé Mbaye Mor Talla Ndiaye Rahadat Ibrahim Amadou Lamine Cisse aliou djiby dia aliou Cisse Moussa diallo Omar Gassama Ousmane Thiam Magatte Mbaye Philippe Senghor Health Center Cheikh Anta Diop University Dakar Senegal

“Locked twins” is a rare event occurring in about 1 in every 1000 twin births. A 21-year-old primigravida with a 31-week twin pregnancy was admitted for delivery. The head of the first twin was locked to the chin of the second twin at the top of the symphysis pubis. Caesarean section was performed allowing the delivery of both dead twins. Twins gestations with first twin in the breech presentation raise index of suspicion of potential locked twin. However, management of such situation is controversial with most authors and colleges recommending caesarean section to avoid interlocking heads. We report another rare case of interlocking heads and bring up the topic about management of breech-first twin deliveries.

关键词： Interlocking Heads Breech Presentation Twins Recommendations

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Renal Oncocytoma: Clinical and Therapeutic Aspects about a Case Series and Literature Review

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Open Journal of Urology 2015年第5期5卷 65-69页

作者： Yoro diallo Racine Kane Saint Charles N. Kouka aliou Amadou dia Cyrille Ze Ondo Abdoulaye N’diaye Adamson Phiri Eden Kwamé Dagadou Mamadou Ba Cheickna Sylla Department of Urology Faculty of Health Sciences University of Thies Thies Senegal Department of Urology Principal Hospital of Dakar Dakar Senegal Department of Urology-Andrology Teaching Hospital Aristide Le Dantec of Dakar Dakar Senegal

Introduction: The gold of this work was to study the clinical and therapeutic management aspects of renal oncocytoma in our settings. Our Observations: Case 1: there was a 44-year-old patient being followed up for a urinary tract infection due to Escherichia coli. The urological CT-scan showed a tumor-like process on a horseshoe kidney. Radical nephrectomy was performed and the histology report confirmed renal oncocytoma;Case 2: it involved a 62-year-old hypertensive patient. Clinical examination revealed a grade II cystocele and medical imaging showed a tumor-like mass at the lower pole of the right kidney. Radical nephrectomy was performed and histology was concluded in favor of renal oncocytoma;Case 3: there was a 64-year-old patient monitored for chronic renal failure and on dialysis for 6 months. Imaging showed a heterogeneous mass developing from the kidney. Histology and immunohistochemistry confirmed renal oncocytoma. Conclusion: Imaging could contribute greatly to preoperative diagnosis. However, there is a need to think about renal oncocytoma when evaluating kidney tissue masses.

关键词： Renal Oncocytoma Benign Tumor Imaging Nephrectomy

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Frequency of Group A Beta-Hemolytic Streptococcal Angina in Children in the Department of Pediatrics of Donka National Hospital

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Open Journal of Pediatrics 2020年第4期10卷 610-616页

作者： Mamadou Moustapha Diop Aissata Barry Emmanuel Camara Mohamed Lamine diallo M’mah Aminata Bangoura Hasmiou dia Saliou Bella diallo Mamadou aliou Doukouré Moustapha Kouyaté Narcisse Viani Gateu Tadjom Mamadou Pathé diallo Pediatrics Department Donka National Hospital Conakry Republic of Guinea Paediatric Medical Emergency Donka National Hospital Conakry Republic of Guinea Institute of Nutrition and Child Health Conakry Republic of Guinea Paediatrics Department Ignace Deen National Hospital Conakry Republic of Guinea Medical Centre and Health Counselling Conakry Guinea

Background: Angina is a common paediatric condition. It has certain peculiarities in children, particularly with regard to the frequency of bacterial germs and the use of diagnostic tests. The aim of this study was to determine the place of the rapid diagnostic test in the management of group A beta-hemolytic streptococcal angina in children in the paediatric ward at Donka National Hospital. Methods: This was a prospective descriptive study lasting 6 months from 1st February to 31st July 2019 concerning children aged between 3 and 15 years old who were diagnosed with angina. Epidemiological, clinical, para-clinical and therapeutic variables were studied. Results: Out of 1494 registered children, we collected 116 cases of angina (7.76%). Out of 52 patients who benefited from the rapid diagnostic test, we recorded 13 cases of angina due to group A beta-hemolytic strptococcus. The male sex was the most dominant with 31 cases (59.69%) and a G/F sex ratio of 1.47. The age group most affected was between 3 and 5 years old (50%). The average age of ou

关键词： Angina Frequency Clinic Treatment Pediatrics Donka

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