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Unusual Head Trauma: About Three Observations at the Chu Pr Bocar Sidy Sall (BSS) of Kati

Open Journal of Medical Imaging 2023年第3期13卷 57-62页

作者： Coulibaly Salia Ilias Guindo Traore Ousmane diarra issa Traore Youssouf Sanogo Souleymane diarra Ouncoumba diarra Hawa Sidibe Siaka Medical Imaging Department Pr BSS University Hospital of Kati Mali Medical Imaging Department Kati University Hospital Kati Mali Department of Traumatology Neurosurgery Unit Pr BSS University Hospital of Kati Mali

Introduction: Penetrating head injuries are often due to human-to-human violence, mainly by firearms, those by stab are rare. CT is the exam of choice in the assessment of emergency lesions. We report three observations, all victims of knife assault during the brawl in order to clarify the contribution of DTM in the care. Observations: 1) Mr. I S, 21-year-old, student, was admitted with the hillside implanted in the skull. There were traces of blood on his face and clothes. There was no neurological deficit on examination. The CT scan performed showed the knife penetrating the vault of the skull at the left parietal level, up to 5 cm in the cerebral parenchyma with a minimal subdural and intracerebral hematoma;2) Mr. S C, 43-year-old, farmer, admitted with a large left fronto-temporo-parietal wound, bleeding and right hemiplegia. The CT scan performed showed a frontal linear fracture (with fronto-ethmoid hemosinus) and left temporoparietal with a parietal intraparenchymal hematoma and homolateral frontoparietal subdural hematoma;3) Mr. S B: 40 years old, driver, admitted with a parietal wound. The CT scan performed objectified a left parietal cortical hematoma in relation to a metallic foreign body (3000 HU) corresponding to the distal end of the knife penetrating the vault of the skull. They all underwent emergency surgery and received antibiotics and preventive serotherapy. The postoperative follow-up was simple, the follow-ups are without neurological sequelae. Conclusion: Head trauma by knife is rare, it results from inter-human violence. The lesion diagnosis is computed tomography. The prognosis depends on the severity.

关键词： Head Trauma Stabbing CT CHU Kati

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Study on Compliance with Radiation Protection Rules in the Medical Imaging Department of Pr Bocar Sidy Sall Hospital of Kati (Mali)

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Open Journal of Radiology 2022年第4期12卷 239-257页

作者： issa diarra Salia Coulibaly Ilias Guindo Cheick Oumar Keita Soumaïla Diallo Souleymane Sanogo Hawa diarra Boubacar Sonfo Aboubacar Sidiky N’diaye Youssouf Kone Bourama diarra Medical Imaging Department The CHU Pr Bocar Sidy Sall Kati Mali Medical Imaging Department Perinatal Clinic Mohamed VI Bamako Mali Medical Imaging Department The Mother-Child Hospital Luxembourg Bamako Mali Medical Imaging Department The Hospital of Mali Bamako Mali Pasteur Polyclinic Bamako Mali Centre Hospitalier Jacques Boutard Saint Yrieix La Perche France Centre de Radiologie Diagnostique et Interventionnelle CRDI Bamako Mali

Objective: Evaluate the level of compliance with radiation protection rules in the medical imaging department of the University Hospital Center (CHU) of Kati. Methodology: This was a cross-sectional and descriptive study carried out in the medical imaging department of Pr Bocar Sidy Sall (BSS) Hospital of Kati. A questionnaire was developed and sent to the staff of the medical imaging department. The assessment focused on the radiation protection of personnel, radiation protection measures for patients, the delimitation and signage of zoning as well as the application of radiation protection principles. Results: Twenty-one people participated in the study, 90% of whom were men. The 30 - 39 age group was predominant with 61.90%. 33.33% of the staff knew the principles of radiation protection;86% of our sample knew the basic rules of radiation protection. The majority of the staff in the imaging department (61.90%) had a perfect knowledge of protective equipment. For 76% of our workforce, the limits of the radiation doses received are regulated in Mali. 76% of those surveyed have not taken any additional training in radiation protection. The doors are closed during the X-ray examination for 76.19% of the respondents and 95% of the staff put themselves behind the sealed screen during the examination. For 81% of the respondents, the design of the premises met radiation protection standards. 62% of practitioners have a dosimeter and 80% of them wear it during their shift. For 62% of our sample, the change of the dosimeter is quarterly. The systematic request for DDR (date of last menstrual period) in women and the adaptation of the delivered dose to the patient’s morphology was only carried out by 65% of practitioners. The majority of staff (81%) did not benefit from medical surveillance, while for 55% of respondents the level of radiation protection in the establishment was average. Conclusion: This study enabled us to highlight the shortcomings in terms of radiation protection within the imaging department of the CH

关键词： Radiation Protection Compliance X-Rays Dosimetry

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Epidemio-Clinical and Uretrocystographic Profile of Pathologies of the Lower Urinary Tract at the Chu Pr Bss of Kati

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Open Journal of Medical Imaging 2023年第1期13卷 40-48页

作者： Ilias Guindo Souleymane Sanogo Alassane Kouma Dramane Bagayoko issa diarra Mamadou N’diaye Ouncoumba diarra Amadou Kassogue Salia Coulibaly Adama Diaman Keita Medical Imaging Department Kati University Hospital Kati Mali Department of Radiology Luxembourg Mother-Child Hospital Bamako Mali Radiology Department Bamako Infirmary Bamako Mali Medical Imaging Service CS Ref of Commune III Bamako Mali Department of Urology University Hospital of Kati Kati Mali Department of Radiology and Nuclear Medicine Point “G” University Hospital Bamako Mali

Introduction: Pathologies of the lower urinary tract are common in urology composed of various conditions, responsible for urinary disorders. Despite the new methods, exploration in Africa is mainly based on retrograde urethrocystography (UCR). The main objective was to determine the importance of UCR in the diagnosis of pathologies of the lower urinary tract. Materials and Methods: This was a retrospective and descriptive study covering a period of 5 years (July 2016-June 2021). It involved all patients admitted to the ward for retrograde urethrocystography during the period. A remote-controlled table of the GE PRESTILIX 1600× type was used for the examinations. Results: At the end of our study we collected 100 cases of pathologies of the lower urinary tract out of a total of 112 RCUs performed or 89.28%. Pathologies of the lower urinary tract accounted for 78% of the UCRs in the department. The age group of (61 - 70) was the most affected with extremes from 1 year to 101 years. Non-specific urination disorders were the most common indications (43%), followed by acute urine retention (18%). Acquired urethral pathology was the most common (89%), followed by bladder neck disease 5% and posterior urethral valve with 4%, Bladder struggle was the most common associated sign (54%) with post-urination residue in 97% of patients. Conclusion: Pathologies of the lower urinary tract are relatively common in our region, dominated by urethral narrowings. Retrograde urethrocystography remains the reference examination in our control for the diagnosis of obstructive pathologies of the lower urinary tract while specifying the seat of the obstacle.

关键词： Pathologies of the Lower Urinary Tract UCR CHU Kati

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Giant Aneurysmal Bone Cyst of the Right Femur about a Case

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Open Journal of Radiology 2023年第3期13卷 139-145页

作者： Cheick Oumar Keïta Aboudramane Konaté Yacouba Drissa Traoré Youssouf Koné Abdoulaye Koné issa diarra Ilias Guindo Salia Coulibaly Mahamadou Diallo Siaka Sidibé Radiology Department Mohammed VI Perinatal Clinic Bamako Mali Radiology Department County Hospital of Sikasso Sikasso Mali Radiology Department CNAM Bamako Mali Radiology Department Jacques Boutard Hospital Center Saint Yrieix La Perche France Medical Imaging Department University Hospital of Point G Bamako Mali Medical Imaging Department University Hospital of Kati Kati Mali Medical Imaging Department Gabriel Touré University Hospital Bamako Mali

Aneurysmal bone cyst (ABC) is a rare bone tumor accounting for 1% - 4% of benign bone tumors. Its etiopathogenesis remains unknown. The main site is the metaphysis of the long bones. ABC occurs almost exclusively in young people, with a slight female predominance. We report an exceptional case of ABC of the femur with involvement of the right hip in a 16-year-old girl in the Medical Imaging Department of Pr Bocar Sidy Sall Hospital of Kati (Mali). We will discuss the clinical and radiological aspects of this pathology. Observation: Mrs N C., aged 16, was referred to the orthopaedic-traumatology department for an X-ray of the right thigh, indicated as having a large, disabling thigh. Clinical examination revealed a large thigh measuring 890 mm in circumference, compared with 300 mm on the contralateral side. Radiographically, the femur showed a blown appearance, with the cortex thinned and broken in places. Exceptionally, the lesion affected the entire femur. On CT scan, we found a voluminous fluid collection occupying the entire right femur, including the right femoral head and homolateral ischium. The cortex was interrupted in places, and the adjacent soft tissues were thinned or laminated, but not infiltrated. Histology revealed haemorrhagic and inflammatory elements compatible with the diagnosis of ABC. Conclusion: ABC is a tumor entity that is often difficult to diagnose. Medical imaging, topographical distribution and histology form an indissociable whole to establish a diagnosis of certainty.

关键词： Aneurysmal Bone Cyst Medical Imaging Femur

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Duplication of the Urethra in Boys: A Case Report

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Open Journal of Urology 2024年第6期14卷 353-358页

作者： Mamadou Tidiani Coulibaly Falaye Sissoko Moumine diarra Adama Toutou Diallo issa Amadou Amadou Berthé Sory Koné CHU Gabriel Tour Urology Department Bamako University of Science Technology and Engineering Bamako Mali Lafiabougou Reference Health Center Bamako University of Science Technology and Engineering Bamako Mali CHU Gabriel Tour Pediatric Surgery Bamako University of Science Technology and Engineering Bamako Mali Korofina Reference Health Center Bamako University of Science Technology and Engineering Bamako Mali Segou Regional Hospital Bamako University of Science Technology and Engineering Bamako Mali

Supernumerary urethra in boys is a very rare anatomical entity. Sagittal urethral duplications are classified into four groups: epispadias, hypospadias, fusiform and Y-shaped urethra. The most widely used classification is that of Effmann and Lebowitz, which describes 6 types, one of the rarest being the ‘Y’ subtype IIA2, which corresponds to a duplicated urethral path from the vesical neck to an ectopic perineal or anal outlet. We report here the case of a 4-year-old child presenting with subtype IIA2 with a perineal orifice and no other urinary disorders.

关键词： Duplicity Ureter Malformation

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Hysterosalpingography Profile of Utero-Tubal Lesions in Female Infertility in Mopti (Mali, West Africa)

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Open Journal of Medical Imaging 2022年第2期12卷 67-72页

作者： Souleymane Sanogo Mamadou N’Diaye Alassane Kouma Nana Dembélé issa Cissé Ouncoumba diarra Ilias Guindo Mahamadou Diallo Medical Imaging Department Sominé Dolo Hospital Mopti Mali Medical Imaging Department Mother-Child Luxembourg University Hospital Center Bamako Mali Army Medical Imaging Center Central Directorate of Armed Forces Services Bamako Mali Medical Imaging Department Municipal III Reference Health Center Bamako Mali Medical Imaging Department The University Hospital Center of Kati Bamako Mali Medical Imaging Department The University Hospital Center Gabriel Touré Bamako Mali

Introduction: Infertility is the inability to achieve pregnancy after 12 months of regular, unprotected sexual intercourse by a couple of childbearing age. It is a real public health problem because of its high prevalence in both developed and developing countries. Female infertility occupies a prominent place in reproductive health in Africa such as in our country Mali. The objective of this work was to determine the hysterosalpingography profile of utero-tubal lesions in the etiological research of female infertility in Mopti. Materials and Method: This was a cross-sectional descriptive study covering a period of one year from January 2019 to December 2019 in the radiology department of Sominé Dolo Hospital in Mopti. The variables analyzed were patient age and hysterosalpingography results. The hysterosalpingography examination was performed 3 or 4 days after menstruation on a remote-controlled table under fluoroscopic control. Data analysis was done with the aid of SPSS version 22 and Excel 2016 software. Results: During the study period, 9012 patients were seen in the imaging department, including 115 patients, or 1.3% for infertility assessment. The 25 - 29 age group was the most represented with 34 patients or 29.6%. The mean was 30.39 ± 6.96 years with extremes of 17 and 46 years. Tubal abnormalities represented 45 cases or 39.1%. Hydrosalpinx was the most prevalent with 26 cases or 36.6%. Conclusion: Tubal lesions were the most observed, especially hydrosalpinx following. Hysterosalpingography remains the first choice in the radiological assessment of female infertility in our context.

关键词： Infertility Hysterosalpingography Hydrosalpinx Mopti Hospital

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Ultrasound of the Siren Syndrome (Sirenomelia) in the District of Bamako Apropos of a Case

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Open Journal of Medical Imaging 2022年第3期12卷 165-170页

作者： Ouncoumba diarra Ousmane Traore Ilias Guindo Mamadou Dembele Souleymane Traore Alassane Kouma issa Cisse Mahamadou Diallo Siaka Sidibe Adama Diama Keita Radiology Department of the Reference Health Center of the CIII Commune of Bamako Bamako Mali Radiology Department of the Medical Clinic “Marie Curie” Bamako Mali Radiology Department of the KATI Hospital Center Bamako Mali Radiology Department of the Medical Clinic “FERTILIA-DIAFOUNOU” Bamako Mali Radiology Department of the “Luxembourg” Mother-Child Hospital Center Bamako Mali Radiology Department of the “Gabriel TOURE” Hospital Center Bamako Mali Radiology Department CHU Point G Bamako Mali

Sirenomelia is a rare fetal malformation with more or less complete fusion of both lower limbs consistently associated with bilateral renal abnormalities. The positive diagnosis can be made antenatally by ultrasound during the first trimester of pregnancy but often before the 22 weeks of amenorrhea. The objective was to think about the possible diagnosis by ultrasound in front of the urinary anomalies and the ologiamnios during the morphological study of the second trimester of pregnancy. We report a case of sirenomelia in a 25-year-old lady as part of the routine prenatal assessment suspected and confirmed during the morphological ultrasound of the second trimester of pregnancy and confirmed after the termination of pregnancy in Mali in the Health Center of Reference of commune III of the district of Bamako. The morphological ultrasound made it possible to diagnose the malformation of the urinary tract, the amniotic fluid and to make the therapeutic decision of medical termination of pregnancy at the end of confirming the siren syndrome.

关键词： Sirenomalia Ultrasound Fetal Malformation Mali

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Computed Tomography Findings and Clinico-Epidemiological Aspects of COVID-19 Pneumonia at CHME Luxembourg in Bamako (Mali)

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Open Journal of Medical Imaging 2022年第1期12卷 1-8页

作者： Alassane Kouma Souleymane Sanogo issa Cissé Ousmane Traoré Ilias Guindo Ouncoumba diarra Mamadou Dembélé Seydou Ly Mahamane Mariko Mamoudou Camara Siaka Sidibé Medical Imaging Department of CHME Luxembourg Bamako Mali Marie Curie Clinic Bamako Mali Department of Medical Imaging of the CHU of Kati Bamako Mali Department of Medical Imaging of CSREF CIII Bamako Mali Medical clinic Fertilia Bamako Mali Medical Imaging Department of the CHU Point G Bamako Mali

Objective: To describe the CT findings and clinico-epidemiological aspects of coronavirus pulmonary lesions at the Radiology Department of Mother-Child Luxembourg’s Hospital in Bamako, West Africa. Materials and Method: This was a cross-sectional descriptive study over a period of three months (November 2020-January 2021). The study involved all patients with a clinical suspicion of COVID-19 or confirmed cases with suggestive CT scan lesions during this period. No patients without suggestive CT lesions were not included. The variables were age, sex, clinical data, lungs lesions on CT scan and their severity. Results: Out of 202 patients enlisted, the age group 52 - 63 years was more frequent (30.2%), i.e. an average age of 60.43 years (range 23 and 95 years). Men represented 56.4% or a sex ratio of 1.3. Cough was the most common clinical manifestations (26.7%). Major findings were mixed appearance of the lung lesions (45.5%). The peripheral distribution was 57.4% and the bilateral topography was 98%. These lesions were extensive in the majority of our patients with 28.2%. Conclusion: Older people dominated the socio-demographic profile of our series with a predominance of men. Cough was the most observed clinical information. Mixed lesions with peripheral and bilateral distribution dominated the semiological tomodensitometric aspects. By severity, extensive lung lesions were the most commonly observed.

关键词： COVID-19 CT Scan Mixed Lesion Cough

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Deafness: Epidemiological, Clinical and Therapeutic Aspects in 15 Year Olds and over at the University Hospital Center Gabriel Toure of Bamako

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International Journal of Otolaryngology and Head & Neck Surgery 2022年第4期11卷 202-210页

作者： Kassim diarra N’faly Konaté Yaya Dembele Ismael Berthé Drissa Kaloga Bagayoko Boubacary Guindo Fatogoma issa Koné Siaka Soumaoro Doumbia Kadidiatou Singare Mohamed Amadou Keita ENT and Head and Neck Surgery Department university hospital Gabriel Toure Bamako Mali Armies Polyclinic of the Kati Bamako Mali Department of Anesthesia Resuscitation CHU Mother-Child “Luxembourg” Bamako Mali

Objective: To study the epidemiological, clinical and therapeutic aspects of hearing loss in 15-year-olds and over at the CHU GT of Bamako. Materials and Method: This is a longitudinal prospective study carried out in the ENT department of the University hospital Gabriel Toure in Bamako over 13 months (from September 2018 to September 2019). We carried out an exhaustive sampling of all the patients who consulted in the department for hearing loss and whose deafness was confirmed at pure tone audiometry with age greater than or equal to 15 years. The exclusion criteria were all patients under the age of 15 as well as a hearing loss related to earwax or foreign bodies and refusals to participate in the study. Results: Two hundred and thirty (230) patients were collected during the study. Dominated by the male sex with a sex ratio of 1.5 or 3 men for 2 women, with an average age of 38.16 ± 19 years with extremes ranging from 15 to 86 years. Among our patients, 37.40% had unilateral deafness, progressive installation evolving more than 12 weeks with a rate of cases had headaches 41% and had a history of chronic otitis media (CMO) 27%. There were a few cases of mixed type deafness, 30% had mild deafness, 22% moderate deafness and 40% severe deafness, according to the BIAP classification. Among our patients, 22.16% had conductive hearing loss, and those with sensorineural hearing loss accounted for 15.24%. Conclusion: Pure tone audiometry remains essential in the diagnosis of deafness. It not only makes it possible to confirm or invalidate the deafness, but also to define the type of deafness and especially to classify the deafness according to the degree of the average hearing loss established by the BIAP.

关键词： Pure Tone Audiometry Deafness BIAP

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Chronic Purulent Otorrhea in the South of the Sahara: Epidemiological, Clinical and Therapeutic Profiles about 135 Cases

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International Journal of Otolaryngology and Head & Neck Surgery 2022年第4期11卷 219-226页

作者： Kassim diarra N’faly Konaté Youssou Sidibé Famagan Bah Boubacary Guindo Siaka Soumaoro Drissa Kaloga Bagayoko Fatogoma issa Koné Doumbia Kadidiatou Singare Mohamed Amadou Keita Surgery Department University Hospital Gabriel Toure Bamako Mali Surgery Department CHU Mother-Child “Luxembourg” Bamako Mali Department of Anesthesia Resuscitation CHU Mother-Child “Luxembourg” Bamako Mali

Objective: To study the clinical and therapeutic epidemiological profile of chronic purulent otorrhea in the ENT and CCF departments of the Gabriel Touré university hospital. Materials and Method: This was a retrospective study from May 2019 to April 2021. We made an exhaustive sampling of all patients who consulted for chronic purulent otorrhea with a complete medical file. All ages were included (except from 0 to - 5 years), and all sexes combined. The data medium was the patient records and the department’s operating report register. The non-inclusion criteria were patients with incomplete files and patients who were less than 5 years old. Results: In total, we collected 135 cases. The average age of our patients was 29.27 years. The most represented age group was 16 to 25 years old. We noted a male predominance in 60.7%. The associated signs found were hearing loss, earache, tinnitus, ear pruritus, vertigo, headache and facial paralysis. The main pathology involved is chronic otitis media (CMO) in 55.5%, the most serious of which is dangerous chronic otitis (8.1%). All of our patients have received medical treatment. The treatment was surgical in 64% of patients after medical treatment. With the mean follow-up of 6 months, tinnitus and reperforation were the most common complications found in 6.2% and 3.1% respectively. Conclusion: Chronic purulent otorrhea is the most common ear discharge in ENT consultation. The main pathology involved is CMO, the most formidable of which is cholesteatoma. Medico-surgical treatment.

关键词： Chronic Otorrhea Cholesteatoma Myringoplasty Bamako

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