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Health 2020年第10期12卷 1379-1382页

作者： Sanra Déborah Sanogo Moussa Y. dicko Ganda Soumaré Kadiatou Doumbia Hourouma Sow Makan S. Tounkara Youssouf Kassambara Hamadoun Guindo A. Maiga A. Kondé Abdoulaye Diarra Ilias Guindo Drissa Katilé Ouatou Mallé Anselme Konate Moussa T. Diarra Bougouzié Sanogo Moussa Y. Maiga Gastroenterology Department Point G University Hospital Bamako Mali Gastroenterology Department Gabriel Touré University Hospital Bamako Mali Gastroenterology Department Mother-Child Hospital Bamako Mali Surgery Department BSS University Hospital Bamako Mali

Autoimmune pancreatitis is a distinct form of chronic pancreatitis. It is a chronic pancreatitis distinct from alcohol, genetic or idiopathic impairment and involves possible autoimmune mechanisms. The diagnosis of autoimmune pancreatitis is based on a body of biological, histological and radiological arguments. Also called sclerosing lymphoplasmacytic pancreatitis, it is one of the causes of chronic pancreatitis. The risk factor for the onset of cancer that it represents and its sensitivity to corticosteroids make it a pathology requiring special management. We report a case of autoimmune pancreatitis in a 35-year-old patient.

关键词： Autoimmune Pancreatitis Young Woman Diagnosis Mali

Evaluation of 15 Years Practice of Coelioscopic Treatment of Ectopic Pregnancy in the Surgery Department“A”at the University Hospital Point G

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Surgical Science 2018年第11期9卷 454-460页

作者： S.Koumaré L.Soumaré M.Sissoko S.Keita M.Camara O.Sacko A.Camara M.Sima M.Traoré H.dicko B.Bengali D.Traoré S.Togo D.Koné S.Diallo M.Sangaré A.Koita Z.Z.Sanogo D.Sangaré Department of Surgery“A” University Hospital of Point GBamakoMali Department of Gynecology-Obstetrics University Hospital of Point GBamakoMali Department of Intensive Care University Hospital of Point GBamakoMali Department of Surgery“B” University Hospital of Point GBamakoMali Department of Thoracic and Cardiovascular Surgery Hospital of MaliBamakoMali Faculty of Medicine and Odontostomatology(FMOS) University of SciencesTechniques and Technologies of Bamako(USTTB)BamakoMali

Aim: To evaluate 15 years practice of coelioscopic Treatment of ectopicpregnancy in the Surgery Department “A” at the University Hospital Point G. Material and Methods: We conducted a descriptive retrospective study at the Surgery Department “A” at the University Hospital Point G from January 2001 to August 2015. Inclusion criteria were all pregnant women with ectopic pregnancy treated with coelioscopy. Sociodemographic, clinical, paracclinical and therapeutic aspects were recorded. Results: In 15 years, 42 cases of ectopic pregnancy out of 3840 gynecologic coelioscopies (1.04%) were collected. The average age was 28.5 years old with the extremes of 16 and 41 years old. Metrorragia was associated to pain in 83.3% (35/42);amenorrhea was found in 66.7% (28/41). Physical exam revealed pain with abdominal defense in 59.5% (25/42), adnexal mass in 31% (13/42), and pelvic contracture in 9.5% (4/42). In pre-operative, ectopic pregnancy was diagnosed complicated in 71.4% (30/42) and uncomplicated in 28.6% (12/42). Patients underwent salpingectomy in 85.7% (36/42), delivery from the fallopian tube in 9.8% (4/42), and hemostatic salpingectomy in 4.4% (2/42). The average duration of hospital stay was 1.88 day with the extremes of 1 and 7 days. The postoperative evolution was favorable in 97.6% (41/42), infection at the site of surgery was reported in 2.4% (1/42). Not a single death was registered. Conclusion: Treatment of ectopic pregnancy is of routine at the surgery department “A” in Point G. Fertility is preserved in the future.

关键词： Ectopic Pregnancy Coelioscopic Surgery“A” CHU Point G

Hematological Profile of Newborns Hospitalized for Neonatal Bacterial Infection in the Neonatology of the Pediatric Department of Gabriel Toure Teaching Hospital Bamako, Mali

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Open Journal of Pediatrics 2020年第1期10卷 1-11页

作者： F. L. F. Diakité A. A. Diakité O. Coulibaly H. Diall A. Bocoum L. N. Sidibé D. Konaté K. Sacko B. Maiga F. Traoré P. Togo A. Dembélé A. K. Doumbia N. L. Traoré H. Konaré M. E. Cissé A. Touré Y. A. Coulibaly M. Sylla M. Baby F. dicko-Traoré Department of Pediatrics CHU Gabriel Toure Bamako Mali National Center for Blood Transfusion Bamako Mali

The blood count is an easily achievable routine exam and will it have specifics in the event of a neonatal bacterial infection? Hence, the present study with the objective of determining the profile of the hemogram of newborns hospitalized for early bacterial neonatal infection. Material and methods: This was a cross-sectional study that took place from June 27 to September 03, 2016 in the neonatology department of teaching hospital Gabriel Toure. Included were all neonates hospitalized for early neonatal bacterial infection (ENBI) and who had a blood count. Results: We included 227 patients, 64.8% of whom were premature. The sex ratio was 1.4. The infants were less than 24 hours old in 93.6% of the cases. The mean hemoglobin level was 16.435 g/dl [8.8 - 22.26]. Erythrocytopenia was found in 18.5% of cases. Anemia was present in 17% of newborns. The average leukocyte was 15.228·103/mm3 [1.4 - 72]. Hyperleukocytosis and leukopenia were found in 12.32% and 6.6% respectively. Neutropenia and lymphopenia were present in 14.5% and 30.8%. There was a correlation between leukocytosis of negative blood cultures (23/27) (p = 0.030). For Neutrophils, neutrophilia was more observed in term neonates and neutropenia in premature infants (p = 0.03). Monocytosis was present in 13.6% of cases. One quarter (25.5%) of newborns had thrombocytopenia. Conclusion: Hematological variations did not allow a specific profile of newborns hospitalized for early neonatal bacterial infection to be identified.

关键词： Hematological Profile Newborns Early Bacterial Neonatal Infection

Etiology of Pediatric Jaundice: Observation in the Pediatric Ward of the Gabriel Toure University Hospital

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Open Journal of Pediatrics 2020年第4期10卷 759-768页

作者： K. Sacko A. A. Diakité F. Traoré B. Maiga P. Togo O. Coulibaly G. Guindo D. Konaté A. K. Doumbia H. Konaré S. Sagara A. Dembélé A. Touré F. L. Diakité L. N. Sidibé H. Diall M. Traoré Y. A. Coulibaly M. E. Cissé A. Sangaré A. Ibrahim F. T. dicko M. Sylla B. Togo Pediatric Department of Gabriel Toure University Hospital Bamako Mali Pediatric Service of the Reference Health Center of Municipality 5 Bamako Mali Pediatric Service of the Mali Hospital Bamako Mali

Objective: Pediatric jaundice is caused by various conditions. Although some data is available on this issue, data from Mali is insufficient. The present retrospective observational study was an attempt to determine the etiology of pediatric jaundice in the pediatric department of Gabriel Touré teaching hospital in Bamako, Mali. Methods: We reviewed all pediatric patients with jaundice who were hospitalized and treated in this department during January 1 to December 31, 2016 (n = 168). Result: Pediatric jaundice patients accounted for 1.88% of the hospitalized patients, with median age of 6 years and male/female ratio being 1.6. Infectious, cholestatic, and hemolytic jaundice accounted for 75%, 11% and 10%, respectively. Malaria and sickle cell disease accounted for 67% and 9%, respectively. Hepatomegaly and splenomegaly were observed in 49 (29%) and 23 (13.7%) patients, respectively. Of 168, 9 patients died. Conclusion: Infectious jaundice, especially jaundice due to malaria, was the most frequent. However, variety of etiologies was observed, of which the practitioners should be aware. The observation presented here may become fundamental data in health-policy making in this area.

关键词： Jaundice Etiology Paediatrics Mali