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Intestinal Invagination in Adults: About a Case at the “Mother-Child” Hospital Le Luxembourg in Mali

Surgical Science 2023年第9期14卷 583-589页

作者： Cheickna Tounkara Oumar Amadou Malle Amara Coulibaly A. Boubacar Maiga Sory Ibrahim Diawara Kassim Kayentao bakary Tientigui Dembele Alhassane Traore Adégné Pierre Togo Lassana Kante Department of general surgery of the Hospital “Mother Child” Le Luxembourg Bamako Mali University of Sciences of Techniques and Technologies of Bamako Mali (USTTB) Bamako Mali Department of General Surgery of the CHU Gabriel Touré Bamako Mali

Intussusception is a pathology of infants and young children. Its occurrence in adults is very unusual. In the vast majority of cases, it is secondary to a benign or malignant tumor. Small bowel malignancies are relatively rare, 1% - 5% of malignant tumors of the gastrointestinal tract. Acute intussusception, a rare pathology in adults, often presents with non-specific symptoms. Contrary to children, the organic origin remains preponderant in the elderly, where the origin of neoplasia must be suspected in first intention. We report the case of a 49-year-old patient admitted urgently from the Luxembourg “Mère Enfant” hospital center in Bamako, Mali, for an occlusive syndrome. Several abdomino-pelvic ultrasounds were performed in several clinics with mixed conclusions: Hydro-aeric distension and a cessation of matter and gas without a clearly visible mass (04/09/2022);Demonstration of the central hydro-aeric levels wider than high containing fine and regular folds corresponding to connivents whose aspect is in factor of left acute small intestine occlusion, to be completed by the surgical opinion (06/09/2022) and a third ultrasound showed a normal appearance of the liver, gallbladder, kidneys, pancreas, spleen, bladder and prostate;diffuse aero-colic distention without lesion of secondary appearance (21/11/2022). A frontal standing ASP dated 11/25/2022 showed hail-like hydro-aeric levels. Surgical management consisted of an open oncological resection of an obstructive bowel tumor with ileo-ileal invagination. The anatomopathological and immunohistochemical study of the surgical specimen concluded to diffuse small cell non-Hodgkin’s lymphoma, without vascular embolism. The resection limits pass into the healthy zone.

关键词： Acute Intestinal Intussusception Organic Etiology Digestive Lymphoma Mali

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Primary Cutaneous Leiomyosarcoma of the Face: A Rare Tumor that Is Difficult to Diagnose

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Open Journal of Stomatology 2023年第11期13卷 396-402页

作者： bakary Ouattara Konan Marc Koffi Ory Opokou Alexandre Demisère Koffi Laurent Boka Rokiatou Kone Aké Lucien Jonathan Yapo Assoumou Lucien Asseke Mouan Beatrice Harding Pierre Breton Department of Stomatology Maxillofacial and Plastic Surgery of the Face The University Hospital of Abidjan Abidjan Ivory Coast Department of Stomatology Maxillofacial and Plastic Surgery of the Face The University Hospital of Bouaké Bouaké Ivory Coast Department of Maxillofacial Surgery Plastic Surgery of the Face and Stomatology The University Hospital of Lyon-Sud Lyon France

Leiomyosarcoma is a rare malignant tumour of the lower limbs. Its differential histological diagnosis is difficult and is made in the presence of young scar tissue, leimyoma, dermatofibroma, melanoma, rabdomyosarcoma, sarcomatoid carcinoma, fibroxantoma, Darrier Ferrand dermatofibrosarcoma and myofibroblastic tumours. Treatment is essentially surgical, with margins of 3 to 5 centimetres. We report two observations of tumours localised to the face, including one case of a known leiomyosarcoma and another case initially diagnosed as a leiomyosarcoma which turned out to be a cellular myofibroma with no sign of malignancy after several readings. The aim of this work is to review the literature on this pathology while highlighting the diagnostic and therapeutic difficulties. Conclusion: A rare smooth muscle tumour with a high risk of local recurrence in the event of incomplete treatment, leiomyosarcoma in its dermal component is preferentially located in the head and neck. Its treatment is exclusively surgical and highly mutilating.

关键词： Malignant Tumour Smooth Muscle Face Surgery

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Fortuitous Discovery of a Case of Situs Inversus Totalis on Acute Intestinal Occlusion at the Fousseyni Daou Hospital in Kayes

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Surgical Science 2022年第12期13卷 551-560页

作者： Sangare Sidy Traore Lamine Issaga Kouyate Mamaye Sogoba Gaoussou Katile Drissa Guindo Youssouf Traore Djibril Traore Allassane Dembélé bakary Tientigui Togo Adégné Traore Drissa General Surgery Department of the Fousseyni DAOU Hospital Kayes Mali Pediatric Surgery Department at Fousseyni DAOU Hospital Kayes Mali Gastroenterology Department of the Fousseyni DAOU Hospital Kayes Mali Cardiology Department of the Fousseyni DAOU Hospital Kayes Mali General Surgery Department of the Somine DOLO Hospital Mopti Mali General Surgery Department of Gabriel TOURé Hospital Bamako Mali General Surgery Department of Point G Hospital Bamako Mali

Situs inversus is a rare congenital anomaly referring to the mirror image of the abdominal and thoracic viscera. It can be discovered routinely or on the occasion of a complication related or not to situs inversus. We report a case of Situs inversus discovered incidentally during surgery for acute intestinal obstruction caused by an iatrogenic uterine perforation.

关键词： Situs Inversus Incidental Finding Intestinal Obstruction Iatrogenic Uterine Perforation

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Epidemiological Profile of Cyanotic Congenital Heart Disease in the “B” Surgery Department of Point G University Hospital, before the Advent of Extracorporeal Circulation

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World Journal of Cardiovascular Surgery 2023年第11期13卷 159-166页

作者： Abdoulaye Kanté Djénèba Konaté Mamadou A. Keita Mamadou Diakité bakary Keïta Bréhima Bengaly Bréhima Togola Drissa Traoré Nouhoum Ongoïba Sadio Yena “B” Surgery Department of Point G University Hospital Bamako Mali Pediatrics Department of Gabriel Touré University Hospital Bamako Mali Cardiology Department of Point G University Hospital Bamako Mali Anesthesia-Resuscitation Service Commune II Reference Health Center Bamako Mali Thoracic Surgery Department of Mali Hospital Bamako Mali

Aim: Evaluate the epidemiological profile of cyanotic congenital heart disease in Mali before the advent of extracorporeal circulation in the “B” Surgery Department at the Pont G University Hospital. Patients and Methods: This was a retrospective and descriptive study that took place from January 1, 2011 to December 31, 2017. The records of patients with cyanotic congenital heart disease in the “B” surgery department of Point G University Hospital were collected. Patients operated on for cyanotic congenital heart disease were included in this study. Non-operated patients were not included. Results: The records of 17 patients operated on for cyanotic congenital heart disease were retained. The average age of patients at the time of surgery was 5.18 years with extremes of 2 and 18 years. Boys were in the majority with 59%, i.e. a sex ratio of 1.42. Patients resided in Bamako in 82% of cases. Inbreeding was found in 35.3%. Eighty-eight percent of children were born at term and 94% had up-to-date vaccination status. The average duration of patient follow-up between diagnosis and surgical management was 5 years with extremes of 2 years and 12 years. Tetralogy of Fallot regular form was the most represented heart disease. Conclusion: Cyanogenic congenital heart disease remains the most frequent congenital pathologies in our country. They most often affect male children. Consanguinity is the most common etiological factor found. Tetralogy of Fallot regular form remains the most common.

关键词： Epidemiology Congenital Heart Disease CHU Point G Mali

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Management of a Severe Form of Verneuil’s Disease in Its Genitoperineal Localisation in Bobo-Dioulasso

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Open Journal of Urology 2015年第2期5卷 13-18页

作者： Zare Cyprien Ouattara Adama Kambou Timothée Ouangre Edgar Diallo Boukary Traore A. Ibrahim Barro Drissa Sanon G. bakary Ye O. Delphine Traore S. Simon Department of Surgery University Teaching Hospital Souro Sanou Bobo-Dioulasso Burkina Faso Visceral Surgery University Teaching Hospital Yalgado Ouedraogo Ouagadougou Burkina Faso Department of Medicine and Medical Specialties University Teaching Hospital Bobo-Dioulasso Burkina Faso

The authors report a severe form of genitoperineal localisation of Verneuil’s disease managed in a surgical environment, having evolved favorably with improvement of the patient’s quality of life, but persistence of unsightly skin scars. They insist on the unexceptional nature of this disease whose prognosis is reserved, sometimes leaving severe functional sequelae. The long evolution of the disease with prolonged hospitalization in a professionally active young patient and the extension of suppurations to the perineal, scrotal and inguinal regions was the features of this observation. After wide excision of the lesions with antibiotic associated with local care, evolution had taken to complete wound healing with improved quality of life and a recovery of his professional activity.

关键词： Verneuil’s Disease Hydradenitis Suppurativa Genitoperineal Surgery

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Fournier’s Gangrene in a Child Hospitalised in the Paediatric Emergency Department of the Gabriel Touré Teaching Hospital

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Open Journal of Pediatrics 2023年第2期13卷 214-219页

作者： Dembélé Adama Cissé Mohamed Elmouloud Togo Pierre Tall Koureissi Maïga Belco Keïta Djeneba Doumbia Abdoul Karim Coulibaly Oumar Issa Amadou Ahamadou Ibrahim Coulibaly bakary Traoré Kalirou Togo Boubacar Department of Paediatrics Gabriel Touré Teaching Hospital Bamako Mali Bamako Dermatological Hospital Bamako Mali Department of Paediatric Surgery Bamako Mali

Fournier’s gangrene is a form of necrotizing fasciitis that has multiple causes and is relatively uncommon in children. We report a case of Fournier’s gangrene of infectious origin in a 12-month-old infant following... 详细信息

关键词： Pediatrics Infant Fournier’s Gangrene Insect Bite

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Clinical and Therapeutic Aspects of Genital Prolapse at Hôpital du Mali about 100 Cases

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Open Journal of Obstetrics and Gynecology 2023年第1期13卷 121-132页

作者： Mamadou bakary Coulibaly Mody Abdoulaye Camara Alassane Traoré Mamadou Keïta Bourama Kané Abdramane Togo Issa Ongoiba Kalba Tembiné Amadou Sidibé Baba Fané Ibrahima Tégueté Youssouf Traoré Gynecology Department of Hô pital du Mali Bamako Mali Medical Imaging Department of Hô pital du Mali Bamako Mali Referral Health Center of Commune VI of the District of Bamako Bamako Mali Pediatrics Department of Hô pital du Mali Bamako Mali Anesthesia and Intensive Care Unit Hô pital du Mali Bamako Mali Biomedical Department of Hô pital du Mali Bamako Mali Department of Gynecology Obstetrics UTH Gabriel Touré Bamako Mali

To study the epidemio-clinical aspects, and the therapeutic attitudes of genital prolapse (GP) in the gynecology department of Hôpital du Mali (HDM). This is a descriptive retro-prospective study over five (5) years from January 2015 to December 2019, conducted in the gynecology department of HDM. We had collected 100 cases of GP out of 989 surgeries, with a frequency of 9.89%. The age group of 60 years and over accounted for 33% of our patients, with a mean age of 50 years. Multiparous were the most affected (89%). The notion of obstructed labor was observed in 52% of patients. The most found reason for consultation was the feeling of lump in a vagina, with 65%. Grade III according to BADEN-WALKER classification system (BWCS) concerned 72% of our patients. Triple perineal surgery and hysterectomy involved 56% of our patients. Spinal anesthesia was performed in 96% of cases. Per and postoperative complications were dominated by urinary retention in 4% and by infection of the surgical site in 2%. The average hospital stay was 3.2 days. We recorded 88% of satisfied patients after the intervention. No deaths were recorded during the study. The management of genital prolapse remains essentially surgical;it requires a semiological analysis and a mastery of the surgical technique.

关键词： Genital Prolapse Therapeutic Attitudes Hôpital du Mali

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Epididymo-Testicular Tuberculosis: A Case Report from Bamako

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Surgical Science 2023年第3期14卷 197-202页

作者： Coulibaly Amara Mamadou Almamy Keita Moussa Sissoko Drissa Kaloga Bagayoko Cheickna Tounkara Idrissa Tounkara Abdoul Karim Simaga bakary Coulibaly Sidiki Konaré Adama Drabo Seydou Sissoko Sekou Koumaré Abdoulaye Diarra Keita Soumaila General Surgery Department Reference Health Center of The Second Municipality of Bamako Bamako Mali Department of Surgery of The CHU du Point G Faculty of Medicine and Odontostomatology of Bamako Bamako Mali

We report a case of epididymo-testicular tuberculosis in a 31-year-old man in the surgical department “A” at the University Hospital Point G of Bamako. Epididymitis or orchi-epididymitis is an infection of the epididymis and/or testis. It is the most frequent reason for consultation in urology and affects mainly young people between 30 and 50 years of age. Mycobacterium tuberculosis is very rarely incriminated (2% to 3% of cases). The main problem with genital tuberculosis lies in the diagnosis, which is often difficult and delayed in the absence of other suggestive locations, a notion of contagion or a history of tuberculosis. In the absence of germs in the urine or semen, the diagnosis of certainty is based on histological examination of biopsy fragments of the testicle or epididymis. Delayed treatment results in impaired fertility, such as oligospermia or azoospermia due to reversible or irreversible organic damage to the genitalia.

关键词： Tuberculosis Epididymis Testicle

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Inguinal Hernia in Adults: Diagnostic and Therapeutic Aspects at Cs Ref CI Bamako Mali

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Surgical Science 2023年第7期14卷 507-516页

作者： Cheickna Tounkara Amadou Maiga Bessy Samake Boubacar Yoro Sidibe Tani Kone Samake Hamidou Kaloga Daye Bagayoko Oumar Amadou Malle Alhassane Traore bakary Tientigui Dembele Pierre Adégné Togo Zanafon Ouattara Department of General Surgery of the Reference Health Center of Commune I Bamako Mali Department of General Surgery CHU Gabriel TOURE Bamako Mali Department of Urology Surgery Point G University Hospital Bamako Mali

The inguinal hernia is a very frequent surgical pathology in the world and it represents 95% of the hernias of the groin. This work aimed to determine the frequency of inguinal hernias, describe the clinical and therapeutic aspects of inguinal hernias, describe the morbidity and mortality related to inguinal hernias and evaluate the cost of treatment. Our study was conducted from January 2010 to December 2010 in the general surgery department of the Reference Health Center of Commune I in the district of Bamako. We collected 130 cases of inguinal hernias with a sex ratio of 15.25 in favor of the male sex. The mean age was 48.02 years (standard deviation: 17.53 years). Strangulated inguinal hernias accounted for 4.9% of abdominal surgical emergencies and 14.6% of all operated inguinal hernias. More than half of the patients (82%) were operated under local anesthesia. Clinical signs were marked by painless or irreducibly painful inguinal swelling. The diagnosis was clinical in all patients. Some patients benefited from a minimum blood assessment (rhesus grouping, glycaemia, hemoglobin level and hematocrit). The Shouldice technique was performed in 68% of patients. One case of organ resection was performed, i.e. 0.8% of cases. Morbidity was 4.6% due to wall abscess;0.8% scrotal hematoma type. We have not recorded any recurrence or death.

关键词： Inguinal Hernias Surgery Cs Ref CI Bamako (Mali)

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Epidemiological, Clinical, and Therapeutic Characteristics of Acute Appendicitis at the Reference Health Center in Commune I of the District of Bamako Mali

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Surgical Science 2023年第10期14卷 637-645页

作者： Cheickna Tounkara Hamidou Samake Daye Kaloga Bagayoko Barthélémy Poudiougou Modibo Togola Sékou Koumare bakary Tientigui Dembele Alhassane Traore Pierre Adégné Togo Lassana Kante Zimogo Zié Sanogo Department of General Surgery of Cs Ref CI Bamako Mali Directorate of the Social Health Service of Arms of Mali Bamako Mali Department of General Surgery CHU Point-G Bamako Mali Department of General Surgery of CHU Gabriel Touré Bamako Mali

Acute appendicitis is the most common abdominal surgical emergency. This work is a prospective study from January 2012 to December to analyze the epidemiological, clinical and therapeutic aspects of acute appendicitis in the Cs ref of commune I of the district of Bamako and the results obtained were then compared with those reported in other countries. Our study included 72 patients. The appendectomy surgical specimens were the subject of an anatomical pathology study at Point G University Hospital in Bamako in Mali, 1.4% of cases of which were healthy. All our operated patients received antibiotics (mono or dual antibiotics) with a post-operative hospitalization duration of 1.5 (36 hours) days on average. We recorded 6 complications such as parietal suppuration, i.e. 8.33% of cases. No 5th day syndrome or late complications were noted. The average length of hospitalization was 36 hours. Abdominal ultrasound;used as an additional examination was carried out in 55 of our patients or 76.39% of cases. We have not recorded any deaths. Raising awareness among patients about the dangers of complications motivated patients to undergo surgery as soon as possible.

关键词： Acute Appendicitis Epidemiology Clinic and Therapy Surgery Csref CI Mali

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