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Histological Profile of ENT and Cervico-Facial Lesions in Mali

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International Journal of Otolaryngology and Head & Neck Surgery 2019年第1期8卷 61-69页

作者： Djibril Samaké Youssouf Sidibé Fatogoma issa Koné Hamidou Niangaly Kolo Diamouténé N’faly Konaté Ngniée Tafo Ghislaine Neuilly Nagnouma Camara Kassim diarra Abdoul Wahab Haidara Siaka Soumaoro Boubacary Guindo Kadiatou Singaré Samba Karim Timbo Mohamed Kéï ta Alhousseini Ag Mohamed ENT and Head and Neck Surgery Department Reference Health Center Bamako Mali ENT and Head and Neck Surgery Department CHU Mother-Child “Luxembourg” Bamako Mali ENT and Head and Neck Surgery Department Gao Hospital Gao Mali ENT and Head and Neck Surgery Department CHU Gabriel Toure Bamako Mali Malaria Research and Training Center (MRTC) Bamako Mali ENT and Head and Neck Surgery Department Gao Hospital Gao Mali

Aim: Our goal was to determine the histological profile of ENT lesions. Method: We carried out a retrospective and descriptive study in the ENT department and Cervico-Facial Surgery at the university hospital center Gabriel Touré (MALI) from 1995 to 2014. It made it possible to collect 450 cases. Result: We found a male predominance;51.11% or a sex ratio of 1.04. The mean age of patients was 38.04 years with a standard deviation of 19.49 years and extremes of 3 months and 91 years. Benign tumors were the most frequent (154 cases or 34.22%) including 75 cases of adenomas and 43 cases of papillomas. Cancers accounted for 48.11% (or 153 cases) of all tumors and 34% of lesions. Carcinomas accounted for 81.04%, malignant lymphomas 13.72% and sarcomas 5.22% of cases. Among the 140 cases (31.11%) of inflammatory pseudotumors, we found 12 cases of tuberculosis and 15 cases of rhinoscleroma. Three (3) cases of dysplasia were observed. Conclusion: Interest should be focused on histology in order to initiate appropriate therapy.

关键词： ENT Lesions Histology Mali

Urgent Surgical Management of Acute Lower Gastrointestinal Bleeding with Intraoperative Colonoscopy: A Case Report

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Surgical Science 2018年第9期9卷 300-305页

作者： Traore Amadou Konate Madiassa diarra Abdoulaye Keita Soumaila Kone Tani Karembe Boubacar Amadou issa Sidibe Boubacar Bah Amadou Maiga Amadou Diakite Ibrahim Dembele Bakary Tientigui Traore Alhassane Togo Adegne Kante Lassana Samake Moussa Mangane Moustaphaissa Diop Thierno Madane Diakite Adama Diallo Gangaly Gabriel Toure University Hospital Bamako Mali

Lower gastrointestinal bleeding (LGIB) is defined as bleeding from a source distal to the Ligament of Treitz. The primary step is to identify severe hemorrhages that may be life-threatening for patients (10% of cases of LGIB). The management depends on the severity of the bleeding, the diagnostic and therapeutic means of the patient’s reception center. Patient with acute LGIB, in case of negativity of endoscopic and radiological examinations, can be a surgical indication with possibility of intraoperative colonoscopy. We report a case of urgent surgical management with intraoperative colonoscopy in a patient with severe acute LGIB.

关键词： Lower Gastrointestinal Bleeding Surgery Gabriel Toure

Tuberculosis in Children: Epidemio-Clinical Aspects in the Paediatric Department of the Gabriel TouréUniversity Hospital Center

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Open Journal of Pediatrics 2022年第2期12卷 376-388页

作者： Adama Dembélé Abdoul Aziz Diakité Mohamed Elmouloud Cissé Bassirou diarra Belco Maïga issa Sanou Pierre Togo Abdoul Karim Doumbia Oumar Coulibaly Karamoko Sacko Djéneba Konaté Hawa Diall Lala Ndrainy Sidibé Bréhima Dégoga Fatoumata Léonie Diakité Guédiouma Dembélé Fatoumata Dicko Mariam Sylla Boubacar Togo Department of Paediatrics University Teaching Hospital of Gabriel Touré Bamako Mali University Clinical Research Center University of Sciences Techniques and Technologies of Bamako Bamako Mali Department of Pediatrics CHU Gabriel Touré Bamako Mali

Introduction: Globally, tuberculosis is the leading cause of death from a single infectious agent ahead of HIV/AIDS. Approximately 10 million people contracted TB in 2017, 10% of whom were children aged 0 - 15 years, or about 1 million with 250,000 deaths in 2016 (including children with HIV-associated TB). The signs of TB in children are not always specific and diagnosis remains difficult unlike in adults. According to a study conducted in 2011 in the paediatric department of the CHU-Gabriel Touré, only seventeen cases of all forms of tuberculosis were found, or approximately 0.2% of hospitalised children. The objective of our study was to investigate the epidemiological and clinical aspects of tuberculosis in children. Materials and Method: This was a prospective, cross-sectional and descriptive study that took place from 24 October 2017 to 23 October 2018, or 12 months in children aged 0-15 years. Data were collected from an individual medical record opened for each patient and an individual survey form established for each child. Results: During the study period, 40,434 children were consulted. Tuberculosis was suspected in 91 children, with a frequency of 0.22%. The age range of 1 to 4 years was 36.3% with a median age of 72 months. The sex ratio was 1.8. Chronic cough with 84.6% and malnutrition with 24.17% were the most frequent symptoms. Chest X-ray revealed bilateral pulmonary lesions in 52.7% and mediastinal adenopathy in 12.1%. TST was positive in 10.9% of patients, microscopy in 26.4%, Gene Xpert in 18.7%, and culture in 16.5%. The biological diagnosis of tuberculosis was retained in 48.4% of the patients, the pulmonary form represented 93.2%. The therapeutic regime (2RHZE/4RH) was used in 81.6% of cases and the evolution was favourable in 65.9% of patients. Conclusion: The diagnosis of tuberculosis in children remains difficult in our context. The clinical signs are not always specific, and further studies are needed to further elucidate this disease.

关键词： Child Clinic Epidemiology Gabriel Touré University Hospital Center Tuberculosis

Duodenal Duplication of Unusual Discovery:Case Report Chambery Hospital French

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Surgical Science 2018年第7期9卷 222-226页

作者： Konate Madiassa Traore Amadou Dembele Bakary Tientigui Karembe Boubacar Amadou issa Mangane Moustaphissa Diop Thierno Madani Togo Adegnepierre Kante Lassana Traore Alhassane Bah Amadou Sidibe Boubacaryoro Diamoutene Kolo Samake Moussa Mounimezie diarra Diakite Ibrahim Coulibaly Yacaria Keita Soumaila Legros Jean Remy Mattia Stella Demane Sofia Al Naasan Irchid Diallo Gangaly Faculty of Medicine and Odonto-Stomatology BamakoMali

We report the case of a 33-year-old man having presented the episodes of abdominal pains since a few months in 2014. He was handled by the anal-gesic and the anti spasmodic by his regular doctor. Symptoms in started up again with renewed vigor in February, 2015. The physical examination was normal. The complementary examinations must be known by the ultrasound the scanner and the magnetic resonance imaging which were in favour of a mass under person suffering from a liver complaint the normal blood balance assessment. The patient was exclusively operated by the way of coelioscopy and the anatomopathology examination of the operating room ended has a duplication duodenal. The operating consequences were simple until one year.

关键词： Duplication Duodenal Hospital Chambéry French

Appendicular Abscess in the Service of General Surgery at the Teaching Hospital Gabriel Toure, Bamako, Mali

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Surgical Science 2018年第8期9卷 281-285页

作者： Madiassa Konate Traore Amadou Coulibaly Yacaria Dembele Bakary Tiéntigui Karembe Boubacar Keita Soumaila Amadou issa Mangane Moustaphissa Diop Thierno Madani Almeimoune Abdoul Hamidou Togo Adégné Pierre Kante Lassana Traore Alhassane Maiga Amadou Bah Amadou Sidibe Boubacaryoro Diamoutene Kolo Tolo Maimouna Samake Moussa Mounimezié diarra Diakite Ibrahim Diallo Gangaly FMOS Bamako Mali

Objectives: To determine hospital frequency and to write the diagnostic and therapeutic aspects of appendicular abscess in adults in the General Surgery Department of teaching Hospital Gabriel Touré from 2005 to 2017. Material and Methods: This was a retrospective study conducted from January 1, 2005 to December 31, 2017 in the General Surgery De-partment of Gabriel Touré University Hospital in all patients with appen-dicular abscess. Results: In 13 years, 1420 cases of acute appendicitis have been reported, including 105 cases of appendicular abscess (7.4%). Mean age of the patients was 32 years with extremes of 16 years and 70 years. Abdominal pain and fever were present in all patients. Pain sat in the right iliac fossa in 73.3% and was epigastric in 11.4%. In almost all cases abdominal defense was present (97.1%). There was generalized abdominal contracture in 2.8% of cases. Average duration of evolution was 27 days with extremes of 1 day and 60 days. Ultrasonography was performed in 42.6% of cases and found peri-appendicular effusion in 29 cases (27.6%). 90 incisions were made by incision of Mac Burney, 8 by median umbilical, 7 by midline above and below umbilical. The amount of fluid aspirated was greater than 100 cc in 47 patients. We performed an appendectomy with appendicular stump burying followed by washing plus drainage of the abdominal cavity in 65 patients. Morbidity rate was 14.3%. No deaths were recorded. Average duration of hospitalization was 6.5 days with extremes of 2 days and 26 days.

关键词： Appendicular Abscess Adult Appendectomy Mali

Duplication of the Urethra in Boys: A Case Report

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External Branch of the Superior Laryngeal Nerve: Anatomy and Operating Hurts

Open Journal of Urology（泌尿学期刊） 2024年第6期 353页

作者： Mamadou Tidiani Coulibaly Falaye Sissoko Moumine diarra Adama Toutou Diallo issa Amadou Amadou Berthé Sory Koné

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International Journal of Otolaryngology and Head & Neck Surgery 2018年第6期7卷 388-395页

作者： Abdoulaye Kanté Babou Ba Youssouf Sidibé Drissa Ouattara Bréhima Bengaly Bréhima Coulibaly Drissa Traoré Mariam Daou Tata Touré Siaka Diallo Amady Diakalia Coulibaly Mamadou Alymami Keita Souleymane Sanogo Djibril Traoré Moustapha issa Magané Ousmane Ibrahim Touré Idrissa Tounkara Abdoulaye diarra Bakary Keita Timbely Guidérè Birama Togola Nouhoum Ongoï ba Service of Surgery CHU Bamako Mali Laboratory of Anatomy of the Faculty of Medicine and Odontostomatology Bamako Mali ENT and Head and Neck Surgery Department CHU Mother-Child “Luxembourg” Bamako Mali Service of Neurology CHU Gabriel Touré Bamako Mali Department of Stomatology and Maxillofacial Surgery CHU-CNOS Bamako Mali Service of General Surgery CHU Gabriel Touré Bamako Mali Service of Anesthesia and Resuscitation CHU Gabriel Touré Bamako Mali

Purpose: Our purpose was to describe the anatomy of the external branch of the upper laryngeal nerve and to estimate the frequency of nerves at risk during the total thyroidectomies sub. Methodology: We realized in the CHU Point G in Bamako a forward-looking study over a period going from September 1st, 2016 till December 31st, 2017. All the patients operated by thyroidectomies subtotals for mild goiters were included to whom a systematic location of the external branch of the superior laryngeal nerve in the space avascular of Reeve was realized. Cancers and other thyroid pathologies were not included. Results: We counted and operated 120 cases of mild goiters. The external branch of the superior laryngeal nerve was seen and dissected in 80.8%;it was not seen in 19.2%. According to the classification of Cernea: the type 2 was found in 80.8% of the cases with him under typical 2b in 47.5% and under type 2a in 40 (33.3%). The global frequency of lesion of the external branch of the upper laryngeal nerve was 10.8% at 9 patients among whom 6 who presented a BENLS of Type Ni. Conclusion: The external branch of the upper laryngeal nerve of type 2 presents a risk of wound because the surgeon treats the upper pedicle at the level of the critical centimeter place over the upper pole of the thyroid. The identification of the nerve during the thyroid surgery is the solution of choice.

关键词： External Branch of the Laryngeal Superior Nerve Anatomy Thyroid Surgery

Torsion of Ovarian Tumor in the Elderly: About a Case

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Surgical Science 2020年第4期11卷 69-73页

作者： Amadou Bah Ibrahima Diakite Amadou Maiga Boubacar Yoro Sidibe Madiassa Konaté Zakari Saye Boureima Kelly Tany Koné Siaka Konate Arouna A. Doumbia Bathio Traore Boubacar Karembe Mohamed Lamine Diakite Amadou A. Traoré Abdoulaye diarra Moustapha issa Mangane Abdoul Hamidou Almeimoune Bakary T. Dembélé Alhassane Traoré Lassana Kanté Adégné Pierre Togo General Surgery Department University Hospital of Gabriel Touré Bamako Mali Anesthesia and Reanimation Department University Hospital of Gabriel Touré Bamako Mali.

We report a case of torsion of an ovarian tumor in a 68-year-old woman with no medical and surgical history. The diagnosis was made in front of an intermittently painful pelvic mass. The treatment consisted of a left annexectomy;the anatomopathological examination revealed a fibro-inflammatory and hemorrhagic cyst. Postoperative results were simple with a 12-month follow-up.

关键词： Tumor Ovary Cyst Surgery

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

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