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Isolated Right Pulmonary Agenesis in a 2-Month-Old Infant in the Pediatric Ward of Hospital of Mali

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Open Journal of Pediatrics 2020年第2期10卷 274-279页

作者： Bourama Kané Mody abdoulaye Camara Seydou Togo Mohame Maba Traoré Boubacar Mami Touré moussa abdoulaye ouattara Department of Pediatrics of the Hospital of Mali Bamako Mali Medical Imaging Service of the Mali Hospital Bamako Mali Department of Thoracicsurgery of the Hospital of Mali Bamako Mali

Introduction: Pulmonary agenesis is a rare congenital abnormality defined by the absence of parenchyma, bronchi and pulmonary vessels, frequently associated with other malformations. We describe a case of isolated right pulmonary agenesis diagnosed in the pediatric ward of the Mali Hospital. Clinical case: He was a month-old baby boy, born at term by cesarean section of a well-followed pregnancy. He was not resuscitated. He developed dyspnea after a cold. An emergency chest X-ray revealed a right opaque lung. He was referred to the hospital for the exploration of this opacity. At the entrance, it weighed 3910 g, size: 54 cm and the temperature was 36.9°C. He had a polypnea, an intercostal print. The sounds of the heart were diverted to the right. The rest of the clinical examination was without much particularity. The chest CT scan confirmed the right pulmonary agenesis. Abdominal and cardiac ultrasound was normal. A healing includes oxygenotherapy, serum glucose 10% minding 100 ml/ Kg/day and amoxicillin minding 100 mg/ Kg/day at 3 times by oral way. After 24 hours of treatment, we observed an improvement in dyspnea. On D2,

关键词： Pulmonary Isolated Agenesis Pediatric Hospital of Mali

Compressif Giant Segmental Congenital Emphysema: Diagnosis and Traitment

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Surgical Science 2016年第4期7卷 195-198页

作者： moussa abdoulaye ouattara Seydou Togo Abdoul Aziz Diakité Ibrahima Sankaré Bourama Kané Sekou Koumaré Mody abdoulaye Camara Zimogo Ziè Sanogo Sadio Yena Department of Thoracic Surgery Hospital of Mali Bamako Mali Department of Pediatric Gabriel Touré Teaching Hospital Bamako Mali Department of Surgery Point G Teaching Hospital Bamako Mali Department of Imagery Hospital of Mali Bamako Mali

The giant congenital lobar emphysema is a rare malformation infant pathology. The authors report a similar case which is distinguished by its segmental location even rare with its compressive character in which segmen... 详细信息

关键词： Emphysema Congenital Segmentectomy

Sociodemographic and Scanographic Aspects of Primary Bronchopulmonary Cancer in a Hospital in Mali

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Open Journal of Medical Imaging 2021年第4期11卷 104-114页

作者： Mody abdoulaye Camara moussa abdoulaye ouattara Hawa Diarra Mohamed Maba Traore Boubacar Mama Toure Nouhoum Simpara Néné Koumare Mamadou Ndiaye Salia Coulibaly abdoulaye Kone moussa Konate Ilias Guindo Konate Zakaria Mamadou Bakary Coulibaly Seydou Coulibaly Siaka Sidibe Department of Medical Imaging of the Mali Hospital Bamako Mali Department of Thoracic Surgery of the Mlai Hospital Bamako Mali Pediatric Unit at the Common Reference Health Center VI Bamako Mali Department of Medical Imaging of the CHU of Kati Bamako Mali Bamako Infirmary Hospital Bamako Mali Medical Imaging Department of CHME Luxembourg Bamako Mali Department of Gynecology of the Mali Hospital Bamako Mali

Summary: A malignant tumour that develops from the bronchial epithelium and then invades the lungs. It ranks third after colorectal and breast cancer. In Mali, computed tomography (CT) is the main imaging tool used at all stages of treatment. We had initiated this study with the objective of specifying the place of CT in the diagnosis of primary bronchopulmonary cancer at the hospital of Mali. Method: This is a prospective and descriptive study conducted by the Medical Imaging and Thoracic Surgery departments at Mali Hospital from March 2014 to February 2015. All the patients who have benefited from a CT scan and presenting at least one histologically confirmed bronchopulmonary tumor were included. Results: We were recruiting 60 patients with bronchopulmonary cancers out of 500 referred for a thoracic CT scan performed, a frequency of 12%. There was one male patient with a sex ratio of 4H/1F. The average age was 60 years. The history of smoking was 85%. The symptoms were dominated by general condition (63.33%), cough (25%) and haemoptysis (58.33%). CT scans were performed in all patients. The lesions were located more in the lower lobes (71%). The tumours were: heterogeneous tissue density (70%), spiculated contours (80%), and the histology was more non-small cell carcinoma. Conclusion: The incidence of bronchopulmonary cancer is very high and its prognosis is poor at an advanced stage. The evaluative role of CT and biopsy guidance has given it a place of choice in its management. The diagnosis of certainty remains histology.

关键词： Sociodemographic and Scanographic Aspects of Primary Bronchopulmonary Cancer in a Hospital in Mali

Total Thyroidectomy in Multinodular Goiter: An African Experience

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Surgical Science 2015年第12期6卷 527-531页

作者： moussa abdoulaye ouattara Seydou Togo Ibrahima Sankaré Kadiatou Singaré Sekou Koumaré Issa Maiga Allaye Ombotibé Jacques Saye Assa Traoré Nouhoum Diani Zimogo Ziè Sanogo Sadio Yena Department of Thoracic Surgery Hospital of Mali Bamako Mali Department of Otorhinolaryngology Gabriel Touré Teaching Hospital Bamako Mali Department of General Surgery “A” Point G Teaching Hospital Bamako Mali Department of Endocrinology Hospital of Mali Bamako Mali Department of Anesthesia Hospital of Mali Bamako Mali

Introduction: Total thyroidectomy is an operation that involves the surgical removal of the whole thyroid gland, with the preservation of the parathyroid glands. The aim of the present study was to assess the complication rates of total thyroidectomy on benign indication and first-time thyroid surgery and investigate the early outcome after opotherapy. Materials and Methods: In this retrospective study, patients who underwent total thyroidectomy for benign multinodular goiter in the department of thoracic surgery in our Hospital from January 2012 to December 2014 were included. In postoperative time, we evaluated surgical complication, histopathological examination and opotherapy. Results: A total 53 patients underwent total thyroidectomy for multmodular goiter;they were 49 (92.45%) bilateral and 4 (7.55%) unilateral (recurrence). The mean age was 47 years and mean diameter of goiter was 10.75 cm. Among the patients 88.68% were females and 11.32% were male. Preoperative hormonal statuses were (70%) in euthyroid and (30%) hyperthyroid following surgery complications like transient laryngeal nerve palsy (3.77%), transient hypocalcemia (7.55%), hematoma (1.9%) and wound infection (1.9%). On histopathological examination of the surgical specimen, 5.7% were reported to be malignant. Six month following surgery 92.45% of patients was a good hormonal balance. Conclusion: Total thyroidectomy for multinodular goiter has a low morbidity and mortality;this procedure olves both the problem of recurrence of disease and reintervention. The opotherapy is doable with a good hormonal balance.

关键词： Multi-Nodular Goiter Total Thyroidectomy Complication

Cervical Thoracic Necrotizing Fasciitis with the Mammary Gland Spread of Odontogenic Origin

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Surgical Science 2016年第4期7卷 181-184页

作者： Seydou Togo moussa abdoulaye ouattara Jaques Saye Ibrahim Boubacar Maiga Cheick Ahmed Sékou Touré Ibrahim Sankaré M.A.C. Cissé Nouhoum Diani Sékou Koumaré moussa Camara Adama Konoba Koita Sadio Yéna Zimogo Zié Sanogo Djibril Sangaré Department of Thoracic Surgery Hospital of Mali Bamako Mali Department of Reanimation and Emergency Hospital of Mali Bamako Mali Department of Surgery “A” Hospital of Point G Bamako Mali

Necrotizing fasciitis is an uncommon infection, but potentially lethal, especially when associated with systemic disorders such as diabetes. We report the case of a 35-year-old female with uncontrolled diabetes mellitus, presenting with edema of the neck, facial and left mammary gland, secondary to untreated dental infection, progressing to a full-blown necrotizing fasciitis in a short period of time with sepsis. The patient was managed with aggressive multidisciplinary medical and surgical treatment. Despite the technologic advances in diagnosis and treatment, complications still result with astounding high mortality. Clearly, the morbidity associated to this infection, even in diabetic patients, can be minimized if an early diagnosis and effective debridement are done.

关键词： Fasciitis Necrotizing Mammary Gland Antibiotics Surgery

A Rare Case of a Giant Cavernous Lymphangioma of the Chest Wall in a Child

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Open Journal of Respiratory Diseases 2016年第1期6卷 1-6页

作者： Seydou Togo moussa abdoulaye ouattara Ibrahim Boubacar Maiga Yunping Lu Donghui Jin Ibrahim Sangaré Maiga Abdoul Aziz Cheik Amed Sekou Touré Ibrahim Coulibaly Jaques Saye Cheik Sadibou Sékou Koumaré Sadio Yéna Djibril Sangaré Thoracic Surgery Department Mali Hospital Bamako Mali 24th Chinese Medical Team Mali Hospital Bamako Mali Surgery “A” Department Point G Hospital Bamako Mali

Cavernous lymphangioma of the chest wall is a very rare disease entity, and only a few cases have ever been documented in the literature. Cases of recurrent cavernous lymphangioma after surgical excision of a cystic lymphangioma on the same side of the chest wall are quite uncommon. We report a case of a 10-year-old girl, with a giant cavernous lymphangioma of the left lateral chest wall extending into the axilla, who had undergone surgical excision of a cystic lymphangioma 9 years earlier.

关键词： Cavernous Lymphangioma Chest Wall

Clipping Effect on Growth and Plant Water Use Response to Diurnal Variation of Vapor Pressure Deficit in Cenchrus biflorus Roxb

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Journal of Agricultural Chemistry and Environment 2024年第2期13卷 183-191页

作者： moussa Oumarou abdoulaye Issoufou Hassane Bil-Assanou Soulé moussa Mainassara Zaman-Allah Laboratory Ecology and Management of Sahelo-Saharan Biodiversity Department of Biology Faculty of Science and Techniques Andr&#233 Salifou University Zinder Niger Department of Biology Faculty of Sciences and Techniques Dan Dicko Dankoulodo University of Maradi Maradi Niger Department of Science and Technology of Plant Production Faculty of Agronomy and Environmental Sciences Dan Dicko Dankoulodo University of Maradi Maradi Niger

Cenchrus biflorus called Karangiya in the Hausa language is an annual pastoral grass which is a valuable herbaceous fodder in dry land region in the context of climate change. However, little is known about the plant water use under the effects of cut in West Africa Sahel like Niger where the plant is a multipurpose grass species. Therefore, this study investigated the impact of grazing (simulated by shoot cuts) on biomass production. Cenchrus biflorus Roxb was grown on field plots and in pots and subjected to shoot cuts at different levels (3 cm and 5 cm from soil surface). The effect of shoot cuts on drought tolerance was evaluated by assessing the response of transpiration to the diurnal variation of vapor pressure deficit (VPD). Results showed that the biomass production varied in response to shoot cuts depending on the culture system, and the level or frequency of cuts. The mean biomass production increased significantly especially in field plots for 5 cm cuts compared to those at 3 cm and the control treatment. In addition, transpiration was highly increased in response to the VPD increase. Shoot cuts significantly reduced transpiration, whatever the level, largely because they reduced leaf surface. We concluded that moderate grazing (cuts to 5cm) can improve biomass production and allow better adaptation to water deficit as they significantly reduced water loss through transpiration. The study recommends the cropping of the Cenchrus biflorus as climate solution as it performs better under water deficit for improving grazing resilience in Niger.

关键词： Cenchrus biflorus Biomass Vapor Pressure Deficit Cutting Grazing

Management for Pediatric Pleural Empyema in Resource-Poor Country: Is Chest Tube Drainage with Antiseptic Lavage-Irrigation Better than Tube Thoracostomy Alone?

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Surgical Science 2015年第12期6卷 541-548页

作者： Seydou Togo moussa abdoulaye ouattara Ibrahim Sangaré Jacque Saye Cheik Amed Sékou Touré Ibrahim Boubacar Maiga Dokore Jerome Dakouo Liang Guo Sékou Koumaré Adama Konoba Koita Zimogo Zié Sanogo Sadio Yéna Thoracic Surgery Department Hospital of Mali Bamako Mali 23ème Chinese Aids Medical Team Hospital of Mali Bamako Mali Surgery “A” Department Hospital of Point G Bamako Mali

Drainage by chest tube thoracostomy is widely used in treatment of early empyema thoracis in children, but drainage with antiseptic lavage-irrigation is more frequent in our context since the last 20 years. This study was to determine which was more effective in our experience comparing chest tube drainage with catheter antiseptic lavage-irrigation versus drainage by chest tube thoracostomy alone in the management of empyema thoracis in children. Patients and Methods: Demographic, clinical and microbiological data on children with thoracic empyema undergoing drainage by chest tube thoracostomy alone or with antiseptic lavage-irrigation were obtained from 2 thoracic surgical centers from September 2008 to December 2014. It was a retrospective study included 246 children (137 boys and 109 girls) who were managed for empyema thoracis at the author’s different department of surgery. Outcomes analysis with respect to treatment efficacy, hospital duration, chest tube duration, hospital costs, and need for subsequent procedures was analyzed and compared in the 2 groups. Results: Drainage of pus and antiseptic irrigation resulted in resolution of pyrexia with improvement in general condition in 85.82% of patients in group 1 and by tube thoracostomy alone in 73.95% in group 2. There are a significant difference in the length of hospital stay (p = 0.022), duration of chest tubes in situ (p = 0.040), treatment coast (p = 0.015) and outcome of stage 2 empyema disease (p = 0.037) between the 2 groups. Conclusion: it seems that chest tube drainage with antiseptic lavage-irrigation method is associated with a higher efficacy, shorter length of hospital stay, shorter duration of chest tube in situ, less cost and better outcome of stage 2 empyema diseases than a treatment strategy that utilizes chest tube thoracostomy alone.

关键词： Empyema Thoracis Children Irrigation Drainage

Secondary Spontaneous Rupture of the Diaphragm in a Child after Blunt Chest Trauma

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Open Journal of Respiratory Diseases 2016年第2期6卷 41-46页

作者： Seydou Togo Bourama Kané moussa abdoulaye ouattara Issa Boubacar Maiga Yunping Lu Donghui Jin Allaye Ombotimbé Ibrahim Sangaré Maiga Abdoul Aziz Cheik Amed Sekou Touré Ibrahim Coulibaly Adama Issa Koné Sitan Illiassou Jaques Saye Cheik Sadibou Traoré Sékou Koumaré moussa Camara Koita Adama Kononba Mody Traoré Zimogo Zié Sanogo Sadio Yéna Djibril Sangaré Thoracic Surgery Department Hospital of Mali Bamako Mali Pediatric Department Hospital of Mali Bamako Mali 24th Chinese Medical Team in Hospital of Mali Bamako Mali Surgery “A” Department Point G Hospital Bamako Mali

Traumatic diaphragmatic rupture (TDR) is very rare in the pediatric age group. Because of its rarity and its coexistence with more injuries, the diagnosis is often delayed. Very little has been written about this condition in the pediatric age group. TDR, while uncommon, should be considered in cases of blunt thoracic trauma. All patients should undergo meticulous examination preoperatively. The clinical presentation and importance of making an accurate diagnosis and surgery is highlighted. We report a case of secondary spontaneous traumatic left-sided diaphragmatic rupture in a child that was managed by delayed surgical repair.

关键词： Pediatric Thoracic Trauma Diaphragmatic Rupture Secondary Surgery