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Symphyseal Disjunction after Dystocic Vaginal Delivery: About Two Cases at the SourôSanou University Hospital of Bobo-Dioulasso (CHUSS)

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Open Journal of Obstetrics and Gynecology 2024年第1期14卷 1-6页

作者： Millogo Jean De La Croix Sanou Jean de Dieu Gadigbé Akofa Méré Godé Sabi Tokobou William Ouédraogo André Togbé Eric Serge Alihonou Yaméogo Rélwendé Barnabé Dembélé Adama Somé Der Adolphe ouattara souleymane Obstetrics-Gynecology and Reproductive Medecine Departement of Sourô Sanou Teaching Hospital Bobo-Dioulasso Burkina Faso Higher Institute of health Sciences (INSSA) Université nazi Boni Bobo-Dioulasso Burkina Faso

Diastasis of the symphysis pubis is a rare postpartum complication. We report two cases of symphysis diastasis after dystocic delivery, in two patients who presented in the postpartum period with functional impotence, pubalgia and acute urine retention. A frontal radiograph of the pelvis confirmed the diagnosis, showing a symphyseal separation of 12 mm and 18 mm. In our case, management was mainly medical, with a favorable clinical outcome.

关键词： Pelvis Symphyseal Disjunction/Diastasis Post-Partum Burkina Faso

Influence of the Granular Class of Crushed Granites on the Litho-Stabilization of Samo Laterites (South-East of Côte d’Ivoire)

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Open Journal of Civil Engineering 2023年第3期13卷 540-553页

作者： Abalé Martial Grehoa Conand Honoré Kouakou Koffi Clément Kouadio souleymane ouattara Aka Alexandre Assande Edjikémé Emeruwa Laboratoire des Eaux du Sol et des Géomatériaux UFR-STRM University Félix Houphou&#235t Boigny Abidjan C&#244te d’Ivoire

Most of the laterites found in Ivory Coast do not meet the technical conditions to be used in their natural state for the design of road foundations. Also, to meet the growing needs for road materials, various amendments are made to them, including litho-stabilization. Thus, this study proposes to understand the influence of the granular class of natural aggregates on the performance of laterites. To achieve this objective, different proportions of crushed granites of class 0/5, 0/15 and 5/15 have been incorporated into the soils of southern Côte d’Ivoire, especially in Samo. This modified soil has been subjected to mechanical tests such as the modified Proctor and CBR test. The results obtained show that the dry densities of the incorporated laterites containing crushed granites increase with the content of natural aggregates and decrease with the increase in the water content. Likewise, the CBR bearing indices at 95% of the Modified Optimum Proctor of the different compositions (laterites + crushed granites) increase with the proportion of aggregates. The addition of coarse aggregates to the laterites therefore promotes the establishment of a framework which improves its bearing capacity. From 20% to 30% crushed granites respectively of class 0/15;0/5 and 5/15, the values of the CBR obtained are greater than those of 30% therefore these modified soils can be used as a foundation layer for traffic of T1, T2 and T3 type. Likewise, the laterites’ mixtures with at least 40% crushed granites of class 0/15 and 0/5 can also be used for the foundation and base layers.

关键词： Laterite Litho-Stabilization Natural Aggregate Coarse Aggregate CBR Modified Proctor Incorporated Laterites

Pneumatosis Cystoides Intestinalis Revealed by an Occlusive Syndrome: A Case Report

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病理学期刊(英文) 2023年第4期13卷 210-216页

作者： Franck Auguste Hermann Adémayali Ido Aimé Sosthène Ouédraogo Ibrahim Savadogo Rakiswendé Alexis Ouédraogo souleymane ouattara Assita Lamien-Sanou Olga Mélanie Lompo Department of Anatomy and Pathological Cytology CHU Tengandogo Ouagadougou Burkina Faso Department of Anatomy and Pathological Cytology CHU Bogododgo Ouagadougou Burkina Faso Department of Anatomy and Pathological Cytology CHU-R of Ouahigouya Ouahigouya Burkina Faso Histo-Embryo-Cytogenetics Department Bogododgo University Hospital Ouagadougou Burkina Faso Department of Anatomy and Pathological Cytology CHU Yalgado Ouédraogo Ouagadougou Burkina Faso

Introduction: Pneumatosis cystoides intestinalis is a rare condition characterized by the presence of gas cysts in the intestinal wall. It can affect different segments of the digestive tract. Male patients over 50 years old seem to be more affected. Classically, one opposes the primary or idiopathic forms and the secondary forms. Case Report: We report the case of a 62-year-old female patient with a history of treated peptic ulcers, who presented with episodes of intermittent atypical abdominal pain that worsened abruptly. The physical examination revealed a surgical abdomen with tenderness to palpation. The patient underwent a jejunal resection. The pathological examination showed macroscopically an intestinal fragment with confluent subserosal and intestinal intraparietal bullae. On opening, the portion containing the bullae was thickened, infarcted, congestive, hemorrhagic, and brittle with narrowing of the intestinal lumen. The bullae are tense and leave serosities. On histological examination, the intestinal wall was very congestive with hemorrhagic patches of suffusion. There were optically empty cystic formations that do not communicate with the digestive lumen. The adjacent mucosa is the site of a moderate subacute inflammatory reaction. Conclusion: Pneumatosis cystoides intestinalis is a rare and usually benign pathology. The symptoms, when they exist, are not specific. Its physiopathology is still very much debated. The prognosis is generally good. The knowledge of this pathology is necessary to avoid invasive explorations and heavy treatment without interest for the patient.

关键词： Cysts Gas Intestinal Pathology

A Case of Cerebral Aspergillosis in a Patient with Chronic Lymphoid Leukemia

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Open Journal of Pathology 2023年第4期13卷 217-223页

作者： Aimé Sosthène Ouédraogo Franck Auguste Hermann Adémayali Ido Ibrahim Savadogo souleymane ouattara Rakiswendé Alexis Ouédraogo Assita Lamien Sanou Olga Mélanie Lompo Pathological Anatomy Service of Bogodogo Teaching University Hospital Ouagadougou Burkina Faso UFR/SDS Joseph Ki-Zerbo University Ouagadougou Burkina Faso Pathological Anatomy Service of Tingandogo Ouagadougou Burkina Faso Pathological Anatomy Service of Ouahigouya Ouahigouya Burkina Faso Embryology Cytogenetics and Reproductive Biology of Bogodogo Teaching University Hospital Ouagadougou Burkina Faso Pathological Anatomy Service of Yalgado Ouédraogo Ouagadougou Burkina Faso

Cerebral aspergillosis commonly affects immunocompromised hosts, primarily patients on immunosuppressive therapy and those with acquired or immunodeficient states such as AIDS. We report a case of cerebral aspergillosis in a 39-year-old woman with a history of treated chronic lymphocytic leukemia (CLL). Multiple fragments of fixed tissues with formalin were freshly sent to the laboratory. An extemporaneous examination was performed by spreading. The rest of the sample was embedded in paraffin and studied according to the standard histological method with special stains and an immunohistochemical study. A microscopic observation showed abundant clusters of tangled mycelial filaments, Grocott+. At the edge, a nervous tissue was observed remodeled by an abundant inflammatory infiltrate consisting essentially of small lymphocytes and plasma cells. Additional immunohistochemistry was performed using anti-CD20, anti-CD3, anti-CD5, anti-CD23, anti-Bcl2, anti-Ki67, anti-IgD and anti-Kappa and Lamda antibodies. All taken together there were no further founding in support of a secondary localization of CLL. Cerebral aspergillosis is quite rare and often occurs in a context of immunosuppression. This case indicates the importance of a close collaboration between clinicians and pathologists for optimal patient care.

关键词： Cerebral Aspergillosis CLL Grocott Gomori Immunohistochemistry

Molecular Epidemiology of High-Risk Human Papilloma Virus Infection in Sexually Active Women at Bobo-Dioulasso University Teaching Hospital

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Open Journal of Obstetrics and Gynecology 2019年第8期9卷 1178-1188页

作者： souleymane ouattara Der Adolphe Somé Adama Dembélé Salif Sanfo Théodorat Zohoncon Abdoul-Karim ouattara Moussa Bambara Blami Dao Jacque Simporé Université Nazi Boni Bobo-Dioulasso Burkina Faso Laboratoire de Biologie Moléculaire et de Génétique (LABIOGENE) Université de Ouagadougou Université Ouaga I professeur Joseph Ki Zerbo Ouagadougou Burkina Faso CHU Souro Sanou Bobo-Dioulasso Burkina Faso

The objective of this study was to determine the prevalence of HPV-HR genotypes in the population of sexually active women in Bobo-Dioulasso, Burkina Faso. Methods: This study took place at Souro Sanou Teaching Hospital in Bobo-Dioulasso from September to June 2017. A total of 234 women in the gynecological period and also sexually active were enrolled after they gave an individual consent. Swabbing of the endocervical canal was done. From the sample stored at -20°C, the viral DNA was extracted using the “DNA-Sorb-A” kit from SACACE biotechnologies®. Amplification of the PCR of the extracted DNA was made, using the “HPV Genotypes 14 Real-TM Quant” V67-100 FRT kit. Data were analyzed with SPSS software version 17.0 and Epi Info 6. Chi-square and Fisher’s tests were used to compare proportions and averages;a link was significant when p 0.05. Results: The mean age was 30.7 ± 7.3 years (median: 30 years);84.5% of them were married, 43.5% had a socio-professional activity and 61% were schooled. A total of 20.6% of women were positive for at least one of the following HPV-HR genotypes: HPV 18, 31, 35, 39, 45, 51, 52, 56, 58, 59, 66, and 68. Genotypes the most frequently found were HPV 52 with 11 cases (17.2%) and 66 with 10 cases (15.6%). Conclusion: Our results show a predominance of HPV-HR genotypes not covered by available vaccines. Mapping genotypes are needed to fully understand viral ecology at the national level. But for instance, the nonavalent vaccine, which has a better coverage of the predominant genotypes, is to be promoted.

关键词： HPV-HR Epidemiology Genotypes Bobo-Dioulasso

Hemostasis Hysterectomies in a Low Resources Country: Epidemiological, Clinical, and Therapeutic Aspects

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Open Journal of Obstetrics and Gynecology 2019年第9期9卷 1265-1272页

作者： Adama Dembele Hyacinthe Zamané souleymane ouattara Barnabé Yaméogo Youssou Ahamada Der Adolphe Somé Moussa Bambara Blandine Bonane Thieba Department of Obstetrics Gynecology and Reproductive Medicine Souro Sanou Teaching University Hospital Bobo Diou-lasso Burkina Faso Higher Health Sciences Institute Nazi Boni University Bobo Dioulasso Burkina Faso Training and Research Unit in Health Sciences Professor Joseph Ki Zerbo University Ouaga 1 Ouagadougou Burkina Faso

Background: The perilous path of the African woman’s pregnancy often ends in difficult situations putting her life in danger. One of the solutions to save her is often to “remove” her uterus, in a hemorrhage and emergency context. It is the hemostasis hysterectomy. It’s generally practiced in difficult conditions with complicated operative follow-ups. The tragedy is that finally the patient will die (almost 1 time out of 2 in our study). This is the sad reality of resource-limited countries. How many women will continue to die under these conditions? This study attempts to explore the different aspects of this reality. Objective: To study the epidemiological, clinical, and therapeutic aspects of hemostasis hysterectomies at the Teaching Hospital of Souro Sanou University Hospital in Burkina Faso. Methodology: This was a prospective cross-sectional descriptive study conducted over 12 months from January 1 to December 31, 2015. Included in our study were all patients received in our department and who required a total or subtotal hysterectomy in the management of a severe postpartum hemorrhage, during the study period. Results: The frequency of hemostasis hysterectomies was 0.4% compared to all deliveries. The average age was 29.65 years old. The average parity was 4.3. Multiparas and large multiparas accounted for 65%. The main indications were uterine rupture (40%) and uterine inertia (60%). Hysterectomy was subtotal in 95% of cases. Maternal morbidity was dominated in 90% of cases by hemorrhagic shock, hemostatic disorders, and obstetrical fistulas. The prognosis was poor, with 8 deaths or 40% of cases. Conclusion: Better management of pregnancy and childbirth would reduce cases of hemostasis hysterectomies. The availability of blood products would improve the maternal prognosis.

关键词： Subtotal Hysterectomy Uterine Rupture/Uterine Inertia Reserved Prognosis

Sexual Experience of Women after Gynecological Hysterectomy in the Department of Obstetrics and Gynecology of Yalgado Ouedraogo Teaching Hospital, Burkina Faso

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Open Journal of Obstetrics and Gynecology 2019年第9期9卷 1273-1283页

作者： Der Adolphe Somé Rélwendé Barnabé Yaméogo souleymane ouattara Dantola Paul Kain Béwendin Evélyne Komboigo Blandine Thiéba Bonané Department of Gynecology Obstetrics and Reproductive Medicine Souro Sanou University Teaching Hospital Bo-bo-Dioulasso Burkina Faso Department of Obstetrics and Gynecology Yalgado Ouedraogo University Teaching Hospital Ouagadougou Burkina Faso

Objective: To study the sexual experience of women after gynecological hysterectomy in the obstetrics and gynecology department of Yalgado Ouedraogo University Teaching Hospital in Burkina Faso. Patient and Method: We conducted a cross-sectional study from October 1, 2016 to March 30, 2017. It included any patient who had a gynecological indication for a hysterectomy in the Department of Obstetrics and Gynecology of Yalgado Ouedraogo University Teaching Hospital (CHU-YO) during the study period. A total of 85 patients were included. We collected information from the consultation records, clinical records, and operating room registries and by surveying the patients themselves. Result: The frequency of hysterectomy in the gynecological period was 3.9%. The mean age of the patients was 51.71 (extremes: 35 and 66 years) and the mean parity was 4.8. Married women were the majority. Fibromyoma and genital prolapse accounted for 56.47% and 23.53% respectively of operative indications. Regarding postintervention sexuality, 29.41% of women declared no longer having sexual desire. Also, they complained of vaginal dryness (31.8%), decreased frequency of orgasm (42.3%), dyspareunia (37.65). Sexual dysfunction was present in 82.35% of women. There was a statistically significant difference between global sexual functioning and geographic origin, educational attainment, socio-economic level, surgical approach, preintervention sexual counseling, women’s psychological profile and their emotional relationship with their spouses. Conclusion: The psychosexual soundness of hysterectomy is important. A diagnosis of sexual disorders prior to the intervention and psychological follow-up throughout the therapeutic process of the pathology indicative of a hysterectomy is necessary for successful postoperative sexuality.

关键词： Sexual Experience Gynecological Hysterectomy Satisfaction Ouagadougou Burkina Faso

Prevalence of Group B Streptococcus among Pregnant Women in Bobo-Dioulasso (Burkina Faso)

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Open Journal of Medical Microbiology 2019年第3期9卷 63-76页

作者： Abdoul-Salam Ouédraogo Yacouba Sawadogo Der Adolphe Somé An Vercoutere Soufiane Sanou souleymane ouattara Fernand Michodigni Armel Poda Moussa Bambara Lassana Sangaré Sylvain Godreuil Departement of Microbiology Laboratory Sour&ocirc Sanou University Hospital Bobo Dioulasso Burkina Faso Department of Obstetrics and Gynecology Sour&ocirc Sanou University Hospital Bobo Dioulasso Burkina Faso Faculty of Medecine and health Sciences Ghent University Ghent Belgium Departement of Infectiology Sour&ocirc Sanou University Hospital Bobo Dioulasso Burkina Faso Departement of Microbiology Laboratory Yalgado Ouedraogo University Hospital Ouagadougou Burkina Faso Bacteriology-Virology Laboratory Montpellier University Hospital Montpellier France

Background: Group B Streptococcus (GBS) or Streptococcus agalactiae, which asymptomatically colonizes the female genital tract, is one of the leading causes of septicemia, meningitis and pneumonia in neonates. This study was conducted in Bobo Dioulasso, Burkina Faso to determine the prevalence of GBS colonization among pregnant women. Methods: Six hundred and eleven (611) pregnant women were screened for GBS colonization between July and December 2016. Vaginal swab samples were aseptically collected from the subjects after oral informed consent. Standard microbiological methods were used to isolate and identify GBS isolates. The antibiotic susceptibility profile of GBS isolates was assessed using the Kirby-Bauer disk diffusion method. Results: Colonization prevalence was 6.05%. No risk factors associated with the carriage rate was statistically identified. All isolates were susceptible to Amoxicillin, Ampicillin, Cefotaxime, Levofloxacin, Vancomycin and Nitrofurantoin. Resistance to antibiotics was found for erythromycin (35.14%), lincomycin (16.22%) and penicillin G (10.81%). Conclusion: Although a low carriage (6.05%) rate and isolates were susceptible to many antibiotics found in this study, a policy of systematic screening of pregnant women at least in the third trimester must be promoted.

关键词： Group B Streptococcus Prevalence GBS Carriage Burkina Faso

Lumbar Paraspinal Hemangiopericytoma, An Unusual Location: Surgery with Preoperative Embolization

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World Journal of Neuroscience 2021年第2期11卷 108-115页

作者： Habib Abdoul Karim Ouiminga Aminath Kelani Denléwendé Sylvain Zabsonre Anatole Jean Innocent Ouedraogo Desire Harouna Sankara Mengyou Li Omar Salia souleymane ouattara Hongbo Wang Department of Orthopedic Traumatology and Neurosurgery Tengandogo Teaching Hospital Center Ouagadougou Burkina Faso Department of Neurosurgery Niamey Teaching Hospital Center Niamey Niger Department of Neurosurgery Yalgado Ouedraogo Teaching Hospital Center Ouagadougou Burkina Faso Department of Neuroradiology Ouagadougou Medical Imaging Center Ouagadougou Burkina Faso Department of Neurosurgery Liaocheng People’s Hospital Liaocheng China Department of Pathology CHU Tengandogo Ouagadougou Burkina Faso Department of Orthopedic Zaozhuang Municipal Hospital Zaozhuang China

Background: Lumbar paraspinal hemangiopericytoma is rare. The hemorrhagic nature of the tumor causes problems of hemostasis and makes the resection delicate. We report a rare case of lumbar paraspinal hemangiopericytoma managed with preoperative embolization. Clinical Case: It is about a woman of 31 years, admitted for a large left lumbar paraspinal mass that evolved for 6 years. The clinical exam showed an asymmetry of the left paraspinal muscle. The mass painless was extended from the lumbar region. The neurological exam was normal. MRI showed the left large paraspinal mass tissue. It was extended from lumbar vertebrae, L1 to L4, and measured 100 × 50 × 50 mm. It was an iso-intense signal on T1-weighted with strong enhancement after gadolinium. It was hypervascular and supplied by left intercostal T12, L1, and L2 pedicles. The complete exclusion of the hyper-vascular left paraspinal tumor was obtained after selective embolization of the artery left L1 of the pedicle of the intercostal left L1 and trunks intercostal T12 and L2 left. The total resection of a mass encapsulated was performed. The operative outcome was good. The histology concluded to a hemangiopericytoma. No chemotherapy or radiotherapy was prescribed. After 5 years, the patient was asymptomatic. MRI control confirmed tumor resection with a residue at the level of the left intervertebral foramen L1 - L2. Conclusion: Lumbar paraspinal hemangiopericytoma is an extremely rare tumor. Selective preoperative embolization is recommended before the resection of large tumors to reduce vascular supply. A follow-up extended for these patients is necessary, given the frequency of recurrences.

关键词： Hemangiopericytoma Embolization Spine Surgery