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Feasibility of Scanopelvimetry in the Medical Imaging Department of the University Hospital of Point “G”.

Open Journal of Medical Imaging 2022年第3期12卷 157-164页

作者： Abdoulaye Koné Moussa Konaté youssouf Koné Moussa Traore youssouf diawara Ibrahima Coulibaly Ouncoumba Diarra Fatoumata Kalapo Amadou Doumbia Kassim Sidibe Cheick Oumar Touré Oumar Aba Ata Mody A. Camara Mamadou Sima Coulibaly Salia Mahamadou Diallo Adama Diaman Keita Siaka Sidibé Faculty of Medicine and Odontostomatology Bamako Mali Medical Imaging Department of the University Hospital of Point G Bamako Mali Radiology Department of the Jacques Boutard Hospital Saint-Yrieix-la-Perche France Medical Imaging Department of GABRIEL TOURE Hospital Bamako Mali Radiology Department of CSREF Commune III Bamako Mali Medical Imaging Service Health Center of Ref Commune VI Bamako Mali DCSSA Kati Mali Medical Imaging Service Health Center of Ref Commune IV Bamako Mali Medical Imaging Service of the Mali Hospital Bamako Mali. Surgery of Gynecology-Obstetrics CHU Point G Bamako Mali Medical Imaging Department CHU BSS Kati Mali

Purpose: The purpose of our study was to describe the technique of scanopelvimetry used in the radiology department of the Point G University Hospital, to specify the indications of scanopelvimetry in the department and to evaluate the cost of radiopelvimetry. Patients and Method: This was a prospective, cross-sectional study that took place over a 12-month period from January 1 to December 31, 2018. It focused on pregnant women in whom scanopelvimetry was performed in the medical imaging department of Point G University Hospital during the study period. Results: Out of 8615 CT examinations performed in the radiology department, we collected 65 cases of scanopelvimetry, i.e., 0.7% of the CT examinations. Primigravida and paucigravida dominated the study (40% each). In 60% of the pregnant women the height was less than 150 cm. The most frequent indication for CT scanning was clinical pelvic narrowing (50%). In 80% of the cases, the scanopelvimetry was performed after 37 weeks of amenorrhea. A predominance of narrowing of the superior strait was noted (40%). 4.6% of the pregnant women had a Magnin index of less than 20. CT scanopelvimetry is a feasible examination in our context but the level of demand is low because of the high cost of the examination (49500 fca). Conclusion: In light of the results obtained, we can say that CT pelvimetry allows us to predict the probable route of delivery and thus we can reduce the risk of fetomaternal morbidity and mortality to improve maternal and child health.

关键词： Scanopelvimetry Prognosis Magnin Index Delivery

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Left Pyelic Bifidity and Ectopic Ureteral Superolateral Intravesical Homolateral Ectopic Junction Revealed by a Urinary Calculus Apropos of a Case at the Pasteur Clinic

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Open Journal of Medical Imaging 2022年第3期12卷 123-130页

作者： Abdoulaye Kone Oucoumba Diarra Mamoudou Camara youssouf Kone Abba Ata Omar Moussa Traore Ibrahima Coulibaly Moussa Konate Kassim Sidibe Toumin Camara youssouf diawara Cheick Oumar Toure Abdoulaye Mody Camara Salia Coulibaly Mahamadou Diallo Adama Diaman Keita Aboubacar S. Ndiaye Siaka Sidibe Faculty of Medicine and Odontostomatology Bamako Mali Medical Imaging Department of the University Hospital of Point G Bamako Mali Radiology Department of CSREF Commune III Bamako Mali Medical Imaging Service Mother Child Hospital Luxembourg Bamako Mali FSTS Gamal Abdel NasserConakry Guinea Radiology Department of the Jacques Boutard Hospital Saint-Yrieix-la-Perche France France Medical Imaging Department of the Pasteur Polyclinic Bamko Mali DCSSA Bamako Mali General Medicine Department of the Siguiri Prefectural Hospital Siguiri Guinea Medical Imaging Service Health Center of Ref Commune IV Bamako Mali Medical Imaging Department of Mali Hospital Bamako Mali Medical Imaging Department of KATI Hospital Bamako Mali Medical Imaging Department of GABRIEL TOURE Hospital Bamako Mali

Introduction: Malformations of the excretory tract are abnormalities due to a disorder of embryogenesis. According to some authors, their frequency varies from 0.30 to 5.25 per 1000. The aim of this study was to highlight the CT uroscan aspect of pyelic bifidity with intravesical ureteral ectopic junction revealed by a urinary calculus and to explain the interest of CT uroscan in the management of urinary pathologies. Result: We report the observation of a 37-year-old overweight patient with a body mass index equal to 28, a history of surgery and extracorporeal litho-thipsis dating back 10 years. He was referred to the Imaging Department in the context of renal colic. The uroscanner made it possible to highlight a left pyelic bifidity associated with an ectopic abutment of the left ureter on the superolateral wall of the bladder, a calculation in the left ectopic ureteral meatus measured at 4 mm in axial diameter. He noted upstream of these lesions, a uretero-pyelo-calicielle dilation on double homolateral pyelon. On late cuts, a slight delay in left renal excretion was noted. The right kidney was also the site of a hyperdense calculation of 1257 HU density and measured 4 mm in transverse diameter with a non-obstructive appearance. Due to a lack of means, our patient was subjected to oral medication, hygiene and dietary rules and rigorous monitoring. Conclusion: At the end of this study, the uroscanner is presented as the reference examination to better explore urinary pathologies. At the same time, it makes it possible to carry out a study of the organs surrounding the urinary tract. Always think about the association of several urinary pathologies each time you see a patient for renal colic.

关键词： Bifidity Pyelic Uroscanner Ectopia Lithiasis

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Epidemiological, Clinical and Radiological Study of Patients Operated on for Spondylolisthesis in the Neurosurgery Department of CH “the Luxembourg” in Bamako

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Open Journal of Medical Imaging 2022年第3期12卷 109-122页

作者： Abdoulaye Kone Moussa Traore Mamoudou Camara youssouf Kone Moussavou-Imounga Jacqueline Ouncoumba Diarra Mamadou Diarra youssouf diawara Oumar Abba Ata Ibrahima Coulibaly Moussa Konate Kassim Sidibe Toumin Camara Cheick Oumar Touré Abdoulaye Mody Camara Salia Coulibaly Mahamadou Diallo Adama Diaman Keita Siaka Sidibé Faculty of Medicine and Odontostomatology Bamako Mali Medical Imaging Department of the University Hospital of Point G Bamako Mali Medical Imaging Department of the Pasteur Polyclinic Bamako Mali Medical Imaging Department of GABRIEL TOURE Hospital Bamako Mali Medical Imaging Service Mother Child Hospital Luxembourg Bamako Mali Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry Conakry Guinee Radiology Department of the Jacques Boutard Hospital Saint-Yrieix-la-Perche France Neurosurgery Department of the Mère-enfant le Luxembourg Hospital Bamako Mali Radiology Department of CSREF Commune III Bamako Mali DCSSA Bamako Mali Internal Medicine Department of the Prefectural Hospital of Siguiri Siguiri Guinea Medical Imaging Service Health Center of Ref Commune IV Bamako Mali Medical Imaging Department of Mali Hospital Bamako Mali Medical Imaging Department of KATI Hospital Kati Mali

Introduction: Spondylolisthesis is defined as a permanent anterior sliding of the vertebral body accompanied by the pedicles, the transverse processes and the posterior joints in relation to the underlying vertebra. The prevalence of spondylolisthesis varies between 4% and 9%, according to different authors in France, China and Japan. In Africa, some African authors find a spondylolisthesis rate of 9.93%. The objective of this study was to study the clinical and radiological aspects of spondylolisthesis at the Mother-Child Hospital of Bamako. Methods: Prospective and retrospective descriptive study carried out in the neurosurgery department of CH Mother-Child Luxembourg in Bamako from 2010 to 2018. Result: We collected 42 patients operated on for spondylolisthesis out of 145 patients, i.e., 29% of the department’s activities. The average age of our patients was 51 years old, with extremes of 20 and 75 years old. The sex ratio was 0.81 in favor of women. 61.9% of our patients performed work requiring physical strength. Neurogenic claudication was the predominant clinical sign with 88.1% of cases. CT was the most common way of exploration in 57.1% of cases and CT myelo in 47.6% of cases. Disc herniation was associated with spondylolisthesis in 23% of cases. Spondylolisthesis was grade 1 in 59.6% of cases and was responsible for mixed stenosis in 73.82% of cases. All our patients underwent laminectomy. The evolution at 6 months postoperative was favorable in 64.3% of cases. Conclusion: The diagnosis of spondylolisthesis is radiological and makes it possible to define the type of lesion according to its etiology and its severity, but also to highlight the conflicts with the nervous system which will have to be cured. Field and household work, pregnancy, carrying loads or children on the back could be incriminated.

关键词： Spondylolisthesis Radiology Operated

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Reliability of Medical Imaging in the Pre-Therapeutic Assessment of Acute Intestinal Obstruction at the Centre Hospitalier Universitaire Du Point “G”.

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Open Journal of Medical Imaging 2022年第3期12卷 147-156页

作者： Abdoulaye Koné Mahamadou Daou youssouf Koné Moussa Traoré Moussa Konaté Ouncoumba Diarra Ibrahima Coulibaly youssouf diawara Amadou Doumbia Cheick Oumar Touré Kassim Sidibé Mody A. Camara Oumar Aba Ata Mahamadou Diallo Adama Diaman Keita Salia Coulibaly Zimogo Zié Sanogo Siaka Sidibe Faculty of Medicine and Odontostomatology Bamako Mali Medical Imaging Department of the University Hospital of Point G Bamako Mali Radiology Department of the Jacques Boutard Hospital Saint-Yrieix-la-Perche France Medical Imaging Department of GABRIEL TOURE Hospital Bamako Mali Radiology Department of CSREF Commune III Bamako Mali Medical Imaging Service Health Center of Ref Commune VI Bamako Mali Medical Imaging Service Health Center of Ref Commune IV Bamako Mali DCSSA Kati Mali Medical Imaging Department of Mali Hospital Bamako Mali Medical Imaging Department of Kati Hospital Bamako Mali Department of General Surgery of Point G University Hospital Bamako Mali

Introduction: Acute intestinal obstruction is a serious pathology, a surgical emergency for which medical imaging plays an important role in the management. We initiated this work in order to study the contribution of imaging in the diagnosis of acute intestinal obstruction at the Point-G University Hospital. Patients and Methods: This was a prospective, descriptive and analytical study of 96 patients collected at the radiology and medical imaging department of CHU Point-G from January 2018 to January 2019. Results: The age of our patients varied from 11 to 86 years, with an average of 36 years old. There was a male predominance of 64.6% against 35.4% for women, i.e., a sex ratio of 1.82. Previous surgery was found in 61.5% of our patients. The pain was present in all patients. An unprepared abdominal X-ray was performed in 89.6% of patients. Hydroaerobic levels were found in 96.5% of patients. Abdominopelvic CT scans were performed on 12 patients, all of whom were diagnosed with occlusion. These positive diagnostic findings were consistent with intraoperative findings in 92% of cases. The causes were dominated by bridges in 46 patients and tumors in 9 patients. Signs of severity on CT were dominated by signs of distress of the upstream bile ducts in 8.3%. Exactly 8% of our patients spontaneously resumed transit, 91% received surgical treatment and 1% died before surgery. The outcome was favorable in 80 patients (83.3%) and poor with death in 16 patients (16.7%). Conclusion: Acute intestinal obstruction remains a serious pathology for which the X-ray of the PSA is often the only radiological examination performed in an emergency. However, abdominopelvic CT seems to us to be widely indicated thanks to its contribution both to the positive diagnosis and to the diagnosis of severity and etiology. However, this imaging technique is widely underused in our practice because of its high cost and lack of availability.

关键词： Medical Imaging Acute Intestinal Obstruction Abdominal CT Reliability

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Contribution of Computed Tomography in the Diagnosis of Pulmonary Lesions Due to Coronavirus Disease (SRAS-CoV-2), COVID-19

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Open Journal of Radiology 2022年第3期12卷 68-77页

作者： Abdoulaye Koné Saloum Gandéga youssouf Koné Moussa Traoré Moussa Konaté Jean Paul Dembélé Ouncoumba Diarra Ibrahima Coulibaly youssouf diawara Cheick Oumar Touré Kassim Sidibé Mody A. Camara Oumar Aba Ata Yacouba Toloba Jean Steiner Mahamadou Diallo Adama Diaman Keita Salia Coulibaly Siaka Sidibe Faculty of Medicine and Odontostomatology Bamako Mali Medical Imaging Department of the Pasteur Polyclinic Bamako Mali Medical Imaging Department of the Robert BALLANGER Hospital AulnaySB Ile de France France Radiology Department of the Jacques Boutard Hospital Saint-Yrieix-la-Perche France Medical Imaging Department of GABRIEL TOURE Hospital Bamako Mali Medical Imaging Department of the University Hospital of Point G Bamako Mali Infectious Disease Department of the University Hospital of Point G Bamako Mali Radiology Department of CSREF Commune III Bamako Mali Medical Imaging Service Health Center of Ref Commune IV Bamako Mali DCSSA Kati Mali Medical Imaging Department of Mali Hospital Bamako Mali Pneumology Department of the University Hospital of Point G Bamako Mali Medical Imaging Department of Kati Hospital Kati Mali

Our study was carried out at Robert BALLANGER Hospital, its aim was to determine the contribution of the scanner in the diagnosis of COVID-19. It was a prospective descriptive study during the first wave of the COVID-19 epidemic in France. Patients were referred to the medical imaging department for a thoracic CT scan without contrast injection or an angioscanner in the context of a suspected COVID-19 pneumopathy or pulmonary embolism. The study involved both sexes, the male sex was with 55.20% and sex ratio of 1.24. In our study 50% of our patients had a comorbid factor, of which diabetes and hypertension were the most represented with 33% and 17%. The RT PRC test is considered the gold standard in the diagnosis of COVID-19 disease. This test was positive in 63.62% of our patients. CT imaging played a key role in the management of COVID-19 pneumonia because chest CT scans found lesions consistent with COVID-19 pneumonia in 71% of patients. The depoliated lung lesion was present in 87% of our patients, with sub pleural topography and minimal parenchymal involvement predominating. In our study, the chest CT scan had a higher sensitivity and a lower specificity than the PCR test.

关键词： Contribution CT COVID-19 SARS-CoV-2 Diagnosis Lungs France

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Etiological and Evolutionary Profile of Anemia in Patients Hospitalized in the Internal Medicine Unit of the Fousseyni Daou Hospital in Kayes

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Open Journal of Internal Medicine 2023年第1期13卷 51-61页

作者： Sangaré Drissa Cissé Sékou Mamadou Guindo youssouf Abdoulaye diawara Diakité Niagalé Boly Berthé Bréhima Keita Kaly Issa Diallo Traore Djenebou Soucko Kaya Assetou Internal Medicine Unit Kayes Hospital Kayes Mali National Center for Scientific and Technological Research (CNRST) Bamako Mali Cardiology Unit Kayes Hospital Kayes Mali Imaging Unit Kayes Hospital Kayes Mali Nephrology Unit Kayes Hospital Kayes Mali Army Health Service Bamako Mali Point G Hospital Internal Medicine Department Bamako Mali Faculty of Medicine of Bamako Bamako Mali

Introduction: Anemia is one of the most common public health problems in the world and affects all ages. Objective: To describe the etiological and evolutionary profile of anemia in patients hospitalized in the Internal Medicine Unit of the Fousseyni Daou Hospital in Kayes. Methodology: It was a descriptive and cross-sectional study with retrospective data collection which took place from January 1 to December 31, 2020 at the Internal Medicine Unit of the Fousseyni Daou Hospital in Kayes. It covered all anemic patients hospitalized during the study period. Results: We identified 91 cases of anemia out of 200 patients admitted to the Unit that is a hospital prevalence of 45.5%. The age group of 26 to 35 years was the most represented, that is to say 29 cases (31.87%) with an average age of 43.55 years ± 17.48 years, the female sex predominated, 51 cases (56.04%) with a sex ratio of 0.78. Housewives represented 41 cases (45.05%). The majority of patients resided in rural areas 48 cases (52.75%). The main manifestations were: asthenia 75 cases (78.02%), vertigo 68 cases (74.72%), dyspnea 62 cases (68.13%), headaches 59 cases (64.83%), palpitations 55 cases (60.44%), conjunctival pallor 53 cases (58.24%), tachycardia 43 cases (47.25%), systolic murmur 18 cases (19.78%) and IMO 11 cases (12.09%). The associated pathologies were: infected diabetic wounds 25.27%, followed by bacterial pleuro-pneumopathy 18.68%. Biologically, microcytic anemia was the most frequent 49 cases (53.84%), followed by normocytic anemia 35 cases (38.46%) and macrocytic anemia 7 cases (7.7%). Anemia was hypochromic, 53 cases (58.24%) were more encountered compared to normochromic anemia 38 cases (41.76%). The anemia was: severe in 43 cases (47.25%), moderate 29 cases (31.87%) and mild 19 cases (20.88%). Inflammatory anemia is the most common etiological diagnosis in 60% of cases, followed by vitamin B12 deficiency anemia observed in 21% of patients and then blood diseases in 7.33% of cases. The mai

关键词： Anemia Etiology Evolution Internal Medicine Fousseyni Daou Hospital Kayes Mali

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Epidemiological, Clinical, Bacteriological Profile of Urinary Tract Infection in the Internal Medicine Unit of the Fousseyni Daou Hospital in Kayes

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Open Journal of Internal Medicine 2023年第1期13卷 62-75页

作者： Sangaré Drissa Cissé Sékou Mamadou Guindo youssouf Abdoulaye diawara Diakité Niagalé Boly Berthé Bréhima Keita Kaly Issa Diallo Traore Djenebou Kaya Assetou Soucko Internal Medicine Unit Kayes Hospital Kayes Mali National Center for Scientific and Technological Research (CNRST) Bamako Mali Cardiology Unit Kayes Hospital Kayes Mali Imaging Unit Kayes Hospital Kayes Mali Nephrology Unit Kayes Hospital Kayes Mali Army Health Service Bamako Mali Point G Hospital Internal Medicine Department Bamako Mali Faculty of Medicine of Bamako Bamako Mali

Introduction: Urinary tract infection is one of the most frequent public health problems in the world and concerns all ages. Objective: To describe the epidemiological, clinical and biological profile of urinary tract infection in the internal medicine unit of the Fousseyni Daou hospital in Kayes. Methodology: It was a descriptive and cross-sectional study with retrospective data collection which took place from January 1 to December 31, 2020 at the Internal Medicine Unit of the Fousseyni Daou Hospital in Kayes. It covered all outpatients and hospitalized patients presenting with a urinary tract infection during the study period. Results: We identified 79 cases of urinary tract infection out of 145 requests for ECBU, that is a positivity rate of 53.10% and out of a total of 1883 admissions that is a hospital prevalence of 4.19%. The age groups of 36 to 45 years and 46 to 55 years were more represented in 28 cases (35.44%) and 25 cases (31.64%) with an average age of 45 years ± 10. The female sex was predominant, 42 cases (53.16%) with a sex ratio of 0.88. Housewives were more represented 28 cases (34.44%). The majority of patients resided in rural areas 49 cases (62.03%). The history was dominated by the following pathologies: hypertension 48.10%, diabetes 36.70% and gastropathy 30.37%. The main clinical manifestations were: Urinary burning 67 cases (84.81%), Dysuria 65 cases (82.27%), Pelvic pain 59 cases (74.68%), Fever 57 cases (72.15%). The epidemiological profile of the isolated strains was dominated by enterobacteriaceae, followed by gram-positive cocci and gram-negative bacilli. The main bacteria responsible for urinary tract infections in order of frequency: Escherichia coli (45.56%), Klebsiella pneumoniae (11.39%), Pseudomonas aeruginosa (8.86%), Staphylococcus aureus (7.59%), Streptococcus sp (6.33%), Enterobacter cloacae (3.79%), Acinetobacter sp (3.79%). The study of the susceptibility and resistance profiles of the isolated strains showed significant se

关键词： Urinary Tract Infection Epidemiology Clinic Bacteriology Internal Medicine Fousseyni Daou Hospital Kayes Mali

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