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Incomplete Situs Inversus Revealed by Acute Pain of the Right Hypochondrium

Open Journal of Gastroenterology 2022年第10期12卷 263-270页

作者： Alice Nanelin Guingané Julien Sawadogo Adjirata Koama bénilde marie-ange tiemtoré-kambou Roger Sombié Alain bougouma Service d’hépato-gastroentérologie CHU Bogodogo Ouagadougou Burkina Faso Service de chirurgie générale et digestive du CHU-YO Ouagadougou Burkina Faso Service de radiologie CHU Bogodogo Ouagadougou Burkina Faso Service d’hépato-gastroentérologie CHU-YO Ouagadougou Burkina Faso

Situs inversus is an abnormal placement of the thoracic and/or abdominal organs that are inverted right/left from normal. It is a rare congenital malformation often discovered in childhood. In adults, it can lead to misdiagnosis. Clinical case: A 35-year-old female patient, seen in a hepatogastroenterology consultation for acute spontaneous pain in the right hypochondrium. She had no particular clinical history. A diagnosis of hepatopathy was suspected. Abdominal and pelvic CT scans showed the left liver, stomach and spleen in the right hypochondrium, but with the heart in place, suggesting incomplete situs inversus. The evolution in our patient was spontaneously resolved with analgesics and antispasmodics, which leads us to believe that the volvulus was probably partial and without other complications. Conclusion: In developing countries, antenatal diagnosis of situs inversus is rare and is usually made during a pathology that leads the patient to a medical consultation. CT is one of the key paraclinical examinations for its diagnosis as genetic tests are not widely available.

关键词： Situs Inversus Abdominal Pain Hypochondrium Abdominal CT Scan

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Diagnostic Input of Specialized Radiographic Examinations in Pediatric Setting in Ouagadougou (burkina Faso)

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Open Journal of Radiology 2022年第2期12卷 49-57页

作者： Nina-Astrid Ouedraogo Moussa Zanga bénilde marie ange tiemtoré kambou Ky Davy Sissiman Madina Aischa Napon boubacar Ouattara Ousséini Diallo Léonie Claudine Lougue Radiology Department of bogodogo Teaching Hospital Ouagadougou Burkina Faso Training and Research Unit in Health Sciences University Joseph Ki-Zerbo Ouagadougou Burkina Faso Radiology Department of Charles de Gaulle Pediatric Teaching Hospital Ouagadougou Burkina Faso Radiology Department of Yalgado Ouédraogo Teaching Hospital Ouagadougou Burkina Faso

Context: In spite of the development of cross-sectional medical imaging and endoscopy means, the prescription of specialized radiographic examinations is still relevant in the pediatric environment in our country. Objective: Show the contribution of specialized radiographic examinations performed in pediatric settings. Methodology: This was a retrospective descriptive study implemented over a five year-period, from June 10th, 2014 to June 10th, 2019 within the radiology department of Charles De Gaulle Pediatric Teaching Hospital in Ouagadougou. This study included the results of 192 specialized radiographic examinations collected within the concerned department. Results: The average age of the patients was 4.21 years with extremes of 8 days and 15 years. Infants (29 days to 24 months) were the predominant age group with a rate of 53.13% (n = 102 patients). boys represented 76.51% of the sample with a sex ratio estimated at 3.25. Specialized radiographic examinations represented 0.46% of the overall imaging examinations and 0.72% of radiographic examinations performed during the study period. 67.19% of pathological examinations were reported. Colonic enema and retrograde urethrocystography (RUC) were the most performed examinations respectively accounting for 33.34% and 27.6%. The radiographic findings were consistent with the diagnostic hypotheses in 41.6% of cases. Conclusion: Specialized radiographic examinations keep their place in the exploration of several pathologies in pediatric settings.

关键词： Esophageal Transit Retrograde Urethrocystography Hirschsprung’s Disease

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