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Damage to the External Genitalia by Traction Following Assault and Battery at the C.H.U Gabriel Touré: About a Case

Surgical Science 2023年第2期14卷 55-60页

作者： Karembé Boubacar Traoré Boureima Tounkara Idrissa Diarra Issaka Coulibaly Mamadou Tidiani soumaré modibo dianguina Coulibaly Abdoulaye Camara Aboubacar Touré Aboubacar Sanogo Seydou Fall Ibrahim Diakité Mané Diarra Mouminy Traoré Abdoulaye Diarra Drissa Diakité Mamadou Lamine Départment of Surgery CHU Gabriel Touré Bamako Mali

Trauma to the external genitalia by tearing is rare. We report the case of a 30-year-old patient, admitted to the emergency room for trauma of the external genitalia by traction following a blow and intentional injury. The authors highlight the lesions that can occur during this type of trauma and insist on the systematic search for urethral and cavernous lesions. Conclusion: Trauma to the external genitalia by intentional assault and battery is rare in our context. They occur most often in a young person and are frequently associated with damage to the corpora cavernosa and urethra.

关键词： Trauma External Genitalia Traction

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Appendicular Abscess: Epidemio-Clinical and Therapeutic Aspects in the General Surgery Department of the Reference Health Center of Commune III (*** CIII) of the District of Bamako

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Surgical Science 2023年第2期14卷 77-83页

作者： Karembé Boubacar Tounkara Idrissa Diarra Issaka soumaré modibo dianguina Traoré Boureima Sanogo Seydou Diallo Moctar Camara Aboubacar Touré Aboubacar Coulibaly Abdoulaye Fall Ibrahim Diakité Mané Diarra Mouminy Diarra Drissa Traoré Abdoulaye Coulibaly Yacaria Kanté Lassana Dembélé Bakary Tientigui Togo Adégné Départment of Surgery CHU Gabriel Touré Bamako Mali

Objectives: The main goal of this study is to determine the hospital frequency of appendicular abscess, to describe the diagnostic and therapeutic aspects and to analyze the postoperative follow-up. Methodology: This was a descriptive and analytical prospective study from January 1, 2020 to June 30, 2021 including patients admitted to our department for appendicular abscess diagnosed pre- and or intraoperatively and confirmed to histology. Results: We collected 30 appendicular abscesses that accounted for 18.75% of emergency interventions. The 16 - 25 age group was the most represented at 53%. The average age was 24 years with extremes of 10 and 58 years. The male sex was mostly represented (60%) with a sex ratio of 1.5. The majority of our patients were students (53.3%). The main clinical signs found were abdominal pain and vomiting (100%). The pain was localized in the Right Iliac Fossa (RIF) in 80% of cases. Fever was present in all our patients with a temperature between 38˚C and 38.5˚C. The physical examination found pain with defense of the right iliac fossa in 93.3% of cases. A painful mass was present in 27 patients (90%). Treatment consisted of appendectomy with abscess drainage in all patients. Postoperative follow-up was simple in 83.3% of cases;we recorded three cases (10%) of parietal suppuration, one case of fistula (3.3%) and one death. Conclusion: Appendicular abscess is a medical-surgical emergency frequent surgery in our context because of the delay in diagnosis. It is a condition with low morbidity and mortality subject to early diagnosis and prompt and appropriate treatment.

关键词： Abscess Appendix Surgery

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Epidemiological-Clinical and Therapeutic Aspects of Acute Appendicitis at the Reference Health Center of Commune III (*** CIII) of the District of Bamako

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Surgical Science 2023年第1期14卷 30-37页

作者： Karembé Boubacar Tounkara Idrissa soumaré modibo dianguina Diarra Issaka Diarra Mouminy Touré Aboubacar Traoré Boureima Camara Aboubacar Sanogo Seydou Fall Ibrahim Coulibaly Abdoulaye Traoré Abdoulaye Diarra Drissa Diakité Mané Coulibaly Yacaria Kanté Lassana Dembélé Bakary Tientigui Togo Adégné Départment of Surgery CHU Gabriel Touré Bamako Mali

Objectives: It was to determine the epidemiological-clinical and therapeutic aspects of acute appendicitis at the Reference Health Center of Commune III of the district of Bamako. Methodology: This was a prospective study from January 1 to December 31, 2020 including patients operated for acute appendicitis and confirmed at histology and cases of abscess and appendicular plastron. Results: We collected 60 cases of acute appendicitis. They accounted for 17.29% of surgical indications. The average age of our patients was 25.5 years. The male sex was the most represented at 63% with a sex ratio of 1.72. The Pain in the right iliac fossa was the most represented reason for consultation with 76.7%. It was at the type of bite 70% of the cases. On physical examination the defense of the right iliac fossa was present in 96.7%. Digestive signs were marked by nausea 28.4% (17 patients) and vomiting 25% (15 patients). The digital rectal exam was painful to the right of the Douglas fir in 76.7% of our patients. In biology a complete blood count (CBC) performed in all our patients has objectified hyper leukocytosis in 80% of cases. The reactive protein (CRP) performed in 36 patients was elevated with values between 18 and 46 mg/ml. The imaging performed was an abdominal ultrasound that found a roundel image of the appendix with increased size in 65%. Surgical treatment consisted of classical Mac Burney appendectomy in 54 patients (90%). The gesture performed was an appendectomy in all our patients. All our appendectomy parts were sent for pathological examination. This examination classified the parts as non-specific appendicitis in 60%, phlegmonous appendicitis in 22% and catarrhal appendicitis in 18% of cases. Surgical follow-up was simple in 98.4% (59 patients) and morbidity was marked by digestive fistula in one patient. We recorded one case of death (1.6%). Conclusion: Acute appendicitis remains the most common surgical emergency in commune III of the district of Bamako. It

关键词： Appendicitis Surgery Anatomical Pathology

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Damage to the External Genitalia by Traction Following Assault and Battery at the C.H.U Gabriel Touré: About a Case

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Surgical Science（外科学） 2023年第2期

作者： Karembé Boubacar Traoré Boureima Tounkara Idrissa Diarra Issaka Coulibaly Mamadou Tidiani soumaré modibo dianguina Coulibaly Abdoulaye Camara Aboubacar Touré Aboubacar Sanogo Seydou Fall Ibrahim DiakitéMané Diarra Mouminy Traoré Abdoulaye Diarra Drissa Diakité Mamadou Lamine

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Epidemiological-Clinical and Therapeutic Aspects of Acute Appendicitis at the Reference Health Center of Commune III (*** CIII) of the District of Bamako

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Surgical Science（外科学） 2023年第1期

作者： Karembé Boubacar Tounkara Idrissa soumaré modibo dianguina Diarra Issaka Diarra Mouminy Touré Aboubacar Traoré Boureima Camara Aboubacar Sanogo Seydou Fall Ibrahim Coulibaly Abdoulaye Traoré Abdoulaye Diarra Drissa DiakitéMané Coulibaly Yacaria Kanté Lassana Dembélé Bakary Tientigui Togo Adégné

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Appendicular Abscess: Epidemio-Clinical and Therapeutic Aspects in the General Surgery Department of the Reference Health Center of Commune III (*** CIII) of the District of Bamako

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Surgical Science（外科学） 2023年第2期

作者： Karembé Boubacar Tounkara Idrissa Diarra Issaka soumaré modibo dianguina Traoré Boureima Sanogo Seydou Diallo Moctar Camara Aboubacar Touré Aboubacar Coulibaly Abdoulaye Fall Ibrahim DiakitéMané Diarra Mouminy Diarra Drissa Traoré Abdoulaye Coulibaly Yacaria Kanté Lassana Dembélé Bakary Tientigui TogoAdégné

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