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Volvulus Acute of the Colonist Sigmoid to mopti:Diagnostic and Therapeutic Aspects

Surgical Science 2018年第11期9卷 446-453页

作者： Bréhima Bengaly Abdoulaye Kanté Drissa Ouattara Bréhima Coulibaly Drissa Traoré Birama Togola Babou Ba Souleymane Sanogo Siaka Diallo Djibril Traoré Moustapha Issa Magané Mariam Daou Nouhoum Ongoiba Service of Surgery B CHU Point GBamakoMali Service of General Surgery Somine Dolo of Mopti HospitalMali Laboratory of Anatomy of the Faculty of Medicine and Odontostomatology BamakoMali Service of Anesthesia and Resuscitation CHU Gabriel TouréBamakoMali Service of Neurology CHU Gabriel TouréBamakoMali

In 7 years, we brought together 100 cases of volvulus of the colon sigmoid to the hospital Sominé Dolo of mopti among which the handle volvule was found without necrosis in 66 cases and necrosis 34 cases. Seventy-six patients benefited from a sigmoidectomy followed by a colorectal anatomize at a time, twenty one patients of an intervention of Hartmann. A surgical distortion was realized at 3 patients. All the patients operated by these last two techniques had a restoring of the digestive continuity for an average deadline of 90 days. The post-operative complications consisted of 11 cases of parietal suppuration and a case of evisceration. The average duration of follow-up was of 210 days. The post-operative mortality was 14%. It was about a state of toxic shock with visceral multi-failure (n = 13), and of a pulmonary embolism (n = 1). The treatment of the volvulus requires a fast diagnostic and therapeutic coverage. The best treatment consists of a resection of the sigmoid as a matter of urgency followed by an immediate anastomosis if the following conditions are carried achieved: state general voucher, experimented surgeon and if the resuscitation meadow, per and post-operative can be assured.

关键词： Pelvic Colonist Volvulus Treatment mopti Mali

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Pulmonary and Extra-Pulmonary Tuberculosis: Epidemiological and Diagnostic Aspects at Sominé DOLO Hospital in mopti

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Journal of Tuberculosis Research 2021年第1期9卷 63-71页

作者： Dramane Samake Modibo Coulibaly Mamadou Sayon Keita Mamoutou Dembele Aboubacar Sidiki Traore Damissa Samuel Coulibaly Oumar Guindo Madou Traore Bakary Sayon Keita Sounkalo Dao Infectious Diseases and Infectious and Tropical Diseases Research Officer Head of Medicine Sominé DOLO Hospital Mopti Mali Laboratory Department of Medical Biology at Sominé DOLO Hospital Mopti Mali Sectorial Unit to Fight HIV/AIDS Tuberculosis and Viral Hepatitis Bamako Mali Department of Medicine at Sominé DOLO Hospital Mopti Mali Department of Medicine at Nianankoro Fomba Hospital Ségou Mali General Director of Sominé DOLO Hospital Mopti Mali Department of Medicine Sikasso Regional Hospital Sikasso Mali Department of Medicine of the Fousseyni Daou Hospital Kayes Mali Head of Infectious Diseases Department at Point G University Hospital Bamako Mali

Despite the efforts made to fight the tuberculosis, Mycobacterium tuberculosis still remains a public health problem, particularly for low-income countries. According to the World Health Organization data, our country, Mali has detected only half of the 10,385 cases of tuberculosis expected for 2014 for a population of 17,309,000 inhabitants. The objective of this present work was to describe the different clinical aspects and the epidemiology of tuberculosis at Hospital Sominé Dolo in Mopti. We performed a retro-prospective and descriptive of tuberculosis cases diagnosed in our department of medicine between May 2016 and August 2018. A total of 96 tuberculosis cases were recorded, i.e. 4.6% and 1.0% for hospitalizations and consultations patterns, respectively. The median of age was 41 with extremes from 5 to 80 years. The age group [31 - 40 years] was the most affected with 20.8%. Men and women were affected in identical proportions, i.e. 50%. Pulmonary locations were the most frequent with 55.2%. Pleural tuberculosis was far the most frequent of the extra-pulmonary forms with 24.0% followed by the peritoneal and bone localization with 6.3%

关键词： Tuberculosis Clinical Aspects Epidemiology Hospital Sominé DOLO mopti

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