ABSTRACT
Objectif : Evaluer l'apport de l'ASP et de l'echographie dans le diagnostic etiologique des douleurs abdominales aigues de l'enfant. Methodologie : Etude prospective transversale comparative du 30 janvier 2007 au 30 avril 2008. Ont ete inclus 153 enfants ages de 1 a 180 mois dont 60 de garcons; recus dans les services d'imagerie des CHU de Ouagadougou pour exploration radiologique de douleurs abdominales aigues non traumatiques (DAANT). Ces patients ont beneficie de la radiographie de l'abdomen sans preparation (ASP) et de l'echographie abdominale. La synthese radiologique etait obtenue a partir des resultats de l'ASP et de l'echographe. Les diagnostics finaux etaient obtenus apres confrontation radio clinique. Resultats : L'ASP etait anormale dans 35;3 des cas et l'echographie l'etait dans 79;1. Les diagnostics finaux etaient entre autre l'appendicite; la lithiase urinaire; les pneumopathies aigues; la peritonite; l'invagination intestinale aigue (IIA) et les occlusions intestinales aigues (OIA). Le diagnostic de l'ASP etait concordant au diagnostic final dans 17;6 des cas et celui de l'echographique dans 67;3. L'association ASP - echographie a permis d'aboutir au diagnostic etiologique dans 69;3 des cas
Subject(s)
Abdominal Pain , Child , Radiography, AbdominalABSTRACT
A chest roentgenogram of a 69-year-old man undergoing a check-up before prostate surgery showed a mass in the antero-inferior zone of the lung, just above the diaphragm. At ultrasonography, it was considered to be a thoracic ectopic kidney. This radiological case illustrates the place of this anomaly in the differential diagnosis of lung solitary mass, which can be explored with ultrasonography when retroperitoneal herniation is suspected.
Subject(s)
Choristoma/diagnostic imaging , Kidney , Lung Diseases/diagnostic imaging , Aged , Diagnosis, Differential , Humans , Male , Radiography, Thoracic , UltrasonographyABSTRACT
The bladder's cancer is frequent in West Africa. Urinary schistosomiasis endemicity helps to explain this high incidence. It is a pathology of late diagnosis, little or badly explored by imaging. Through a retrospective survey of 71 patients' files aged in average of 51.7 years, all having a bladder's tumour which is clinically shown by an haematuria, the major symptom, often by a pelvic volume, and who have all gone through an abdominal echography and/or intravenous urography (IVU) and/or retrograde urethrocystography (UCR), we have tried to point out the role of imaging in the caring of this pathology in our working context. Imaging, with a 98.5% sensibility for sonography and 100% for IVU, took part in all the cases to the diagnosis, to the search of urinary signs of reflux, associated signs authorizing a diagnostic orientation, but was excluded from the evolutive follow-up due to the poverty of our populations. So, despite some limits specific to the survey, particularly the absence of historadiological comparison for all the files, echography and IVU with cystography have always led to malignancy diagnosis. Therefore they should be requested for any patient consulting for haematuria.
Subject(s)
Adenocarcinoma/diagnostic imaging , Carcinoma, Squamous Cell/diagnostic imaging , Carcinoma, Transitional Cell/diagnostic imaging , Ultrasonography/methods , Urinary Bladder Neoplasms/diagnostic imaging , Urography/methods , Adenocarcinoma/parasitology , Adult , Aged , Aged, 80 and over , Burkina Faso/epidemiology , Carcinoma, Squamous Cell/parasitology , Carcinoma, Transitional Cell/parasitology , Female , Humans , Male , Middle Aged , Retrospective Studies , Schistosomiasis haematobia/complications , Schistosomiasis haematobia/epidemiology , Sensitivity and Specificity , Ultrasonography/standards , Urinary Bladder Neoplasms/parasitology , Urography/standards , Vesico-Ureteral Reflux/etiologyABSTRACT
A case of non-progressive and earlier abdominal pregnancy, associated with an evolutionary tubal pregnancy is reported by the authors. This clinical situation is very rare, indeed, exceptional, because it concerns two successive and ectopic pregnancies. The poor obstetrical cover and the ineffectual supervision of the pregnancy explain in part these situations in our countries.
Subject(s)
Pregnancy, Abdominal/complications , Pregnancy, Tubal/complications , Adult , Female , Humans , Pregnancy , Pregnancy, Abdominal/diagnosis , Pregnancy, Abdominal/surgery , Pregnancy, Tubal/diagnosis , Pregnancy, Tubal/surgery , PrognosisABSTRACT
Une etude retrospective sur dossier a ete menee; du 1/1/93 au 1/5/95 au Centre Hospitalier National Sanou Sourou de Bobo-Dioulasso afin de determiner la place de l'echographie dans le diagnostic des grossesses extra-uterines dans cette formation sanitaire; d'en apprecier les formes cliniques; les aspects echo-anatomiques et d'en analyser la semiologie. 96 GEU ont été opérées sur cette période. La fréquencedes GEU est de 1 pour 62 accouchements. L' é c h o g r a -phie est peu utilisée au C.H.N. SS. comme moyen de dia-gnostic (24% des GEU), après la ponction péritonéale (72,8%). Le tableau échographique est dominé par lessignes indirects de GEU. L'aspect écho-clinique et ana-tomique prédominant est le tableau d'inondation périto-néale par rupture de la grossesse (91%). La localisation anatomique préférentielle est tubaire (85,4%) puisabdominale (9,8%). Une action de formation doit être menée au niveau péri-phérique, intermédiaire et central de notre système desanté pour une meilleure gestion des grossesses à risque
