[Abdominal pain and fever with urinary symptoms]. / Douleur abdominale fébrile associée à des signes urinaires.

A man consults for abdominal pain and fever. The diagnosis is suspected on a plain abdominal radiograph.

Un homme consulte pour des douleurs abdominales et une fièvre. Le diagnostic est évoqué sur une radiographie de l'abdomen sans préparation.

Child abdominal tumour in tropical context: think about schistosomiasis!

Schistosomiasis presenting as an abdominal mass with chronic pain in a child is not common. This report presents case of child presenting with schistosomiasis presenting as an abdominal mass with chronic pain. Abdominal ultrasonography did not particularly contribute to definitive pre-operative diagnosis. However, pathological examination of surgical specimen confirmed Schistosoma mansoni eggs in the biospy. A decrease in the mass volume was noticed under medical treatment (Biltricide). The aim of this report was to intimate clinicians on possible abdominal schistosomiasis as differential diagnosis of childhood abdominal mass. This is a clarion call for a high index of suspicion of childhood abdominal schistosomiasis in children presenting with abdominal mass in a tropical setting.

Depistage echographique de la maladie luxante de hanche : qu'en est-il de la gemellite comme facteur de risque ?

Objectif : Le depistage echographique de la maladie luxante de hanche repond a des indications particulieres; dont l'existence de facteurs de risque. La gemellite fait partie de ces facteurs derisque. Le but de cette etude etait d'apprecier l'incidence reelle de la grossesse gemellaire dans la survenue de la maladie luxante de hanche. Materiels et Methodes : Nous avons realise une etude retrospective; de fevrier 1991 a mars 2004; de 316 dossiers d'echographies de hanche; realisees de maniere systematique chez des jumeaux; par une equipe pratiquant la methode morphologique de GRAF. Resultats : L'age moyen des nourrissons au premier examen etait de 2 mois en moyenne (de 1 a 3;4 mois). Dans 81 des cas; l'examen echographique initial etait normal. Les enfants presentant une hanche de type IIa etaient ages de 1;7 mois en moyenne. Ces hanches de type IIa; controlees dans un delai moyen de 1;8 mois; se sont normalisees dans 98;4 des cas. Seulement deux nourris- sons ont ete traites; un pour une hanche de type IIb unilateral; l'autre pour des hanches de type IIc bilateral. Ces deux nourrissons etaient nes en presentation de siege des cas. Seulement deux nourrissons ont ete traites; un pour une hanche de type IIb unilateral; l'autre pour des hanches de type IIc bilateral. Ces deux nourrissons etaient nes en presentation de siege

Asp ou echographie dans l'exploration de la douleur abdominale aigue de l'enfant a Ouagadougou

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

[Kidney trauma in children: state of the art medical imaging]. / Traumatisme du rein de l'enfant: bonnes pratiques en imagerie médicale.

Traumatic renal lesions have some particularities in the pediatric age group, especially for anatomic reasons. Imaging is very important for diagnosis and staging. Ultrasonography with Doppler is the first line examination performed in children and frequently allows initial diagnosis. From the Doppler-ultrasonographic results and the type of trauma, renal Computed Tomography (CT) is complementary performed. The association of these imaging techniques allows comprehensive work-up of traumatic renal lesions, and also of associated or pre-existing lesions. Conservative management is the rule in most cases. Interventional imaging techniques are sometimes used for therapeutic care of renal pedicular vascular lesions or lesions of the collecting system. Far from the traumatic event, imaging allows to follow up the morphologic and functional evolution of major renal lesions, in particular lesions of excretory renal ducts.

[Imaging of the pediatric pancreas: state of the art]. / Imagerie du pancréas de l'enfant en 2005.

The use of high frequency (7-12 MHz) transducers on state of the art US units equipped with Doppler imaging provides excellent evaluation of the pediatric pancreas that compares to other cross-sectional imaging techniques. The availability of multidetector CT imaging reduces the need for sedation but requires additional review of the indications and protocols to avoid unnecessary radiation exposure. Evaluation of pancreatitis and tumors remains the main indication. Advances in MR imaging and MRCP has lead to very good results in children. Storage diseases of the pancreas can be diagnosed at MRI. The length of the examinations, the need for sedation and the limited spatial resolution remain the main pitfalls of MR imaging of the pancreas in pediatric patients.

[Radiographic and ultrasonographic diagnosis of a left thoracic mass]. / Diagnostic radiologique et échographique d'une masse thoracique gauche.

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.

[Radiography and ultrasonography in the management of bladder tumors: 71 cases at the National Hospital Center of Yalgado Ouedraogo (Burkina Faso)]. / Radiographie et échographie dans la prise en charge des tumeurs de la vessie: à propos de 71 cas au Centre hospitalier national Yalgado Ouedraogo (Burkina Faso).

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.