RESUME Objectif : Analyser rigoureusement les dossiers radiologiques senologiques a la recherche d’elements d’orientation car la tuberculose mammaire peut simuler une lesion tumorale et engendrer une prise en charge lourde parfois mutilante quand la micro biopsie n’est pas de pratique courante. Materiels et methode : Trois patientes de 43 ans, 47 ans et 56 ans, multi gestes, multipares, sans antecedent de pathologie mammaire, ont consulte pour des nodules du sein evoluant depuis un mois en moyenne, rebelles au traitement anti inflammatoire et / antibiotique non specifique. Resultats : L’examen physique notait des nodules sensibles, mobiles bien limites. Dans deux cas, des ganglions axillaires etaient palpes. La mammographie et l’echographie classaient les masses en ACR 4 de BIRADS. La cytologie par cytoponction confirmait le caractere suspect de la masse. La macro biopsie guidee n’avait pas ete realisee par manque de materiel. L’histologie des pieces operatoires a permis le diagnostic de tuberculose mammaire en objectivant des follicules caracteristiques. Conclusion : La hantise du cancer en senologie conduit souvent le radiologue a un diagnostic hâtif de cancer devant les masses atypiques. Ces dossiers nous invitent a une prise en charge concertee des images atypiques, afin d’eviter une prise en charge chirurgicale non justifiee, parfois delabrante d’une pathologique medicale. ABSTRACT Objective: To analyze very carefully the radiological files of breast in research of orientation elements because mammary tuberculosis can simulate a tumorale lesion and to procreate difficulties in the taking care of the patients, especially when the microbiopsy is not common. L C Lougue / Sorgho et al Materials and methods: Three patient women respectively of 43 year old, 47 and 56 years, multigestures, multiparous, without record of mammary pathology, consulted for nodules of the breast evolving for month on average, rebels in the anti-inflammatory treatment and unspecific antibiotic. Results: The physical examination noted sensitive and mobile nodules well limited. In both cases, axillaries lymph nodes were quinsy. Mammography and ultrasound ranked in ACR 4 of BIRADS masses. Cytology by cytoponction confirmed the suspect nature of the mass. Guided macro biopsy had not carried out due to lack of equipment. The histology of the operating parts allowed the diagnosis of mammary tuberculosis objectifying characteristic follicles. Conclusion: The fear of cancer in senology often leads the radiologist to early diagnosis of cancer before the atypical masses. These files invite us to a concerted management of atypical images, to avoid an unjustified surgical operation, which could sometimes be at the origin of a medical pathology.
RESUME Objectifs.: Evaluer la conformite des comptes rendus radiologiques du service de radiologie de l’Hopital De District de Bogodogo et utiliser cet outil pour l’autoevaluation dans le compte qualite. Methodologie. 130 comptes rendus d’echographie et 130 de radiographies ont ete selectionnes au premier trimestre 2017 prospectivement. Le score de conformite a ete etabli a base des 13 criteres pour l’echographie et des 14 criteres pour la radiographie de la Haute Autorite de Sante Francaise. Le score a ete etabli par le nombre d’items conformes pour chaque compte-rendu au numerateur et le nombre d’items applicables pour chaque compte-rendu au denominateur. Le calcul de ce score etait la moyenne des conformites calculees par compte-rendu. Resultats. 554 echographies et 1138 radiographies ont ete realisees par un radiologue senior de plus de 10 ans d’experience. Les scores de conformite ont ete de 1 pour le nom du radiologue, la date de l’examen et de saisie du compte-rendu la region anatomique, les resultats de l’examen et les criteres de validation. Ce score etait nul pour la comparaison avec les examens anterieurs pour les echographies et pour l’appareillage dans les deux modalites. L’indication etait conforme a 100% pour l’echographie et de 96% pour les radios. Le nom du demandeur etait conforme a 60 % pour les radiographies et 46% pour les echographies. L’identification etait conforme a 80% pour les radiographies et 86 % pour les echographies. La conclusion du compte rendu etait conforme a 75% pour les radiographies et 98 % pour les echographies. Conclusion. Un compte rendu conforme permet d’ameliorer la qualite des actes en imagerie. La question de forme etant reglee qu’en est-il de la question de fond et de la transmission des comptes rendus ? ABSTRACT Aim. To evaluate the compliance of radiological reports of the radiology department of the HDB and to use this tool for self-evaluation in the quality account. Methodology. 130 ultrasound reports and 130 x-ray reports were selected during the first quarter of 2017 prospectively. We established the compliance score based on 13 criteria for ultrasound and 14 criteria for radiography of the French High Authority of Health. The score is constructed from items with the number of compliant items for each report in the numerator and the number of items applicable for each report in the denominator. The calculation of this score is the average of the conformities calculated by report. Results. 554 ultrasounds and 1138 X-rays were performed by a radiologist with 10 years of experience. The compliance scores were 1 for the radiologist's name, the date of the review and the record capture; the anatomical region, the results of the examination and the validation criteria. This score was nil for comparison with previous examinations for ultrasound and for fitting in both modalities. The indication was 100% compliant for ultrasound but for 96% radios. Applicant's name is 60% X-ray and 46% Ultrasound. Identification was 80% X-ray and 86% X-ray. The conclusion of the report was 75% X-ray and 98% X-ray. Conclusion. A compliant report improves the quality of imaging actions. The question of form being settled what is the question of substance and the transmission of the minutes?
Le kyste anevrysmal est une tumeur relativement rare des os. Les auteurs rapportent un cas de kyste anevrysmal des os siegeant a l’extremite distale du radius. Le diagnostic clinique et radiologique reste difficile en raison des similarites avec l’osteosarcome telangiectasique. L’histologie permet de confirmer le diagnostic. Le traitement est mal codifie avec des risques de recidive.
Nous rapportons un cas d’achondroplasie de decouverte post natale chez un nourrisson de 22 mois, dans un but didactique mais egalement pour illustrer le role de l’imagerie dans la prevention des complications potentielles de cette maladie. L’examen clinique et les explorations radiologiques ont montre une deformation squelettique cranio faciale avec une macrocephalie, un nanisme rhizomelique et une cyphose dorso lombaire. Il n’y avait pas de stenose de la jonction cranio- cervicale ou d’etroitesse canalaire rachidienne pouvant engendrer des complications neurologiques a court terme. Le diagnostic d’achondroplasie a ete evoque, le caryotype a montre un syndrome de Down mais le test moleculaire n’a pu etre realise. Cet enfant ne beneficie presentement d’aucun traitement specifique, il est regulierement suivi en consultation externe de pediatrie avec un bilan radiographique annuel permettant d’evaluer sa croissance et ses deformations squelettiques.
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.
RESUME Objectif. Decrire les lesions radiographiques thoraciques chez les drepanocytaires adultes, suivis en ambulatoire en milieu burkinabe. Materiels et methodes. Cette etude prospective transversale, menee de janvier 2010 a fevrier 2011 au centre hospitalo-universitaire Yalgado Ouedraogo (CHU-YO), a concerne 96 patients hemoglobinopathes S de plus de 16 ans, ayant beneficie d’une radiographie thoracique de face a l’occasion d’une symptomatologie thoracique. Nous avons repertorie les syndromes radiologiques et les avons relies au type d’hemoglobinopathie. Resultats. Il y avait 62 femmes (64.6%) et 34 hommes (33.6%), soit un sex ratio H/F de 0.54.L’âge moyen des patients etait de 36 ans. Le type d’hemoglobinopathie le plus represente etait le type heterozygote SC (67.7 %), suivi du type homozygote SS (18.8%). Les douleurs thoraciques, symptome le plus frequent (94.8%), etaient presentes chez 63.8% des sujets SC. Des lesions radiologiques ont ete trouvees chez 54 patients (56,2%). Il s’agissait de lesions parenchymateuses pulmonaires observees chez 30 patients (31.2%), de lesions cardiomediastinales retrouvees chez 2 patients (2.1%) et de lesions osseuses notees chez 22 patients (22.9%). Les anomalies pulmonaires etaient essentiellement de type interstitiel (90%) et les lesions osseuses de type deformation du corps vertebral en H. Conclusion. Des lesions radiographiques tghoraciques sont observees chez environ la moitie des sujets drepanocytaires adultes au Burkina Faso. Elles sont dominees par les lesions pulmonaires interstitielles et les deformations osseuses vertebrales en « H ». ABSTRACT Purpose. To describe the thoracic lesions present in the chest x-ray of adult sickle patients in one outpatient clinic of Burkina Faso. Materials and methods. This was a prospective, cross sectional study conducted from January 2010 to February 2011 at the Yalgado Ouedraogo University Hospital Center. The study included 96 sickle cell patients, aged 16 or more, who had chest symptoms and performed conventional chest X-ray. Results. There were 62 women (62.6%) and 34 men (33.6%). The median age was 36 years. Heterozygote SC (67.7%), and homozygote SS (18.8%) were the commonest types of hemoglobin. Chest pain was the most common symptom (94.8%), and it was found in 63.8% of the SC patients. Chest lesions were present on 54 patients (56.2%). Thirty patients (31.2%) had parenchymal lesions and 22 patients (22.9%) had vertebral lesions. Pulmonary lesions were mainly interstitial (90%) while bone lesions were vertebral. SS. Conclusion. Thoracic lesions are found on roughly half of the population of adult sickle cell patients in Burkina Faso. Pulmonary lesions are mainly interstitial while bone lesions affect the thoracic vertebra.
Objective: To describe the aetiology, clinical presentation, management and outcomes of a series of patients with iatrogenic lesions of the ureter following obstetric or gynaecological surgery treated at Yalgado Ouedraogo University Hospital, Ouagadougou, Burkina Faso. Methods: This is a case series looking at 14 consecutive patients from 1 January 2011 to 28 February 2017, operated on for urological complications following obstetric and gynaecological surgery. Results: Our study focused on fourteen cases. The average age was 32.9 years (range 20 - 60 years). Thirteen were housewives. Eleven lived in rural areas. The aetiological factor was Caesarian section in seven cases, laparotomy in four cases and hysterectomy in three cases. The type of ureteral injury was bilateral ligation in nine cases. The average time to diagnosis was 16 days (range 2 - 120 days). Anuria was the commonest presenting symptom. Ultrasound in ten patients showed evidence of uretero-hydronephrosis. Eight patients required renal dialysis. Surgical management was uretero-vesical re-implantation in eleven cases, disunion of sutures associated with catheterization in two cases and a termino-terminal ureteral anastomosis in one case. The average hospital stay was 26 days (range 9 - 44 days). The post-operative period was complicated by two cases of vesico-vaginal fistula, one case of parietal suppuration, one case of pyelonephritis and one case of hydronephrosis. No deaths were recorded and a complete cure was ultimately obtained in all patients. Conclusion: Urological complications of obstetric and gynaecological surgery are dominated by ligation of the ureters in our setting. Caesarian section is the commonest cause. Treatment is essentially surgical.
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