Introduction
les traumatismes de la face constituent un problème de santé publique physiquement et psychologiquement, caractérisé par la variété des lésions et parfois par la gravité des séquelles esthétiques ou fonctionnelle. Le but de ce travail était de décrire le profil épidémiologique et tomodensitométrique des fractures maxillo-faciales à Mopti.
Méthodes
étude descriptive transversale de janvier 2019 à décembre 2019 au Service de Radiologie de l´Hôpital de Mopti. Étaient inclus tous les patients ayant bénéficié une tomodensitométrie maxillo-faciale pour traumatisme avec fracture au scanner pendant cette période. Les variables analysées étaient l´âge, le sexe, l´étiologie et les types de fractures observées à la tomodensitométrie. L´enregistrement et l´analyse des données étaient faits avec les logiciels SPSS version 20 et Excel 2013.
Résultats
sur un total de 120 patients, l´âge moyen était de 26,43 ans avec un écart-type de 14,547. Les hommes ont prédominé avec 75% (n= 90). Les accidents de la voie publique étaient l´étiologie fréquente avec 50% (n= 60). Les fractures occlus-faciales représentaient 38,33% (n= 46) avec une prédominance des fractures Lefort II soit 22,50% (n= 27).
Conclusion
cette étude nous a permis d´identifier les couches de la population les plus touchées par les fractures maxillo-faciales dans la région de Mopti tels que les adolescents et les adultes jeunes. Le profil tomodensitométrique était dominé par les fractures occlusofaciales notamment celles de Lefort type II.
Sirenomelia is a rare fetal malformation with more or less complete fusion of both lower limbs consistently associated with bilateral renal abnormalities. The positive diagnosis can be made antenatally by ultrasound during the first trimester of pregnancy but often before the 22 weeks of amenorrhea. The objective was to think about the possible diagnosis by ultrasound in front of the urinary anomalies and the ologiamnios during the morphological study of the second trimester of pregnancy. We report a case of sirenomelia in a 25-year-old lady as part of the routine prenatal assessment suspected and confirmed during the morphological ultrasound of the second trimester of pregnancy and confirmed after the termination of pregnancy in Mali in the Health Center of Reference of commune III of the district of Bamako. The morphological ultrasound made it possible to diagnose the malformation of the urinary tract, the amniotic fluid and to make the therapeutic decision of medical termination of pregnancy at the end of confirming the siren syndrome.
Hypertrophic pyloric stenosis is an obstruction of the lumen of the pylorus by muscular hypertrophy of the pyloric sphincter, more common in boys. We report the case of a male newborn at 13 weeks of life, born at term with a birth weight estimated at 2900 grams without any particular history. Clinically he had an increased frequency of sputum and postprandial jet vomiting, dehydration and weight loss. Abdominal ultrasound found a lengthening of the pyloric canal measuring 22 mm in length associated with a thickening of the muscularis of the pyloric region measuring 4 mm forming a "pyloric olive" 13 mm in diameter. There was also significant gastric stasis upstream of the hypertrophic stenosis. The examination was carried out at the reference health center of commune III in the district of Bamako. The objective of this work was to provide our experience on the ultrasound semiology of hypertrophic pyloric stenosis with a review of the literature.
Epiduritis is an inflammation of the epidural tissue, located around the spinal cord, between the dura mater and the spinal canal. Spinal epidural abscess is the complication of epidural inflammation and a potentially devastating entity responsible for paraplegia whose incidence is increasing with about 10% mortality. We report a case of epidural abscess diagnosed in the radiology department of the ‘Marie Curie’ medical clinic in Bamako-Mali with the aim of describing the contribution of Magnetic Resonance Imaging (MRI). This was a 44-year-old female subject referred for back pain and sudden onset paraplegia. An MRI exploration made it possible to diagnose epiduritis complicated by epidural abscess. A medullary decompression was made with the anatomopathological study which confirmed the diagnosis by finding a pyogenic germ. MRI is the state-of-the-art imaging in the management of spinal canal infection and its contents.
Intrasellar arachnoidocele is a herniation of the optochiasmatic cistern through a dehiscence of the sellar diaphragm producing an empty sella turcica, hence its name empty sella turcica syndrome. It is an extremely rare benign malformative pathology. We report a case of intra-sellar arachnoidocele in a 34-year-old woman revealed during an annual control of a sellar mass under dossinex by cerebral magnetic resonance imaging (MRI) which found the cystic formation of liquid signal identical to that of the LCS in hypo signal T1 and hyper signal T2 without enhancement after injection of Gadolinium. The epidemiological, clinical and radiological aspects of arachnoidocele were analyzed. The purpose of this work is to bring the interest of MRI in the management of this pathology.
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