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.
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.
Introduction: Female infertility is a frequent reason for consultation and is therefore a real public health problem. The objective is to study the contribution of HSG in the etiological research of this infertility. Materials and Method: This is a bicentric study carried out in the Medical Imaging Department of the Pr Bocar Sidy SALL University Hospital and at the "Amitié" Medical Clinic (CMA) of Kati over a period of two years (from 01 January 2020 to 31 December 2021). The examinations were largely performed by radiologists in the first part of the cycle, after menstruation and outside of any infectious context. The variables studied were sociodemographic, clinical and radiographic data. The readings of the images were made by the radiologists. The GE PRESTILIX 1600X remote-controlled table was used for examinations in each centre. Results: At the end of our study, we collected 421 files: 223 cases at the CHU and 198 at the CMA. These examinations were requested by gynecologists in 70% of cases, the average age of our patients was 31.4 years and the 25-34 years age group was in the majority (50.4%). The most recovered clinical information was sterility with 40.6% (21.4% for secondary sterility and 19.2% for primary sterility) and desire for children (17.6%). Examinations were done by radiologists (47%) and medical assistants (40%). The result was normal in 58% of cases and pathological in 42% of cases; Among the pathologies, tubal abnormality was the majority (71.2%) dominated by tubal obstruction in 59.5% of cases, followed by hydrosalpinx in 35.7% of cases. Uterine pathologies were dominated by myomas (25.5%) followed by uterine synechia (21.6%). Conclusion: Female infertility is common, affecting young women. The HSG allowed us to detect certain lesions, largely tubal and uterine abnormalities. It is the examination of choice in the search for tubal abnormality in our country.
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