Objective: To correlate the epidemiological and histological data of breast lesions ACR 3, ACR 4 and ACR 5 biopsied on ultrasound in the city of Ouagadougou. Materials and methods: This was a retrospective study of data for 02 years (2015-2017) in the city of Ouagadougou. With the approval of the Ethics Committee for Health Research, the study focused on the histological results and radiological reports of biopsied lesions. Results: A total of 150 patients files had been collected. Breast lesions classified as ACR 4 were 50%, ACR 3 40% and ACR 5 10%. The risk factors were related to the ACR class. Ultrasound was performed in all patients. The masses were the most common elementary lesions found in breast imaging. On histology 98 lesions were benign, 16 intermediate lesions and 36 malignant lesions. Fibroids were the most common benign lesions of the ACR 3 and ACR 4 classes. Invasive ductal carcinoma was the most common histologic type among malignant lesions in all ACR classes. Conclusion: Cancerous lesions are discovered late in our context. The ACR classification must always take into account discriminative elements.
Uterine perforation is a serious complication after insertion of an intrauterine device (IUD). We report the case of a 34-year-old woman receiving in consultation for abdominal pain. In the interrogation there was a notion of IUD insertion for about a week. The gynecological examination did not find the thread of IUD and the ultrasound performed did not visualize an IUD. Radiography of the abdomen without preparation highlighted a compatible intrapelvic foreign thing like an IUD. The diagnosis of pelvic inflammatory disease by uterine perforation by an IUD was thus retained. We suggest in case of suspicion of uterine radio paque IUD perforation achieving radiography when the abdominal pelvic ultrasound is normal.
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