Journal of Clinical Images and Medical Case Reports, 2021
Portal cavernoma is the cavernous transformation of the portal vein. It is the consequence of chr... more Portal cavernoma is the cavernous transformation of the portal vein. It is the consequence of chronic portal vein thrombosis and occurs when collateral branches develop to bypass the portal occlusion. The clinical presentation includes hematemesis due to variceal bleeding, ascites or anemia, and splenomegaly. Herein we present images of a 37-year-old male patient received in our department for abdominal ultrasound, following 2 episodes of hematemesis. This case illustrates the ultrasound aspect of a voluminous portal cavernoma with portal hypertension signs.
But : evaluer la possibilite de thrombolyse des AVCI en phase hyper aigue, en etudiant les delai... more But : evaluer la possibilite de thrombolyse des AVCI en phase hyper aigue, en etudiant les delais de consultation, de prise en charge et le score ASPECTS des patients. Materiel et Methode : etude transversale menee de septembre a novembre 2017 au CHU FANN incluant34 patients adresses pour suspicion d’AVCI recent. L’âge moyen etait de 60 ans avec des extremes de 38 ans a 87 ans et le genre ratio de 0,42. Les delais de consultation et d’acces a l’imagerie ont ete evalues et une TDM cerebrale sans injection a permis d’evaluer le score ASPECTS. Resultats : Le delai moyen d’arrivee a l’hopital etait de 6,25 heures et le delai median de 3,73 heures. Trente-cinq pourcent des patients avaientconsulte avant 4 heures et 30 minutes, 24% entre 4 heures 30 minutes et 6H et 41% au-dela de la 6 ieme heure. En intra hospitalier, le delai moyen entre l’arrivee du patient et la realisation du scanner etait de 41,76 minutes et 26,5% des patients ont eu un scanner dans les delais recommandes. Vingt-ne...
A retrospective study was carried out from January 2000 to December 2003 to assess the resistance... more A retrospective study was carried out from January 2000 to December 2003 to assess the resistance of Mycobacterium tuberculosis to antituberculosis drugs and the impact of this on the treatment result. Two hundred and two patients' files were studied (average age: 36 years; sex-ratio: 1.7). Pulmonary localisation (85.7%) or extrapulmonary localisation (14.3%). HIV status is negative (71.3%), positive (10.8%) or unknown (17.9%). The overall recovery rate is 60.7% (61.4% in HIV-; 46.1% in HIV+), the rate of treatment failure is 2.7% (1.1% in HIV-; 15.4% in HIV+), the death rate due to tuberculosis is 6.3% (2.3% in HIV-; 23.1% in HIV+), and the rate of patients who disappeared from the system is 30.3% (35.2% in HIV-; 14.2% in HIV+). Hepatotoxicity that occurred during treatment is observed in 14.3% of cases (recovery: 56.2%; failure: 6.2%; lost from the system: 18.8%). Eighty-four percent of patients never received antituberculosis treatment (group A) versus 15.8% of patients who h...
The authors relate an observation taken on a 17 year-old African girl for a pleural and pericardi... more The authors relate an observation taken on a 17 year-old African girl for a pleural and pericardial infusion that has resisted the treatment of tuberculosis with no HIV infection. Subsequent echocardiographies revealed the quick formation of an infiltration process inside the left ventricle. Death occurred before pericardial histopathology indicated a cardiac T tell non-hodgkin malignant lymphoma. In west Africa, this is undoubtedly the first histologically demonstrated case in which HIV and HTLV infections could facilitate the appearance of that exceptional type of cardiac neoplasm.
The authors report two cases of hypertrophic obstructive cardiomyopathy in young girls, age 3 mon... more The authors report two cases of hypertrophic obstructive cardiomyopathy in young girls, age 3 months and 8 years old. The disease manifested itself as a cardiac heart failure in the infant's case and a syncop in the other case. Cardiac echocardiography showed in he first case asymetric hypertrophic cardiomyopathy with ventricular outflow tract obstruction gradient of 100 mmhg, and concentric hypertrophic with 120 mmhg in the second case. Its evolution was fatal in both cases and led to sudden death at home. This disease is severe as no therapeutic treatment can modify its course.
STUDY OF LONG-TERM OUTCOME IN SENEGALESE CHILDREN SENT ABROAD FOR CARDIAC SURGERY A B S T R ACTTh... more STUDY OF LONG-TERM OUTCOME IN SENEGALESE CHILDREN SENT ABROAD FOR CARDIAC SURGERY A B S T R ACTThe incidence of childhood heart disease in developing countries is high,but access to cardiac surge ry is limited. This mismat ch has given rise to nu m e rous humanitarian programs aimed at sending ch i l d ren ab road for surgical tre at m e n t . H owever little is ava i l able about the long-term outcome of these interventions. In 1999 we conducted a re t ro s p e c t ive study of 168 S e n egalese ch i l d ren undergoing fo l l ow-up at the Prinicipal Hospital in Dakar after being tra n s fe rred to Europe or the Ivo ry Coast for surgical tre atment thanks to the Te rre des Hommes A s s o c i ation. A total of 85 ch i l d ren presented congenital heart disease (CHD) and 83 presented acquired heart disease (AHD). Fifteen patients did not undergo surge ry due to either contra i n d i c ations or pre o- p e rat ive death. At the end of study,23 ch i l d ren had been lost to fo l l ow-up...
Journal of Clinical Images and Medical Case Reports, 2021
Portal cavernoma is the cavernous transformation of the portal vein. It is the consequence of chr... more Portal cavernoma is the cavernous transformation of the portal vein. It is the consequence of chronic portal vein thrombosis and occurs when collateral branches develop to bypass the portal occlusion. The clinical presentation includes hematemesis due to variceal bleeding, ascites or anemia, and splenomegaly. Herein we present images of a 37-year-old male patient received in our department for abdominal ultrasound, following 2 episodes of hematemesis. This case illustrates the ultrasound aspect of a voluminous portal cavernoma with portal hypertension signs.
But : evaluer la possibilite de thrombolyse des AVCI en phase hyper aigue, en etudiant les delai... more But : evaluer la possibilite de thrombolyse des AVCI en phase hyper aigue, en etudiant les delais de consultation, de prise en charge et le score ASPECTS des patients. Materiel et Methode : etude transversale menee de septembre a novembre 2017 au CHU FANN incluant34 patients adresses pour suspicion d’AVCI recent. L’âge moyen etait de 60 ans avec des extremes de 38 ans a 87 ans et le genre ratio de 0,42. Les delais de consultation et d’acces a l’imagerie ont ete evalues et une TDM cerebrale sans injection a permis d’evaluer le score ASPECTS. Resultats : Le delai moyen d’arrivee a l’hopital etait de 6,25 heures et le delai median de 3,73 heures. Trente-cinq pourcent des patients avaientconsulte avant 4 heures et 30 minutes, 24% entre 4 heures 30 minutes et 6H et 41% au-dela de la 6 ieme heure. En intra hospitalier, le delai moyen entre l’arrivee du patient et la realisation du scanner etait de 41,76 minutes et 26,5% des patients ont eu un scanner dans les delais recommandes. Vingt-ne...
A retrospective study was carried out from January 2000 to December 2003 to assess the resistance... more A retrospective study was carried out from January 2000 to December 2003 to assess the resistance of Mycobacterium tuberculosis to antituberculosis drugs and the impact of this on the treatment result. Two hundred and two patients' files were studied (average age: 36 years; sex-ratio: 1.7). Pulmonary localisation (85.7%) or extrapulmonary localisation (14.3%). HIV status is negative (71.3%), positive (10.8%) or unknown (17.9%). The overall recovery rate is 60.7% (61.4% in HIV-; 46.1% in HIV+), the rate of treatment failure is 2.7% (1.1% in HIV-; 15.4% in HIV+), the death rate due to tuberculosis is 6.3% (2.3% in HIV-; 23.1% in HIV+), and the rate of patients who disappeared from the system is 30.3% (35.2% in HIV-; 14.2% in HIV+). Hepatotoxicity that occurred during treatment is observed in 14.3% of cases (recovery: 56.2%; failure: 6.2%; lost from the system: 18.8%). Eighty-four percent of patients never received antituberculosis treatment (group A) versus 15.8% of patients who h...
The authors relate an observation taken on a 17 year-old African girl for a pleural and pericardi... more The authors relate an observation taken on a 17 year-old African girl for a pleural and pericardial infusion that has resisted the treatment of tuberculosis with no HIV infection. Subsequent echocardiographies revealed the quick formation of an infiltration process inside the left ventricle. Death occurred before pericardial histopathology indicated a cardiac T tell non-hodgkin malignant lymphoma. In west Africa, this is undoubtedly the first histologically demonstrated case in which HIV and HTLV infections could facilitate the appearance of that exceptional type of cardiac neoplasm.
The authors report two cases of hypertrophic obstructive cardiomyopathy in young girls, age 3 mon... more The authors report two cases of hypertrophic obstructive cardiomyopathy in young girls, age 3 months and 8 years old. The disease manifested itself as a cardiac heart failure in the infant's case and a syncop in the other case. Cardiac echocardiography showed in he first case asymetric hypertrophic cardiomyopathy with ventricular outflow tract obstruction gradient of 100 mmhg, and concentric hypertrophic with 120 mmhg in the second case. Its evolution was fatal in both cases and led to sudden death at home. This disease is severe as no therapeutic treatment can modify its course.
STUDY OF LONG-TERM OUTCOME IN SENEGALESE CHILDREN SENT ABROAD FOR CARDIAC SURGERY A B S T R ACTTh... more STUDY OF LONG-TERM OUTCOME IN SENEGALESE CHILDREN SENT ABROAD FOR CARDIAC SURGERY A B S T R ACTThe incidence of childhood heart disease in developing countries is high,but access to cardiac surge ry is limited. This mismat ch has given rise to nu m e rous humanitarian programs aimed at sending ch i l d ren ab road for surgical tre at m e n t . H owever little is ava i l able about the long-term outcome of these interventions. In 1999 we conducted a re t ro s p e c t ive study of 168 S e n egalese ch i l d ren undergoing fo l l ow-up at the Prinicipal Hospital in Dakar after being tra n s fe rred to Europe or the Ivo ry Coast for surgical tre atment thanks to the Te rre des Hommes A s s o c i ation. A total of 85 ch i l d ren presented congenital heart disease (CHD) and 83 presented acquired heart disease (AHD). Fifteen patients did not undergo surge ry due to either contra i n d i c ations or pre o- p e rat ive death. At the end of study,23 ch i l d ren had been lost to fo l l ow-up...
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