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Blunt abdominal trauma being one of the most common abdominal emergencies; they explain the patient's indication of armed expectation in the absence of any notion of hemodynamic instability. The objectives were to determine the hospital frequency, to identify the etiologies and to analyze the therapeutic modalities. The study was retrospective and prospective from January 1, 2010 to December 31, 2018 involving 45 patients treated for hemoperitoneum in the general surgery department of Sikasso hospital. All patients admitted to the department for blunt abdominal trauma with hemoperitoneum were included. We collected 45 patients whose mean age was 18.7 years (extreme 3 - 55 years). The sex ratio was 4.6 in favor of men (37 M, 8 F). We found 23 (51.12%) cases of AVP, 13 (28.89%) cases of falls from a height, 11 (7.7%) cases of aggression, hoof kick 1 (2.22%). 19 (42.22%) patients had low haemoperitoneum, 16 (35.56%) medium abundance, 10 (22.22%) high abundance. 32 (71.11%) provided non-operative treatment with a mean hospital stay of 13.7 days (range 5 to 20). 1 patient was unstable, it was activated 24 hours later. We immediately had 12 patients (26.67%) with an average hospital stay of 16.5 days (extreme 10 -24) and the postoperative course was simple in 66.67% (8 cases). We recorded 1 death (2.22%).

In our surgical practice we have experienced abdominal trauma by stretcher. The case we are reporting to you was a 65-year-old subject who was the victim of a motor-cart type traffic accident with piercing of the abdomen. by stretcher and taken to Sikasso hospital. A laparotomy made it possible to discover mesenteric contusions, hemoperitoneum without visceral lesion. We aspirated 200ml of hemoperitoneum after extraction of the stretcher, closure of the abdominal wall. We propose to review the literature in order to discuss the therapeutic modalities.

Strangulation of the penis by a metal ring is a rare situation in urology. It requires emergency care because it can jeopardize the functional prognosis of the penis. We report the case of strangulation of the penis by a metal steel ring associated with a right inguino-scrotal hernia from which we will present the non-surgical management of this urological emergency.

Introduction: The purpose of this study was to conduct an analysis of the diagnostic and therapeutic aspects of prostate abscess and a review of the literature. Clinical Observation: We report the case of a 24-year-old patient; admitted to our ward for acute detention associated with a febrile state at (38°C). On physical examination, the digital rectal examination could not assess the condition of the prostate due to severe pain and the rest of the examination was unremarkable. We formulated the following diagnostic hypotheses: prostate abscess, prostate cyst, acute prostatitis. Ultrasound allowed the diagnosis of a prostatic intraparenchymal cyst. The CBC reveals hyperleukocytosis and the ECBU came back positive for Escherichia coli. The diagnosis of a prostate abscess was retained after a guided echo puncture. Treatment consisted of transperineal drainage combined with antibiotic therapy suitable for ECB of pus aspirated during ultrasound-guided puncture. The evolution was favourable. Conclusion: Prostatic abscess is a rare pathology. Faced with a prostate collection in a febrile context, a puncture under ultrasound guidance could confirm the diagnosis. His treatment of choice remains endoscopic drainage and adapted antibiotic therapy.

Cross-reinal ectopia implies that one of the two kidneys seats on the contralateral side, it is a congenital anomaly very rare. The two (2) Kidneys can be merged or not giving the superimposed kidney appearance. This anomaly is most often asymptomatic and fortuitous discovery (by imaging or reverse of an autopsy). We report observation of a 22-year-old patient carry of crossed renal ectopia with fusion discovery following of pelvian pain intermittent low intensity calmed down by paracetamol. The aim of this work was to bring the place of imaging in the therapeutic management of ectopic kidneys with review of the literature.

Introduction:Pulmonary embolism is the sudden obliteration (total or partial)of the trunk of the pulmonary artery or one of its branches by a circulating foreign body, most often fibrino-cruoric. Objectives:To study the place of chest CT angiography in the diagnosis of pulmonary embolism Material And Method:This was a descriptive prospective study from February 1, 2020 to January 31, 2021 taking into account all patients referred during this period for clinical suspicion of pulmonary embolism to the medical clinic Marie Curie et les Etoiles. The examinations were performed with a GE 16-bar scanner in helical mode with and without injection of iodinated contrast product by an automatic injector. Results:We diagnosed 43 pulmonary embolisms out of 327 thoracic CT angiography performed by highlighting hypodense gaps inside one or more pulmonary arteries as well as certain branches of division and the sudden interruption of the opacification of certain distal arteries. The prevalence of pulmonary embolism was 13.15%. The female sex predominated with 52% (n=22) and the sex ratio was 1.16. The average age of patients in our series was 45 years with extremes (25 to 85 years). The age group of 41-50 years waspredominant. Dyspnea and chest pain were the most frequent clinical information with44.18% and 18.60% respectively. The seat of the pulmonary embolism concerned the right pulmonary arteries and the seat of the pulmonary embolism concerned the right and left pulmonary arteries in 60.46% and the right side was the most affected. Chronic Obstructive Pulmonary Disease (COPD) Pleurisy and Covid-19 were the lesions most associated with pulmonaryembolism (48.83%, 18.60% and 16.28%) Conclusion:Pulmonary embolism is a serious and life-threatening pathology. Its diagnosis of certainty is made with the thoracic CT angiography, the realization of which must not suffer from any delay. &nbsp

BACKGROUND AND AIMS La drépanocytose est une maladie potentiellement mortelle dans les populations africaines, en particulier chez les enfants de moins de 5 ans. Dans des contextes à ressources limitées, l'amélioration de leur prise en charge passe par un diagnostic précoce et fiable. Nous avons évalué l'acceptabilité maternelle et des professionnels de santé et les performances diagnostiques de deux tests de diagnostic rapide (TDR) pour le dépistage systématique de la drépanocytose chez le nouveau-né au Mali. METHODS Un dépistage systématique des Syndromes Drépanocytaires Majeurs (SDM) (HbSS, HbSC ou HbS/B-thalassémie) a été implémenté à l'accouchement chez les nouveau-nés dans trois maternités à Bamako et Kayes. Les deux TDR (SickleScan® et HemotypeSC®) ont été réalisés à partir de sang de cordon et comparés à la technique de référence, la chromatographie liquide à haute performance (CLHP). Les nouveau-nés diagnostiqués SDM sont pris en charge. RESULTS Parmi les 4333 femmes ayant accouché entre avril et août 2021, 84,6% ont donné leur accord pour le dépistage néonatal. Au total, 3 648 nouveau-nés ont été diagnostiqués par HPLC dont 1,64% présentaient un SDM (0,63% HbSS, 0,85% HbSC et 0,16% HbSB+thalassémie), 78,21% une hémoglobine normale (HbAA), 19,84% étaient porteurs d'hémoglobine S, 0,22% étaient homozygotes pour l'HbC et 0,08% avaient une HbC/B+thalassémie. Comparé à l'HPLC, le SickleScan et l’HemotypeSC avaient respectivement une sensibilité de 81,67% et 78,33%, une spécificité de 99,75% et 99,67%, une valeur prédictive négative de 99,69% et 99,64% et une valeur prédictive positive de 84,48% et 79,66%. CONCLUSIONS Cette étude montre que le dépistage systématique des SDM à la naissance est bien accepté par les familles et professionnels de santé. Les deux TDR ont eu des performances de diagnostic remarquables par rapport à l'HPLC pour identifier les SDM, faisant de ces TDR un outil de choix pour un dépistage néonatal abordable, rapide et facile à utiliser.

Background: Conflicts are a barrier to physical and financial access to health centers. Our objective was to evaluate obstetric emergencies in a humanitarian context at the Sominé DOLO hospital in Mopti.Methods: This was a descriptive and prospective longitudinal study from January to September, 2020 in the obstetrical gynecology department of the Sominé DOLO hospital in Mopti. Our objective was to evaluate obstetric emergencies in the humanitarian context.Results: The frequency of patients evacuated was 30.61%. The average age of the patients was 27 years with extremes of 15 and 49 years. Hemorrhage during pregnancy was the main cause of reference with 23.83%. The ambulance was the most used means of transport with 51%. Delay in evacuation was observed in 31.33 cases. About 73.03% of our patients had given birth by caesarean section. We recorded 64 maternal deaths, a rate of 10.67%. Fetal mortality in our study was 23.28%. Attacks by armed groups had a negative impact on the referral/evacuation system.Conclusions: The health system had experienced severe challenges due to insecurity. Armed conflicts were the cause of evacuation delays. Haemorrhage during pregnancy was the main reference cause. Maternal and perinatal mortality was high.

Resume Par une etude prospective sur une annee, les auteurs ont montre que les complications des mutilations genitales feminines constituaient 7,3 % des consultations externes en gynecologie et que la majorite de ces complications etaient decouvertes entre 15 et 24 ans (36 cas sur 49). Les principaux motifs de consultation etaient la dyspareunie et l’impossibilite des rapports sexuels (30 cas sur 49). La vulvoplastie sous anesthesie locale avec un traitement en ambulatoire a ete tres efficace (plus de 90 % de succes) et beaucoup moins onereuse que la chirurgie sous anesthesie generale.

Nutrient Cycling in Agroecosystems, 62 (2), ISSN:1385-1314, ISSN:1573-0867

Nutrient Cycling in Agroecosystems, 62 (1), ISSN:1385-1314, ISSN:1573-0867