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Pan African Medical Journal

Omar Sow, William Valentin, Diouf Cheikh, Barboza Denis, Faye Samba Thiapato, Diallo Ibrahima, Gueye Serigne Modou Kane
Endometriosis is defined as the implantation of endometrial tissue outside of the uterine cavity. It affects approximately 10% of women of childbearing age. Umbilical endometriosis is rare and its pathophysiology is poorly known. We report the case of a 42-year old nulliparous female patient with a 5-year history of myomectomy, presenting with cyclic pain associated with umbilical mass. The diagnosis of umbilical endometrioma was made and confirmed by the histological examination of the surgical specimen. Treatment was based on wide excision of the mass associated with pelvis exploration and umbilical plasty...
2018: Pan African Medical Journal
Tiounkani Théra, Niani Mounkoro, Soumana Omar Traore, Albachar Hamidou, Mamadou Traore, Saleck Doumbia, Saoudatou Tall, Aminata Kouma
Introduction Aim: It was to determine the factors influencing the prognosis of the second twin's delivery. Methods: The study was retrospective and covered all cases of twin births registered at our maternity from 1st January 2007 to 31st December 2016 (10 years). Results: We recorded 34,899 deliveries among which 1374 twin deliveries (2.54%). Almost 15% were primiparous; 39.16% were referred; 69.10% and 15.5% without prenatal care. The factors negatively influencing prognosis for second twin were: a delay>15 minutes between twin deliveries, delayed caesarean section, non-qualification of the midwife, monochoreal, low birth weight...
2018: Pan African Medical Journal
Paschal Awingura Apanga, John Koku Awoonor-Williams
No abstract text is available yet for this article.
2018: Pan African Medical Journal
Adébayo Cossi Alassani, Adrien Montcho Hodonou, Albert Comlan Dovonou, Gaspard Dansou Gbessi, Séraphin Ahoui, Francis Moïse Dossou, Delphin Kouassi Mêhinto
This study aims to determine the frequency and identify the factors associated with undernutrition among patients undergoing visceral surgery in 2014. We conducted a cross-sectional, descriptive and analytical study over the period September 11, 2014-December 11, 2014. The study population comprised patients who had undergone visceral surgery at the National University Hospital Centre Koutoucou Hubert MAGA, Cotonou. Undernutrition is defined as a body mass index less than 18.5 kg/m2 . A total of 90 patients were included in the study, 57,78% (52 patients) were male...
2018: Pan African Medical Journal
Ditte Thomsen, Cecilie Juul Hviid, Bo Langhoff Hønge, Candida Medina, David Da Silva Té, Faustino Gomes Correira, Lars Østergaard, Christian Erikstrup, Christian Wejse, Alex Lund Laursen, Sanne Jespersen
Cryptococcal antigenemia may precede development of cryptococcal meningitis and death among patients with advanced HIV infection. Among 200 retrospectively and randomly selected ART-naïve patients with CD4 counts < 100 cells/μl from Guinea-Bissau, 20 (10%) had a positive cryptococcal antigen test. Self-reported headache and fever were predictors of a positive test, while cryptococcal antigenemia was a strong predictor of death within the first year of follow-up, MRR 2.22 (95% CI: 1.15-4.30). Screening for cryptococcal antigenemia should be implemented for patients with advanced HIV in Guinea-Bissau...
2018: Pan African Medical Journal
Chtioui Mamoun, Fellat Nadia
No abstract text is available yet for this article.
2018: Pan African Medical Journal
Fouad Chraibi, Idriss Andaloussi Benatiya
No abstract text is available yet for this article.
2018: Pan African Medical Journal
Touré Fodé Baba, Wade Thomas Marcel Mbar, Diao Mohamed Lamine, Sylla Mohamed Aly, Tendeng Jacques Noel, Cissé Mamadou, Touré Cheikh Tidiane, Konaté Ibrahima
Our study aimed to evaluate the outcome of the surgical treatment of appendicular plastron after deferred or emergency appendectomy. We conducted a retrospective, descriptive study of 27 patients treated for appendicular plastron from January 2000 to 31 December 2007. Diagnosis was based on clinical examination showing a mass in the right iliac fossa, on ultrasound or made intraoperatively. All patients undergoing emergency surgery were classified in Group I while those undergoing deferred surgery were classified in Group II...
2018: Pan African Medical Journal
Amour Espoir Mokoko-Louckou, Badarou Chaibou, Ismail Abdouli, Kevin Parfait Bienvenu Bouhelo-Pam, Mohammed El Idrissi, Mohammed Shimi, Abdelhalim El Ibrahimi, Abdelmajid El Mrini
Spontaneous as well as bilateral and simultaneous rupture of the quadriceps tendon is rare. We report the case of a 53-year old patient followed up for parathyroid adenoma complicated by renal failure, admitted for spontaneous bilateral rupture of the two quadriceps tendons. He underwent surgical repair allowing him to maintain his autonomy.
2018: Pan African Medical Journal
Ibrahima Ka, Magatte Faye, Papa Saloum Diop, Amadou Bocar Niang Aliou Coly Faye, Jean Marc Ndoye, Babacar Fall
Biliary tract cancers mainly occur in two sites: gallbladder cancer which are adenocarcinomas and intra- and extrahepatic cholangiocarcinomas. We conducted a retrospective study of 20 cases with biliary tract cancer in the Department of Surgery at the General Hospital in Grand-Yoff between January 2006 and October 2014. 40% of patients had gallbladder cancer, 60% of patients had common bile duct cancer. Sex ratio was 1. The average age of patients was 58.1 years. The average time to diagnosis was 3.77 months...
2018: Pan African Medical Journal
Mohamed Chermiti, Dhia Kaffel
No abstract text is available yet for this article.
2018: Pan African Medical Journal
Redempta Kalekye Mutisya, Kenneth Ngure, Christina Mwachari
No abstract text is available yet for this article.
2018: Pan African Medical Journal
Fred Bernardes Filho, Andreia de Oliveira Alves
No abstract text is available yet for this article.
2018: Pan African Medical Journal
Dhia Kaffel, Hela Kchir
No abstract text is available yet for this article.
2018: Pan African Medical Journal
Anthonio Oladele Adefuye, Henry Ademola Adeola, Johan Bezuidenhout
There is paucity of physician-scientists in Africa, resulting in overt dependence of clinical practice on research findings from advanced "first world" countries. Physician-scientists include individuals with a medical degree alone or combined with other advanced degrees (e.g. MD/MBChB and PhD) with a career path in biomedical/ translational and patient-oriented/evaluative science research. The paucity of clinically trained research scientists in Africa could result in dire consequences as exemplified in the recent Ebola virus epidemic in West Africa, where shortage of skilled clinical scientists, played a major role in disease progression and mortality...
2018: Pan African Medical Journal
Jihad Drissi, Zakaria Idri, Jaouad Kouach, Driss Moussaoui, Mohamed Dehayni
Peripartum cardiomyopathy (PP-CMP) or Meadows' syndrom, is a dilated cardiomyopathy which occurs during or following pregnancy. It is characterized by heart failure with a systolic left ventricle ejection fraction of less than 45%. It is rare and its pathophysiologic mechanism is poorly elucidated. From a clinical point of view, it is characterized by unespected heart failure with rapid onset of symptoms, unpredictable evolution and risk of refractory cardiogenic shock, justifying patient's management in Cardiovascular Unit...
2018: Pan African Medical Journal
Anwar Mechri, Hana Zaafrane, Monia Hadj Khalifa, Samir Toumi, Férid Zaafrane, Lotfi Gaha
This study aimed to describe the practice of electroconvulsivotherapy (ECT) at the University Hospital of Monastir (Tunisia). We conducted a retrospective study of all patients treated by ECT at the University Hospital of Monastir between 2002 and 2013. 80 patients were enrolled in the study (60 men and 20 women, with an average age of 42.1±15.7 years), accounting for 1.4% of all patients hospitalized in Psychiatry Department during the study period. The total number of ECT sessions was 784. In 50% of patients, the primary diagnosis was a major isolated or recurring depressive disorder...
2018: Pan African Medical Journal
Nadia El Haddad, Hanan El Ouahabi
Necrobiosis lipoidica is a rare granulomatous dermatosis. It occurs in 0.3-1.2% of diabetic patients mainly at the level of the leg. The lesions appear as erythematous plaques with central depressions. We here report the case of a 21-year old female patient with a 6-year history of type 1 diabetes presenting with a 1-year history of well circumscribed, symmetrical and asymptomatic erythematous plaques with atrophic yellowish center at the level of the anterior compartments of the legs (A, B). The diagnosis of necrobiosis lipoidica was suspected, a biopsy was performed which confirmed the diagnosis...
2018: Pan African Medical Journal
Bounoual Mohammed, Ahsaini Mustapha, Tazi Karim, Azelmad Hamid, Alila Mohammed, Mellas Soufiane, El Ammari Jalal Eddine, Tazi Mohammed Fadl, El Fassi Mohammed Jamal, Farih Moulay Hassan
Giant urinary bladder stone is defined as a stone with a weight higher than 100 g. It is rare in women, accounting for approximately 2%. Its occurrence in the urinary bladder does not exceed 5% of the whole of the urinary tract. In women, the occurrence of urinary bladder stone is often secondary to a predisposing factor including intravesical foreign body, neurogenic bladder, repeated urinary infections, a history of surgery treating stress urinary incontinence. Therefore, there are some patients with a bladder stones without any obvious cause, such as primary idiopathic stone...
2018: Pan African Medical Journal
Youssef Zemmez, Mohammed Boui
We here report the case of a16-year old patient, with no particular past medical history, presenting, with skin swelling at the level of the forefoot evolving for 02 years, at the Department of Dermatology. Clinical examination showed hard budding cutaneous mass painless on palpation covering the 2nd , the 3rd and the 4th , right toes, measuring 4 cm in large diameter. The remainder of the clinical examination was normal, without adenopathies. Skin biopsy was performed at the level of the tumor and histological examination showed carcinoma in situ...
2018: Pan African Medical Journal
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