Correlation between qualitative and semi-quantitative ultrasound assessment of diffuse fatty liver disease: A case-control study.

Objective: To study the relationship between qualitative and semi-quantitative assessment of diffuse liver steatosis in ultrasound.

Patients And Methods: This was a case-control study, conducted in the Campus University Hospital Centre of Lome (Togo) over a 3-month period. It included 40 patients showing ultrasonographic signs of diffuse hepatic steatosis and 40 volunteers (healthy) whose echostructure and echogenicity of the hepatic parenchyma were normal.

Evaluation of Iodinated Contrast Media Use in Abdominal CT Scans in Cancer Assessments: A Cross-Sectional Study in Lomé (Togo).

Background: There is great variability between centers regarding contrast injection protocols. They should only be injected if they can provide useful information for diagnosis with the necessary and sufficient quantity of iodine. We wanted to know through this study if the use of iodinated contrast media is optimised in abdominal CT scans performed for cancer assessment in Lomé.

[Measurement Of Umbilical cord diameter On Ultrasound: An Indicator Of Fetal growth].

Introduction: One of the main goals of routine antenatal care is to identify mal developing fetuses and fetal ultrasound biometry parameters are used for this purpose. The objective of this study was to establish the norms of umbilical cord diameter (UCD) and to investigate its relationship with estimated fetal weight (EFW) and other fetal biometry parameters.

Populations And Methods: This was a descriptive and analytical cross-sectional study with prospective data collection conducted in the radiology and medical imaging and gynaecological-obstetrics departments of Sokodé regional hospital.

Breast Abscessed Cancer in Nonlactating Women in Tropical Environment: Radiological, Bacteriological, and Anatomopathological Features about 3 Cases.

The association of breast cancer and abscess is rare in daily practice. The authors report a short series of 3 cases of cancer of the breast in nonlactating women presented as breast abscess, reviewing aspects in radiology (ultrasound and mammography), correlating them with the histopathology findings and the bacteriological profile of the isolated germs.

Tuberculous Abscess of the Chest Wall Simulate Pyogenic Abscess.

The chest wall tuberculosis abscesses is rare. We present a case of a 27-year-old immunocompetent male who presented chest wall abscesses. Imaging (chest radiographic, ultrasound, and computed tomography) and Ziehl-Neelsen staining demonstrated chest wall tuberculosis abscesses.

Two Unusual Aspects of Posterior Reversible Encephalopathy Syndrome Mimicking Primary and Secondary Brain Tumor Lesions.

The posterior reversible encephalopathy syndrome (PRES) is a rare clinical-radiological entity well described with typical clinical and radiological manifestations. Atypical presentation, especially in imaging, exists. The authors report here two cases of posterior reversible encephalopathy in which imaging aspects were atypical, mimicking, in the first case, hemorrhagic cerebral metastasis of cholangiocarcinoma and, in the second case, a brain tumor.

Intravenous Contrast Medium Administration for Computed Tomography Scan in Emergency: A Possible Cause of Contrast-Induced Nephropathy.

The goal of this study was to assess risk for CIN after CT Scan during an emergency and to identify risk factors for the patient. Prospective review of all patients admitted to the emergency room (ER) of the Teaching Hospital of Lomé (Togo) during a 2-year period. CIN was defined as an increase in serum creatinine by 0.

Can atlas spina bifida-occulta be a cause of cervicogenic headaches?

Cervicogenic headaches are a nosologic entity recently recognized. In our common practice, we have noticed a relative frequency of the atlas spina-bifida occulta during the brain CT scan realized for headaches without cranio-encephalic causes or any other anomaly of the upper cervical region. The aim of this study was to determine a possible connection between cervicogenic headaches (CEH) and atlas spina-bifida occulta.

[Neurological manifestations of Gougerot and Sjögren disease: a Black African case].

Primitive Gougerot-Sjögren syndrome (PGSS) is a systemic autoimmune exocrinopathy in which twenty percent of affected patients develop neurological manifestations. It has been little described in the Black African literature. We report a case of PGSS in a 64-year-old Black woman as revealed by neurological manifestations in an inflammatory context.

[Cervical spondylodiscitis in hospital environment in Lomé (Togo)].

Background: The spine is a frequent site of infection but cervical spine localization seems to be rare.

Objective: to determine the frequency and features of cervical spondylodiscitis in patients attending the Sylvanus Olympio University Hospital Center in Togo.

Methods: A retrospective study of patients hospitalized in the Department of Rheumatology over a 20-year period was conducted.

[Hygiene of transvaginal ultrasound probes in a developing country: case of Togo].

The purpose of this study was to assess the knowledge and practices of hygiene rules for transvaginal ultrasound by sonographers practicing in Togo. Their knowledge of these rules is good. In practice, they mainly use condoms to protect the vaginal probe, which is sufficient to prevent horizontal transmission of infection.

[Anencephaly in twin pregnancy: a series of 6 cases].

Objective: To report a series of cases of anencephaly in twin pregnancies and assess the prognosis of the normal twin.

Patients And Methods: Retrospective study covering 4 years, at the CHU Campus in Lomé, assessing the sonographic aspects and management of cases of anencephaly in twin pregnancies.

Results: Anencephaly was found in 6 twin pregnancies.

[Ulcerative colitis: a case in Togo].

Ulcerative colitis seems to be rare in sub-Saharan Africa. Because its clinical and radiological signs are non-specific, anatomopathologic studies are necessary for definitive diagnosis after exclusion of parasitic, bacterial, and viral causes. The purpose of this report is to describe a fatal case of ulcerative colitis in a 68-year-old woman in Togo.

[Contribution of the x-ray to the diagnosis of the non traumatic knee's pain in the teaching hospitals Tokoin and campus of Lomé].

Goal: This survey has been realized in order to show the diagnostic interest of the standard radiography in the non traumatic knee's pain.

Objectives: The main objectives of this work were to describe the elementary lesions, the etiological aspects of the non traumatic knee's pain and to list the met pathologies.

Patient And Method: It was about a prospective survey of six months (december 2007-may 2008) track in the departments of radiology of the Teaching Hospitals of Lomé and on a population of 187 patients enduring a non traumatic knee's pain.

[Heterogeneous testicle on ultrasonography: consider tuberculosis after cancer in endemic zone].

The purpose of this report is to describe findings of clinical examination and imaging in a 27-year-old man admitted for nonpainful left testicular enlargement. Initial diagnosis was testicular cancer based on ultrasonography and association with pulmonary metastasis. This diagnosis was revised after histological study demonstrated testicular tuberculosis.

[Kidney ultrasound scan performed on the adult patient with HIV serology positive in the University Hospital of Tokoin and campus of Lome].

Purposes: To describe the elementary lesions, to list the kidney pathologies, to determine the kidney reach frequency and to establish an interrelationship enters the gravity of the kidney reach and the kidney's structure at the ultrasound scan.

Patient And Method: It was about a prospective survey of ten (10) month, realized in the Departments of radiology of the Teaching Hospitals of Lomé (CHU Tokoin and Campus), concerning 281 patients aged of 18 to 71 years whose HIV serology is positive.

Results: The radiological frequency of the HIV/AIDS infection noted during our period of survey was of 3.

[Value of genitography after late discovery of abnormal sexual development: 5 cases in Lome, Togo].

The purpose of this report is to describe the value of genitography in management of abnormal sexual development abnormalities discovered at a late age (> or = 10 years). Genitography was performed in 5 patients ranging from 10 to 23 years of age. No procedural difficulty was encountered in any of these patients.

[Epidemiological, aetiological and treatment aspects of obstetrical fistula in Togo].

Objective: To appreciate and to analyse the different human and materials capacities available for management in view of its total eradication.

Patients And Methods: From January 2001 to December 2005, a census of obstetrical urogenital fistulae was carried out from treatment cases notes in all the hospitals of Togo. It was a retrospective and descriptive study which included the age of the patients, the situation of the sanitary institution, the quality of the physician in charge of the obstetrical fistulae, information about the kind of the fistulae, the way in which the delivery was done and the financial incidence for the repair of the fistulae.

[Crossed renal ectopia: a case report].

The authors report a case of a crossed renal ectopia with fusion discovered in an outpatient admitted for abdominal pain to recall embryologic, epidemiology and diagnosis aspects using a literature review.