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The Destombes-Rosai-Dorfman Disease or Sinus Histiocytosis with Massive Lymphadenopathy: A Rare Case Described in the Paediatrics Department of Yalgado Ouedraogo University Hospital  [PDF]
Chantal Zoungrana-Ouattara, Flore Ouédraogo, Laure Toguyéni, Angèle Kalmogho, Caroline Yonaba, Chantal Gabrielle Bouda, Rolande Kaboré, Fla Kouéta
Open Journal of Pediatrics (OJPed) , 2017, DOI: 10.4236/ojped.2017.74039
Abstract: Destombes-Rosai-Dorfman’ disease (DRD) is an inflammatory non-langerhansian histiocytosis with adenomegaly. It is a rare histiocytic disorder worldwide, less than 1000 reported cases. It is of unknown etiology and is characterized in its classical form by multiple adenomegalia, especially localized at cervical area, but also at mediastinal, axillary and inguinal areas. It is a benign condition, even if it is deforming, with spontaneously resolving evolution. We report a case of DRD disease in a 13-year-old girl, hospitalized in the Department of Pediatrics of the Yalgado Ouédraogo University Hospital Center in Ouagadougou, in March 2015. She was admitted for a voluminous bilateral painless cervical swelling, with no sign of local compression, having been operating for about a year. Biological tests showed signs of chronic inflammation; the imagery specified the benign character of these formations: adenomegalia. Confirmation of the diagnosis was made by pathological examination, describing the aspect of emperipolesis to histology and, immunohistochemistry, polytypic plasmacytosis and PS100 positive/CD1a histiocytosis negative. The treatment could not be properly carried out, in view of the early discharge, against medical advice from the patient. The evolution would have been marked, according to the parents, by a slight involution of swelling.
Maxillary Osteitis in the Yalgado Ouedraogo Teaching Hospital: Epidemiological, Clinical and Therapeutic Aspects  [PDF]
T. Konsem, M. Millogo, V. Ili, A. Coulibaly, R. W. L. Ouedraogo, L. Ouedraogo, D. Ouedraogo
Open Journal of Stomatology (OJST) , 2018, DOI: 10.4236/ojst.2018.84009
Abstract: Purpose: Report the epidemiological, clinical and therapeutic aspects of maxillary osteitis. Material and Methods: This was a descriptive, cross-sectional retrospective study carried out in the Department of Stomatology and Maxillofacial Surgery of the Yalgado OUEDRAOGO Teaching Hospital, covering a period of 7 years. Results: We registered 68 cases of maxillary osteitis with an annual hospital frequency of 9.71 cases. The mean age was 27.5 years +/-4.02 with extremes of 4 years and 72 years. Farmers/herders were the most concerned in 67.65% of the cases. Reasons for consultation were dominated by swelling of the cheek in 79.41% of cases. The average time to consultation was 7 months. Tooth decays and dental avulsions were mostly implicated in etiologies in 79.41% of the cases. Treatment provided was medical and surgical. All patients received antibiotic therapy. Surgical treatment involved 51.47% of patients. The evolution was favorable in 89.70% of the patients. Sequelae were found in 58.82% of the patients. Conclusion: Maxillary osteitis is common in our regions. Treatment is medical and surgical. It is marked by many difficulties, especially the delay in consultation.
Urachus Fistula about Two Cases in Yalgado Ouedraogo Teaching Hospital, Ouagadougou (Burkina-Faso)  [PDF]
C. A. M. K. Yaméogo, M. Zida, A. Ouattara, R. Doamba, B. Ky, K. D. Zongo, F. A. Kaboré
Open Journal of Urology (OJU) , 2018, DOI: 10.4236/oju.2018.86021
Abstract: The purpose of these serial cases was to report the diagnostic and therapeutic features of urachal fistulas at Yalgado Ouedraogo teaching Hospital. We have reported retrospectively two cases of urachus fistula at the Surgery Department of Yalgado Ouedraogo Teaching Hospital in Ouagadougou. The parameters studied were sex, age, reason for consultation, clinical and paraclinical signs, treatment, length of hospital stay, delay of urinary catheterisation and evolution. Two serial cases of urachal fistula were reported, one 14 years old female patient and a 32 years old male patient. Clinical signs were marked by urine flow through the umbilicus. The diagnosis was made by fistulography in one case and during surgery for the second case. The treatment was surgical and consisted of laparotomy followed by removal of the urachal fistula from bladder. The urinary catheter was removed after 10 days. The postoperative course for the two patients was uneventful.
Foreign Body Larynx in ORL Department of University Hospital-Yalgado Ouedraogo  [PDF]
Yvette Marie Chantal Gyébré, Noé Zaghré, Aboubacar Gouéta, Maimouna Ouattara, Kampadilemba Ouoba
International Journal of Otolaryngology and Head & Neck Surgery (IJOHNS) , 2016, DOI: 10.4236/ijohns.2016.53022
Abstract: Introduction: Foreign bodies of the larynx are serious. They can be immediately life-threatening. The aim of this study was to report the epidemiological and clinical features that characterize this affection. Material and method: We retrospectively reviewed the clinical records of patients admitted to foreign bodies of the lower airways in the Otorhinolaryngology (ORL) department of the University Hospital-Yalgado Ouedraogo (UH-YO) from 2008 to 2012. Results: Seventeen (17) foreign body records were compiled on a group of 76 foreign bodies of the lower airways. The average age was 5 years. Patients ranged in age from 6 months to 35 years with a sex ratio of 1.4. The call signs were the penetration syndrome that was found in 4 cases (23.5%), laryngeal dyspnea was found in 8 cases (47.05%) with stage II to III and dysphonia 10 cases (58.8%). The extraction was done endoscopically in all patients, and a tracheostomy was made in 2 cases (11.7%). A death was noted in 1 case (5.9%). Conclusion: The laryngeal foreign bodies are common and maintain their classical gravity. It should be thought about in front of any dyspnea associated with dysphonia in children previously healthy. The prevention is the key weapon in our context.
Valvular Heart Diseases and Pregnancy in Delivery Room at University Hospital Yalgado Ouedraogo
Koudougou Jonas Kologo, Georges Rosario Christian Millogo, Georges Kinda, Hermann Adoko, Yibar Kambiré, Anna Thiam/Tall, Relwendé Aristide Yaméogo, André K. Samadoulougou, Patrice Zabsonré
Open Access Library Journal (OALib Journal) , 2016, DOI: 10.4236/oalib.1103201
Valvular heart diseases during pregnancy are complex with symptoms likely to affect patient’s life quality, and endanger both mother’s and child’s life. Our survey aims at studying the combination of valvular heart diseases with pregnancy at University Hospital Yalgado Ouedraogo. This study was a cross-sectional study conducted from January 1st, 2015 to March 31st, 2016 in the delivery room of gynecology and obstetrics department. Inclusion criteria were: the presence of acquired and known valvular heart diseases followed-up or not; suspected valvular heart disease confirmed by a Doppler echocardiography and patient’s consent to take part to the study. Twelve patients were involved in the study. The average age was 27.5 ± 3.9 years (extremes of 21 and 34 years). The average gestational age at the delivery time was 35 ± 4.7 weeks of amenorrhea with extremes reaching 25 and 39 weeks. None of the study patients were previously followed-up and treated for valvular heart diseases before pregnancy. Mitral disease was found among four patients. Seven cases had vaginal delivery. Two cases of spontaneous abortion were observed. We had seven hypotrophy newborns with an average weight of 2360 g at birth. Two patients suffering from congestive heart failure with a full type arrhythmia by atrial fibrillation were hospitalized in cardiology department. No death was reported during our study. Rheumatic valvular diseases are common among pregnant women. The cardiologist should plan pregnancies of patients suffering from valvular heart diseases. Treatment of those patients goes through the prevention of acute rheumatoid arthritis including a joint collaboration between cardiologists and gynecologists.
Complications of Cervicofacial Cellulitis Supported in University Hospital Yalgado Ouedraogo  [PDF]
Yvette Marie Chantal Gyébré, Aboubacar Gouéta, Noé Zaghré, Moustapha Sérémé, Bertin Priva Ouédraogo, Kampadilemba Ouoba
International Journal of Otolaryngology and Head & Neck Surgery (IJOHNS) , 2016, DOI: 10.4236/ijohns.2016.53019
Abstract: Introduction: The complications of cervicofacial cellulitis are one of the most serious emergencies Oto-Rhino-Laryngology (ORL). These complications are still observed in our context despite the advent of antibiotics. The aim of our study was to describe the clinical presentation and management of patients admitted to our institution for complications of cervicofacial cellulitis. Patients and Methods: It came from a retrospective study in the ORL service, a department of Yalgado Ouédraogo Hospital of Ouagadougou, between January 2005 and December 2014, during which all patients with cervicofacial cellulitis complications were identified. Results: We collected over 10 years, 69 cases of complicated cellulitis, a frequency of 54.3% of cervicofacial cellulitis and 2.3% of all hospitalizations. The group included 33% women and 67% men to 29 years of average age. The non-steroidal anti-inflammatory isolated was the main factor contributing 59.4%. The front door was mainly dental 43.5% and pharyngeal 36.2%. The most frequent complications were mediastinitis thoracic dissemination 24.6%, sepsis 21.7% and spontaneous fistula 20.3% with orostome or pharyngostome. Medico-surgical treatment was associated with a reanimation in most cases. The outcome was favorable in 79.7% of cases. Mortality was 17.4%. Conclusion: The complications of cervicofacial cellulitis are frequent and often life-threatening. Their management is done in a multidisciplinary framework. The prevention and early treatment remain the pledge of their control.
Osteosynthesis Results of Tibia Plateau Fractures at the Yalgado Ouedraogo University Hospital Center  [PDF]
S. C. Da, M. N. Dabiré, A. S. Korsaga, J. I. A. Ouédraogo, H. Kafando, S. Tinto, B. Sagnon, M. Tall
Open Journal of Orthopedics (OJO) , 2018, DOI: 10.4236/ojo.2018.810039
Abstract: The sophistication of the implants allows the extension of the surgical indications for tibia plateau fractures. These fractures, which are often comminuted, are caused by a high velocity trauma, making treatment difficult. Objective: The aim of this study was to determine the indications for osteosynthesis of tibia plateau fractures in the orthopaedic-traumatology department of the Yalgado Ouédraogo University Hospital, in order to evaluate the results for their better management. Patients and Methods: it was a 5-year retrospective study of the records of patients with tibia plateau fracture operated and hospitalized in our department. The anatomical-clinical and therapeutic aspects collected from the complete files were analysed. A cortico-cancellous graft was performed in 67.4% of cases. The results were evaluated according to the criteria of Merle d’Aubigné and Mazas [1]. Road traffic accidents (97.4%) were the predominant etiology, involving mainly motorcycles (97.8%). Results: Spino-tuberository and uni-tuberository fractures were the most common. The average consolidation time was 12.5 weeks. One urinary infection, 3 superficial suppurations, 3 vicious calluses and 2 equipment dismantlings were the main complications. Our results were excellent and good in 91.3% and fair in 6.5%. Osteosynthesis of tibial plateau fractures provides excellent results and remains the most appropriate procedure to treat these fractures. Conclusion: reduce the operating time, modernize the technical platform, will allow stable osteosynthesis and early functional rehabilitation to optimize their results.
Trauma to the Male External Genitalia: Epidemiology, Diagnosis and Therapeutic Aspects at Yalgado Ouedraogo Teaching Hospital of Ouagadougou  [PDF]
Barnabé Zango, Fasnéwindé A. Kabore, Abdoul Karim Pare, Brahima Kirakoya, Cl?taire Alexis Marie Kiemdiba Donega Yameogo, Adama Ouattara, Cyprien Zare
Open Journal of Urology (OJU) , 2015, DOI: 10.4236/oju.2015.57016
Abstract: Objective: To describe the epidemiology, diagnosis and therapeutic outcomes of trauma to the external genitalia trauma. Materials and Methods: This is a retrospective descriptive study over a period of six and a half years from January 1st, 2006 to June 30th, 2012. About 42 cases of trauma to the male external genitalia were received at the emergency department of General surgery and Urology of Yalgado Ouedraogo Teaching Hospital of Ouagadougou. Results: The average age of the patients was 31.7 years and the age groups most affected were those between 16 - 26 years. Our study population were mainly pupils and students with 40.5% of cases. Causes of trauma to the external genitalia were mainly highway accident with 19 cases (45.2% of cases). 85.7% of patients presented on the day of the trauma. Scrotum and its contents were more exposed to trauma (30 cases) than penis (12 cases). Treatment was most often surgical (78.6%). The postoperative course was uneventful in 75% of the cases of testicular trauma and 72.7% of the cases of penile trauma. Conclusion: External genitalia traumas affect young people. Complications can be important like erectile dysfunction. However, the prognosis is good if treatment is early.
Maxillary Ameloblastoma, Epidemiological Aspects and Treatment at the Yalgado Ouedraogo University Hospital (Burkina Faso)  [PDF]
T. Konsem, M. Millogo, R. W. L. Ouedraogo, V. Ili, L. Ouedraogo, A. Coulibaly, D. Ouedraogo
Open Journal of Stomatology (OJST) , 2018, DOI: 10.4236/ojst.2018.85014
Abstract: Purpose: To report any epidemiological, anatomo-clinical and therapeutic aspects of maxillary ameloblastoma at the Yalgado Ouedraogo University Hospital (CHU-YO). Materials and Method: This was a descriptive and retrospective study covering the period ranging from January 1, 2010 to December 31, 2016. All patients received in the stomatology department for maxillary ameloblastoma with histological confirmation were included in the study. Consultation registers were used as the basis for data collection. Results: In our study, 50 cases were reported, i.e. an incidence of 7.14 cases per year. The mean age was 30.16 years with a sex ratio of 0.56. Housewives were the most affected and the average time to consultation was 2.5 years. The site of the tumor was in the majority of cases the mandible 82%, with swelling as the main reason for consultation. X-rays showed a predominance of monogeodic images in 56% of the cases. Conservative surgery was performed in 56% of the cases. Conclusion: Ameloblastoma is common in our area, characterized by delayed consultation. Strengthening of the technical facilities and awareness campaigns for the populations for early consultation are required.
Sexual Experience of Women after Gynecological Hysterectomy in the Department of Obstetrics and Gynecology of Yalgado Ouedraogo Teaching Hospital, Burkina Faso  [PDF]
Der Adolphe Somé, Rélwendé Barnabé Yaméogo, Souleymane Ouattara, Dantola Paul Kain, Béwendin Evélyne Komboigo, Blandine Thiéba Bonané
Open Journal of Obstetrics and Gynecology (OJOG) , 2019, DOI: 10.4236/ojog.2019.99123
Abstract: Objective: To study the sexual experience of women after gynecological hysterectomy in the obstetrics and gynecology department of Yalgado Ouedraogo University Teaching Hospital in Burkina Faso. Patient and Method: We conducted a cross-sectional study from October 1, 2016 to March 30, 2017. It included any patient who had a gynecological indication for a hysterectomy in the Department of Obstetrics and Gynecology of Yalgado Ouedraogo University Teaching Hospital (CHU-YO) during the study period. A total of 85 patients were included. We collected information from the consultation records, clinical records, and operating room registries and by surveying the patients themselves. Result: The frequency of hysterectomy in the gynecological period was 3.9%. The mean age of the patients was 51.71 (extremes: 35 and 66 years) and the mean parity was 4.8. Married women were the majority. Fibromyoma and genital prolapse accounted for 56.47% and 23.53% respectively of operative indications. Regarding postintervention sexuality, 29.41% of women declared no longer having sexual desire. Also, they complained of vaginal dryness (31.8%), decreased frequency of orgasm (42.3%), dyspareunia (37.65). Sexual dysfunction was present in 82.35% of women. There was a statistically significant difference between global sexual functioning and geographic origin, educational attainment, socio-economic level, surgical approach, preintervention sexual counseling, women’s psychological profile and their emotional relationship with their spouses. Conclusion: The psychosexual soundness of hysterectomy
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