[An exceptional association of tuberculosis: clavicular and metacarpal]. / Une association exceptionnelle de tuberculose: claviculaire et métacarpienne.

We report an exceptional association of metacarpal and clavicular tuberculosis in a two-year-old child with SAFA2 sickle cell disease. We emphasize the role of imaging (X-ray and CT scan) in this work. The definitive diagnosis is confirmed by the pathological examination of biopsy samples. This location should be known in endemic tuberculosis areas.

Arthroscanner du genou : à propos de 68 cas colligés à l'hôpital militaire d'Abidjan (HMA)

But: Decrire les donnees epidemiologiques; cliniques et scanographiques des lesions du genou observees a l'arthroscanner dans le service de radiologie de l'Hopital Militaire d'Abidjan Materiel et Methode: Nous avons mene une etude retrospective de novembre 2008 a juillet 2010; soit une periode de 20 mois concernant 68 patients.Resultats: Au plan clinique le genou droit etait le plus lese 54% des cas ; la notion de traumatisme a ete retrouvee dans 60% des cas ; les symptomes cliniques n'etaient pas toujours enonces par les cliniciens. Au plan scanographique les lesions meniscales ont ete retrouvees chez 51% des cas ; les lesions ligamentaires chez 48% des cas; avec 29% d'atteinte du LCA; les lesions cartilagineuses chez 25% et 59% de nos patients etaient au stade d'arthrose.Conclusion: L'arthroscanner a permis de faire le bilan lesionnel cartilagineux; meniscal et meme ligamentaire. Toutefois; l'IRM reste l'examen de reference pour l'etude des derangements intra articulaires du genou du fait de son innocuite et de sa resolution en contraste; mais elle reste encore inaccessible dans la plus part des pays d'Afrique noire

[Left atrial mass observed in a patient in Abidjan, Ivory Coast]. / Tumeur de l'oreillette gauche à Abidjan (Côte d'Ivoire).

The purpose of this report is to present a case involving a tumor-like mass in the left atrium of a 27-year-old woman in Abidjan, Ivory Coast. The mass was discovered by echocardiography carried out after cardiomegaly was detected by roentgenography performed in the context of debilitated general condition, fever and positive serology for HIV1. The patient responded favorably to anti-tuberculosis treatment with complete regression of the mass and improvement of general condition. Based on this outcome, the most likely diagnosis was cardiac tuberculoma, a rare complication of tuberculosis.

[Value of perineal sonography for diagnosing anterior urethral stenosis]. / Valeur de l'échographie de surface par voie périnéale dans le diagnostic des sténoses de l'urètre antérieur.

OBJECTIVES: To determine the value of perineal sonography in the diagnosis of urethral stenosis and evaluation of surrounding fibrosis. Materials and methods. Fifty-eight healthy subjects underwent urethral sonography. Thirty-two patients with suspected urethral stenosis underwent sonography after retrograde distension of the urethra using normal saline and retrograde urethrogram and voiding cystourethrogram. RESULTS: The mean diameters of the healthy urethra varied from 11 to 15 mm. The mean thickness of normal periurethral tIssue was between 2 and 4mm. Sonography detected 34 stenoses (97.4%). The length of the stenosis was significantly longer at sonography compared to retrograde urethrogram and voiding cystourethrogram. No significant difference was found between both techniques when measuring urethral diameter. In all cases, the thickness of periurethral tIssues was greater at the stenotic level than at a normal level, irrespective of the involved segment. There was no correlation between the thickness of periurethral tIssues and the degree of stenosis. CONCLUSION: Urethral sonography is a method that permits diagnosis of urethral stenosis and evaluation of periurethral fibrosis. It may replace retrograde urethrogram and voiding cystourethrogram in the diagnosis of post infectious stenosis.

[Radiographic aspects osteoarticular complications in Buruli ulcers]. / Aspects radiographiques des complications ostéo-articulaires dans l'ulcère de Buruli.

The authors examine radiographic aspects of osteo-articular and soft tissue lesions on the basis of 30 files of in-patients suffering from Buruli ulcers. They specify the chronology and precociousness of certain signs: soft tissue lesions, bone demineralization, periostal apposition two months after the beginning of signs, and later osteolysis and joint complications. These lesions are not specific and occur contiguously to soft tissue lesions. The authors specify the part of secondary-infection germs in the appearance of bone lesions.

[A case of asplenia in a sickle cell homozygote SS patient]. / Un cas d'asplénie chez un drépanocytaire homozygote SS.

One case of total splenic atrophy is reported in a patient with SS homozygous sickle-cell disease presenting no related malformation, thus recalling the IVEMARK syndrome. An abdominal echography and computed tomography are indispensable in order to confirm the absence of the anatomic spleen; this makes for a better follow-up of sickle-cell disease.

[Giant lithiasic diverticulum of the urethra. Apropos of a case]. / Diverticule géant lithiasique de l'urètre. A propos d'un cas.

In the following observation, the authors report one case of lithiasegenic diverticulum. Etiologies (congenital or acquired), complications and principal radiological diagnosis methods are reviewed.