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Faye I, Niang FG, Diedhiou M, Niang I, Diop AD, Diop AN. Posterior reversible encephalopathy syndrome: A case report. Radiol Case Rep 2024; 19:2895-2897. [PMID: 38706814 PMCID: PMC11066987 DOI: 10.1016/j.radcr.2024.03.077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2023] [Revised: 03/25/2024] [Accepted: 03/28/2024] [Indexed: 05/07/2024] Open
Abstract
Posterior Reversible Encephalopathy Syndrome (PRES) is a radio-clinical entity associating reversible damage of the central nervous system and typical brain imaging. The clinical context is often suggestive with, in half of cases, the use of vasoactive substances (cannabis, antidepressants, nasal decongestants) and/or postpartum. The etiologies are dominated by hypertensive encephalopathy, preeclampsia, eclampsia, immunosuppressive therapies, and systemic diseases. We report a case of posterior encephalopathy syndrome occurring in a young female without hypertension. It was about a 40-year-old female without hypertension underlying condition, received at the emergency department for headaches and generalized tonic-clonic seizures. The physical examination was unremarkable, and her blood pressure was 130/70 mm Hg. CT scan revealed bilateral white matter hypodensity in the posterior occipital regions and a right frontal subarachnoid hemorrhage. There was no aneurysmal malformation of the polygon of Willis and no cerebral thrombophlebitis. Brain MRI showed T2 and FLAIR hypersignal areas in the occipital and frontal cortico-subcortical regions, with no diffusion signal abnormalities or contrast enhancement, and a right frontal subarachnoid hemorrhagic lesion with no other impairment. The diagnosis of reversible posterior encephalopathy syndrome was made up, and the outcome was favorable under treatment. Posterior reversible encephalopathy syndrome is an uncommon but probably underdiagnosed condition. Hypertensive encephalopathy is the most common etiology. However, there would be cases of PRES without hypertension as shown in this observation.
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Affiliation(s)
- Ibrahima Faye
- Medical Imaging Department Saint Louis Regional Hospital, Saint-Louis, Senegal
| | - Fallou Galass Niang
- Medical Imaging Department Saint Louis Regional Hospital, Saint-Louis, Senegal
- UFR 2S, Gaston Berger University, Saint-Louis, Senegal
| | | | - Ibrahima Niang
- Medical Imaging Department FANN Hospital University, Dakar, Senegal
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2
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Diallo M, Diop AD, Lame CA, Ndiaye CB, Amar NI, Ndaw MDB, Diack A, Mbengue A, Diop AN. Presurgical embolization of nasopharyngeal fibroma: A case report. Radiol Case Rep 2024; 19:859-862. [PMID: 38188952 PMCID: PMC10770477 DOI: 10.1016/j.radcr.2023.11.066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Revised: 11/25/2023] [Accepted: 11/27/2023] [Indexed: 01/09/2024] Open
Abstract
Nasopharyngeal fibroma (NF) is a rare nasopharyngeal tumor of a benign histological nature but with local aggressiveness. It is a hypervascular tumor and the main feeding artery comes from the internal maxillary artery. Surgery is the treatment of choice for this tumor but carries a significant risk of bleeding from surgical treatment. Thus, embolization carried out preoperatively effectively reduces intraoperative bleeding and thereby allows complete resection for large tumors.
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Affiliation(s)
| | | | | | - Cheikhna Ba Ndiaye
- Department of Head and Neck Surgery, Dakar Main Hospital, Dakar, Senegal
| | | | | | - Aminata Diack
- Medical Imaging Department, Dakar Main Hospital, Dakar, Senegal
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3
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Niang FG, Nsia RE, Faye I, Ndong A, Tendeng JN, Diedhiou M, Diop AN. Small bowel obstruction due to congenital band in an adult: Radio-surgical correlation. Radiol Case Rep 2024; 19:400-402. [PMID: 38033673 PMCID: PMC10681875 DOI: 10.1016/j.radcr.2023.10.052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Revised: 10/18/2023] [Accepted: 10/20/2023] [Indexed: 12/02/2023] Open
Abstract
Congenital band is a rare cause of bowel obstruction, most commonly occurring in childhood. We report a case of a young adult with no medical and surgical previous history who had symptoms of bowel obstruction evolving for 2 days. Computed tomography (CT) found an adhesive band causing a small bowel obstruction. An open laparotomy was performed, and the intraoperative findings were consistent with a congenital band compressing the ileum. Through this clinical case, we illustrate an uncommon cause of bowel obstruction and the interest of the CT for the management.
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Affiliation(s)
- Fallou Galass Niang
- Department of Radiology, Saint-Louis Regional Hospital, 234 Saint-Louis, Saint-Louis, Senegal
- Gaston Berger University, 234 Saint-Louis, Saint-Louis, Senegal
| | - Regine Emma Nsia
- Department of Radiology, Saint-Louis Regional Hospital, 234 Saint-Louis, Saint-Louis, Senegal
| | - Ibrahima Faye
- Department of Radiology, Saint-Louis Regional Hospital, 234 Saint-Louis, Saint-Louis, Senegal
| | - Abdourahmane Ndong
- Department of Surgery, Saint-Louis Regional Hospital 234 Saint-Louis, Saint-Louis, Senegal
| | - Jacques Noel Tendeng
- Department of Surgery, Saint-Louis Regional Hospital 234 Saint-Louis, Saint-Louis, Senegal
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4
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Niang FG, Faye I, Ndong A, Diedhiou M, Niang I, Diop AD, Diop AN. Acute mesenteric ischemia: A case report. Radiol Case Rep 2024; 19:150-152. [PMID: 37954676 PMCID: PMC10632305 DOI: 10.1016/j.radcr.2023.10.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2023] [Revised: 10/04/2023] [Accepted: 10/05/2023] [Indexed: 11/14/2023] Open
Abstract
Acute mesenteric ischemia is a rare life-threatening diagnostic and therapeutic emergency. Lack of clinical and biological specificity makes the diagnosis difficult. Imaging, particularly computed tomography can help confirm the diagnosis. An underlying cause is identified in about 30%-70% of cases and should always be sought. We report a case of a 51-year-old man with chronic alcoholic liver disease admitted to the emergency department for abdominal pain. Computed tomography showed mesenteric venous thrombosis with signs of small bowel ischemia and cirrhosis with portal hypertension. Through this observation, we describe the imaging aspects of mesenteric ischemia and emphasize the necessity of seeking underlying pathological condition.
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Affiliation(s)
- Fallou Galass Niang
- Department of Radiology, Saint-Louis Regional Hospital, Saint-Louis, Senegal
- Gaston Berger University (Saint-Louis - SENEGAL), Senegal
| | - Ibrahima Faye
- Department of Radiology, Saint-Louis Regional Hospital, Saint-Louis, Senegal
| | | | | | - Ibrahima Niang
- Department of Radiology, Fann University Hospital, Dakar, Senegal
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5
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Niang FG, Faye I, Niang I, Diedhiou M, Diop AD, Diop AN. Early stage of cerebral amyloid angiopathy revealed by follow-up of a minimal head injury. Radiol Case Rep 2023; 18:4458-4460. [PMID: 37860781 PMCID: PMC10582288 DOI: 10.1016/j.radcr.2023.09.051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2023] [Revised: 09/17/2023] [Accepted: 09/18/2023] [Indexed: 10/21/2023] Open
Abstract
Cerebral amyloid angiopathy (CAA) is an age-related cerebral microangiopathy characterized by the accumulation of amyloid-beta peptide in the wall of leptomeningeal arteries and cortical vessels. Diagnosis of sporadic amyloid angiopathy is most often made in elderly patient with lobar hematoma. We report a case of a 68-year-old female who had minimal head injury. Cerebral CT showed a right cerebellar hematoma. Follow-up MRI after 4 months showed signs of cerebral amyloid angiopathy. Through this observation, we describe the MRI semiology that helps make the diagnosis of cerebral amyloid angiopathy.
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Affiliation(s)
- Fallou Galass Niang
- Department of Radiology, Saint-Louis Regional Hospital, Saint-Louis, Senegal
- Gaston Berger University, Saint-Louis, Senegal
| | - Ibrahima Faye
- Department of Radiology, Saint-Louis Regional Hospital, Saint-Louis, Senegal
| | - Ibrahima Niang
- Department of Radiology, Fann University Hospital, Dakar, Senegal
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Diallo M, Diop AD, Niang I, Thiam M, Niang FG, Diack A, Ndaw MDB, Amar NI, Mbengue A, Diop AN. Interest of preoperative embolization of aneurysmal bone cyst (ABC): A case report. Radiol Case Rep 2023; 18:4206-4210. [PMID: 37745762 PMCID: PMC10514391 DOI: 10.1016/j.radcr.2023.08.093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Revised: 08/15/2023] [Accepted: 08/21/2023] [Indexed: 09/26/2023] Open
Abstract
Aneurysmal bone cyst (ABC) is a rare lesion that primarily affects young adults and children. The optimal treatment approach for ABC remains controversial and varies depending on the preferences of the medical team. While some advocate for surgery as the treatment of choice, others recommend a less invasive first-line option such as selective embolization. In this case report, we present the case of a 41-year-old female patient with an ABC in the right iliac bone who underwent surgical treatment following preoperative selective embolization. Additionally, we provide a literature review on the topic.
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Affiliation(s)
- Moustapha Diallo
- Department of Radiology, Military Teaching Hospital, Dakar, Senegal
| | - Abdoulaye Dione Diop
- Department of Radiology, University Hospital of Fann, Cheikh Anta Diop University, Dakar, Senegal
| | - Ibrahima Niang
- Department of Radiology, University Hospital of Fann, Cheikh Anta Diop University, Dakar, Senegal
| | - Mbaye Thiam
- Department of Radiology, University Hospital of Fann, Dakar, Senegal
| | | | - Aminata Diack
- Department of Radiology, Military Teaching Hospital, Dakar, Senegal
| | | | - Ndeye Isseu Amar
- Department of Radiology, Military Teaching Hospital, Dakar, Senegal
| | - Ababacar Mbengue
- Department of Radiology, Military Teaching Hospital, Dakar, Senegal
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Faye I, Mbodji AB, Niang FG, Diop NR, Sarr N, Diop B, Franck TNA, Diop AN. Atypical fibromuscular dysplasia or carotid web revealed by cerebral infarction: A review of 2 cases. Radiol Case Rep 2023; 18:2545-2548. [PMID: 37255699 PMCID: PMC10225869 DOI: 10.1016/j.radcr.2023.04.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2022] [Revised: 04/10/2023] [Accepted: 04/15/2023] [Indexed: 06/01/2023] Open
Abstract
Atypical fibromuscular dysplasia of the bulb or carotid web is a nonatheromatous pathology more common in African and African-American populations. It is implicated in the occurrence of cerebral infarcts of unknown causes. Its diagnosis is made by angio-CT of the supra-aortic trunks and is characterized by a defect in the posterior wall of the bulb. Treatment with antiplatelet agents prevents the occurrence of stroke, but radical treatment remains surgical and endovascular. We report 2 observations of carotid web diagnosed and medically managed at the regional hospital of Saint Louis.
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Affiliation(s)
- Ibrahima Faye
- Radiology Department, Saint Louis Regional Hospital, BP: 234, Saint Louis, Senegal
| | - Ahmadou Bamba Mbodji
- Radiology Department, Saint Louis Regional Hospital, BP: 234, Saint Louis, Senegal
| | | | - Ndeye Rokheya Diop
- Radiology Department, Saint Louis Regional Hospital, BP: 234, Saint Louis, Senegal
| | - Ndiamé Sarr
- Radiology Department, Saint Louis Regional Hospital, BP: 234, Saint Louis, Senegal
| | - Badara Diop
- Radiology Department, Saint Louis Regional Hospital, BP: 234, Saint Louis, Senegal
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8
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Faye I, Ndong A, Diallo AC, Niang FG, Sarr N, Nde AFT, Konate I, Diop AN. Pylephlebitis complicating acute calculous cholecystitis: A case report. Radiol Case Rep 2023; 18:1772-1774. [PMID: 36926538 PMCID: PMC10011054 DOI: 10.1016/j.radcr.2023.01.097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2023] [Revised: 01/23/2023] [Accepted: 01/28/2023] [Indexed: 03/05/2023] Open
Abstract
Pylephlebitis is a complication of intra-abdominal infections. Its occurrence during cholecystitis is a rare situation. We report the case of a 43-year-old female patient who presented with septic thrombosis of the right portal branch following acute calculous cholecystitis diagnosed on abdominal CT. The clinical evolution was favorable under antibiotic therapy and a cholecystectomy was scheduled.
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Affiliation(s)
- Ibrahima Faye
- Department of Radiology, Regional Hospital of Saint Louis du Sénégal, Saint Louis, Senegal
| | - Abdourahmane Ndong
- Department of Surgery, Regional Hospital of Saint Louis of Senegal, Saint Louis, Senegal
| | - Adja Coumba Diallo
- Department of Surgery, Regional Hospital of Saint Louis of Senegal, Saint Louis, Senegal
| | - Fallou Galas Niang
- Department of Radiology, Regional Hospital of Saint Louis du Sénégal, Saint Louis, Senegal
| | - Ndiamé Sarr
- Department of Surgery, Regional Hospital of Saint Louis of Senegal, Saint Louis, Senegal
| | - Armel Franck Tene Nde
- Department of Surgery, Regional Hospital of Saint Louis of Senegal, Saint Louis, Senegal
| | - Ibrahima Konate
- Department of Surgery, Regional Hospital of Saint Louis of Senegal, Saint Louis, Senegal
| | - Abdoulaye Ndoye Diop
- Department of Radiology, Regional Hospital of Saint Louis du Sénégal, Saint Louis, Senegal
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Mbodji AB, Faye I, Diassé I, Diop AN. Multiple aneurysms coexisting with carotid occlusion revealed by cerebral infarction: A case report. Radiol Case Rep 2022; 17:4120-4122. [PMID: 36072962 PMCID: PMC9441295 DOI: 10.1016/j.radcr.2022.07.116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 07/28/2022] [Accepted: 07/31/2022] [Indexed: 11/29/2022] Open
Abstract
Intracranial aneurysms are focal dilations of an intracranial artery. They can be discovered incidentally, during a hemorrhagic stroke or subarachnoid hemorrhage, but it is rare for it to be detected after an ischemic stroke. The prevalence of the association between symptomatic carotid occlusion or stenosis and intracranial aneurysms is estimated to be 6.3%. We report the case of a patient hospitalized for the management of a stroke in whom investigations had revealed the coexistence of right carotid occlusion and multiple aneurysms in the right middle cerebral artery. The diagnosis was made by CT angiography of supra-aortic trunks.
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Affiliation(s)
- Ahmadou Bamba Mbodji
- Fann University Hospital, Dakar, Sénégal
- Corresponding author at: Cité Générale Foncière, Dakar, Sénégal.
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10
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Niang FG, Faye I, Ndong A, Thiam I, Diop AN. Spontaneous rupture of a giant pyonephrosis: A case report. Radiol Case Rep 2022; 17:1225-1227. [PMID: 35169433 PMCID: PMC8829516 DOI: 10.1016/j.radcr.2022.01.056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Revised: 01/19/2022] [Accepted: 01/22/2022] [Indexed: 11/27/2022] Open
Abstract
Pyonephrosis is a suppurative infection of the kidney caused by ureteral obstruction. It can lead to kidney failure, septic shock, and death. Thus, it requires prompt assessment and appropriate management. We report a case of a 63-year-old male with giant pyonephrosis contained 10 liters of pus and spontaneously ruptured in the adjacent muscles. This clinical case illustrates the value of computed tomography scan in the diagnosis and management of an uncommon upper urinary tract infection and its complications.
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Affiliation(s)
- Fallou Galass Niang
- Department of Radiology, Saint-Louis Hospital, Gaston Berger University, 2 Ngallele road, Saint-Louis, Senegal
- Corresponding author. F. Niang.
| | - Ibrahima Faye
- Department of Radiology, Saint-Louis Hospital, Gaston Berger University, 2 Ngallele road, Saint-Louis, Senegal
| | | | - Issa Thiam
- Department of Surgery, Saint-Louis Hospital, Saint-Louis, Senegal
| | - Abdoulaye Ndoye Diop
- Department of Radiology, Saint-Louis Hospital, Gaston Berger University, 2 Ngallele road, Saint-Louis, Senegal
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11
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Di Bisceglie M, Hak JF, Diop AD, Salazar G, Brige P, Panneau J, Tradi F, Habert P, Campion JY, Diop AN, Soulez G, Guillet B, Vidal V. FairEmbo Concept for Arterial Embolizations: In Vivo Feasibility and Safety Study with Suture-Based Microparticles Compared with Microspheres. Cardiovasc Intervent Radiol 2020; 44:625-632. [PMID: 33099701 DOI: 10.1007/s00270-020-02678-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/25/2020] [Accepted: 10/03/2020] [Indexed: 12/30/2022]
Abstract
PURPOSE Microspheres are effective embolic agents, especially for the management of bleeding and oncologic lesions. The first FairEmbo study reported the effectiveness of embolization using suture fragments. The effectiveness and safety of arterial embolization with suture-based microparticles (SBM) were assessed in a swine model. MATERIALS AND METHODS In this ethical-approved animal study, a polar artery in each kidney was embolized in four swine: one side with hand-cut non-absorbable SBM (Flexocrin 2®) and the contralateral side with Embozene® 900 for comparison. Swine were followed for 3 months (M3) to evaluate the effectiveness and the safety of SBM. Follow-up protocol included clinical monitoring, computed tomography (CT) control and digital subtraction angiography (DSA), followed by histological analyses. The SBM confection parameters were evaluated by automatic microscopic sizer. RStudio software and Mann-Whitney test (significance at P < 0.05) were used for statistics. RESULTS The average size of SBM was 1002 μm (SD = 258). All targets were effectively embolized by SBM with an angiogram defect estimated at 45.6% (95% CI [35.9-55.2]), compared to 40.5% (95% CI [30.6-55.5]) for Embozene® group (P = 0.342). The average duration of SBM embolization procedure was significantly increased compared to Embozene® embolization (1202 s versus 222 s, P = 0.029). There were no statistical differences in M3 DSA and CT for SBM and Embozene®, with persistence of partial arterial occlusion and atrophic embolized area. No postoperative complications were observed on clinical and CT controls. CONCLUSION This experimental study suggests that embolization with SBM is feasible, safe and effective in short- and medium-term follow-up as compared to microspheres.
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Affiliation(s)
- Mathieu Di Bisceglie
- Interventional Radiololy Section, Department of Medical Imaging, University Hospital Timone, APHM, Marseille, France.
- LiiE, Aix Marseille University, Marseille, France.
- CERIMED, Aix Marseille University, 27 Bd Jean Moulin 13005, Marseille, France.
| | - Jean-Francois Hak
- Interventional Radiololy Section, Department of Medical Imaging, University Hospital Timone, APHM, Marseille, France
- LiiE, Aix Marseille University, Marseille, France
- CERIMED, Aix Marseille University, 27 Bd Jean Moulin 13005, Marseille, France
| | - Abdoulaye Dione Diop
- Diagnostic and Medical Imaging Center, Fann National University Hospital Center, 5035, Dakar, Senegal
| | - Gloria Salazar
- Division of Interventional Radiology, Massachusetts General Hospital, Boston, MA, USA
- Harvard Medical School, Boston, MA, USA
| | - Pauline Brige
- LiiE, Aix Marseille University, Marseille, France
- CERIMED, Aix Marseille University, 27 Bd Jean Moulin 13005, Marseille, France
| | - Julien Panneau
- Interventional Radiololy Section, Department of Medical Imaging, University Hospital Timone, APHM, Marseille, France
- LiiE, Aix Marseille University, Marseille, France
- CERIMED, Aix Marseille University, 27 Bd Jean Moulin 13005, Marseille, France
| | - Farouk Tradi
- Interventional Radiololy Section, Department of Medical Imaging, University Hospital Timone, APHM, Marseille, France
- LiiE, Aix Marseille University, Marseille, France
- CERIMED, Aix Marseille University, 27 Bd Jean Moulin 13005, Marseille, France
- Department of Radiology, University Hospital Center of Montreal, Montreal, Canada
| | - Paul Habert
- Interventional Radiololy Section, Department of Medical Imaging, University Hospital Timone, APHM, Marseille, France
- LiiE, Aix Marseille University, Marseille, France
- CERIMED, Aix Marseille University, 27 Bd Jean Moulin 13005, Marseille, France
| | | | | | - Gilles Soulez
- Department of Radiology, University Hospital Center of Montreal, Montreal, Canada
| | - Benjamin Guillet
- CERIMED, Aix Marseille University, 27 Bd Jean Moulin 13005, Marseille, France
- INSERM1263, INRA 1260, C2VN, Aix Marseille University, Marseille, France
- Department of Radiopharmacy, APHM, Marseille, France
| | - Vincent Vidal
- Interventional Radiololy Section, Department of Medical Imaging, University Hospital Timone, APHM, Marseille, France
- LiiE, Aix Marseille University, Marseille, France
- CERIMED, Aix Marseille University, 27 Bd Jean Moulin 13005, Marseille, France
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12
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Chabrot P, Cassagnes L, Alfidja A, Mballa JC, Nasser S, Guy L, Diop AN, Ravel A, Boyer L. Revascularization of traumatic renal artery dissection by endoluminal stenting: three cases. Acta Radiol 2010; 51:21-6. [PMID: 20088639 DOI: 10.3109/02841850903473314] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Traumatic injury of renal arteries is rare and can induce renal dysfunction and hypertension. Management options include observation, nephrectomy, surgical repair, and, more recently, percutaneous angioplasty. We report three cases of renal artery thrombosis occurring in young multitrauma patients (mean age 28.7 years) treated with stenting. Immediate satisfactory results were obtained in all cases. Postprocedure anticoagulant and antiplatelet treatment were given according to associated contraindicating lesions. During follow-up, in-stent restenosis occurred in one patient and was treated successfully with a second stenting procedure. No renal dysfunction or hypertension was observed after 28.6 months follow-up. Percutaneous angioplasty is a valuable alternative to surgical treatment in selected patients.
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Affiliation(s)
| | | | | | | | - Samer Nasser
- Radiology A, CHU G Montpied, Clermont-Ferrand, France
| | - Laurent Guy
- Urology, CHU G Montpied, Clermont-Ferrand, France
| | | | - Anne Ravel
- Radiology B, CHU G Montpied, Clermont-Ferrand, France
| | - Louis Boyer
- Radiology B, CHU G Montpied, Clermont-Ferrand, France
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13
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Diop AN, Ba-Diop S, Sane JC, Tomolet Alfidja A, Sy MH, Boyer L, Badiane M. [Role of US in the management of de Quervain's tenosynovitis: review of 22 cases]. ACTA ACUST UNITED AC 2008; 89:1081-4. [PMID: 18772786 DOI: 10.1016/s0221-0363(08)73912-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
PURPOSE To assess the role of US in the management of de Quervain's tenosynovitis. MATERIALS AND METHODS Using a high-frequency transducer (12 MHz), sagittal and axial images were obtained of the first extensor compartment. The US features of 22 symptomatic patients were reviewed (positive Finkelstein's maneuver). RESULTS US findings included tendon thickening and synovial sheath thickening with peritendinous edematous changes resulting in a peritendinous hypoecoic halo in all patients. An intertendinous septum was identified in two patients. CONCLUSION US can confirm the suspected diagnosis and provide follow-up of lesions. It can confirm the presence of an intertendinous septum and provide guidance at the time of steroid injection. It can increase the rate of conservative management by demonstrating the absence of septum.
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Affiliation(s)
- A N Diop
- Service de Radiologie/Imagerie Médicale, Hôpital Général de Grand-Yoff de Dakar, Sénégal.
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14
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Ndiaye A, Diarra O, Diop AN, Ciss AG, Dieng PA, Dangou JM, Ndiaye M. [Giant compressive mediastinal lipoma: a case report]. Dakar Med 2006; 51:97-100. [PMID: 17632985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
Mediastinal lipoma is a rare mesenchymatous fatty tumor in child. Usually asymptomatic, it can cause asphyxiation. The authors report the case of an 18 month-baby-girl referred to us by the pediatric department for asphyxiation. The chest X ray was evocative of a mediastinal tumor. A sudden cardiorespiratory failure leads us to perform thoracotomy. A fatty tumor was found compressing the heart and the left lung. It was easily extirpated. The postoperative recovery was uneventful. Light microscopy showed a lipoma. This compressive form shows the severity of the mediastinal lipoma when it reaches a large size. The literature on this rare pathology is reviewed.
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Affiliation(s)
- As Ndiaye
- Laboratoire d'Anatomie et d'Organogenèse (FMPO, UCAD).
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Ba Diop S, Diop IB, Diakhate CI, Diao M, Alfidja A, Ly Ba A, Ndiaye A, Diop AN, Gueye B, Mbengue A, Badiane M. [Spiral CT in aortic dissection]. Dakar Med 2004; 49:28-31. [PMID: 15782474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
Patients with suspected dissection of the thoracic aorta require immediate diagnostic evaluation so that urgent therapeutic interventions can begin. Two women with suspected aortic dissection and one man with abdominal aortic aneurysm underwent color-flow Doppler echocardiography and CT angiography with multiplanar reconstructions. Spiral CT showed ascending aortic dissection (type A Stanford) in two cases and descending aortic dissection (type B Stanford) in one case. It also access the visualization of the intimal flap, the extent of dissection, the size of the aorta, and the presence of pericardial fluid. CT angiography is an accurate diagnostic procedure for patients with suspected aortic dissection and possesses several advantages over other modalities such as transthoracic echocardiography, transesophageal echocardiography and aortography.
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Affiliation(s)
- S Ba Diop
- Service de Radiologie Générale, Centre Hospitalo Universitaire de Fann
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Sidibe EH, Diop AN, Thiam A, Diagne PM, Sarr A, Toure M, Diop M. Hoffmann's syndrome in hypothyroid myopathy. Report of a case in an African. Joint Bone Spine 2001; 68:84-5. [PMID: 11235789 DOI: 10.1016/s1297-319x(00)00231-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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17
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Sidibé EH, Diop AN, Thiam A, Diop S. Pernicious anemia: the African experience (3 cases reports). Sante 1999; 9:301-4. [PMID: 10657774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
Abstract
We report three cases of pernicious anemia diagnosed in women in Africa. All three women had macrocytic anemia with megaloblasts evident on medullogram. The patients had neurological signs of combined sclerosis and the presence of megaloblasts confirmed the diagnosis of pernicious anemia. All were successfully treated parenterally with vitamins. This disease seems to be underdiagnosed in Africa given the number of cases reported in previous studies.
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Affiliation(s)
- E H Sidibé
- Centre Marc-Sankale, Clinique médicale II, Service de médecine interne, BP 5062, Fann, Dakar, Sénégal
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