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Delayed Diagnosis of Isolated Traumatic Rupture of Bladder
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作者 Mamadou Traoré n’diamoi Akassimadou +11 位作者 Kouakou Ibrahim Anzoua Kouame Bernadin Kouakou Inza Bamba Kouassi Patrice Avion Brice Aguia Kalou Ismaë l Leh Bi ahou bernadette ndri Serge Amos Ekra Blaise Amos Kouakou Roger Lebeau Bamourou Diané 《Open Journal of Urology》 2022年第1期69-73,共5页
Traumatic ruptures of the bladder are relatively rare lesions. They are associated in more than 80% of cases with a fracture of the pelvic girdle. The lesion mechanism is usually a sudden compression on the full bladd... Traumatic ruptures of the bladder are relatively rare lesions. They are associated in more than 80% of cases with a fracture of the pelvic girdle. The lesion mechanism is usually a sudden compression on the full bladder. Hypogastric pain and macroscopic hematuria suggest the diagnosis, which is confirmed by cystography. This diagnosis can be difficult and delayed in the absence of these call signs. We report a case of isolated traumatic intraperitoneal rupture of the bladder, diagnosed 24 hours after a public road accident in a 44-year-old patient. 展开更多
关键词 CONTUSION CYSTOGRAPHY RUPTURE BLADDER
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Acute Bowel Obstructions of the Elderly in a Low African Country
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作者 Kouame Bernadin Kouakou Kouakou Ibrahim Anzoua +9 位作者 Mamadou Traore Ismael Kalou Leh Bi ahou bernadette ndri Aka Gerard Kakou Serge Amos Ekra Blaise Amos Kouakou Inza Bamba Djahou Ezechiel Akowendo Roger Lebeau Bamourou Diane 《Surgical Science》 2022年第3期164-173,共10页
Background: Acute bowel obstruction is one of the main causes of non-traumatic gastro—intestinal surgical emergencies. When they occur in elderly patients, they seem to induce higher morbi-mortality. The aim of our s... Background: Acute bowel obstruction is one of the main causes of non-traumatic gastro—intestinal surgical emergencies. When they occur in elderly patients, they seem to induce higher morbi-mortality. The aim of our study was to identify the causes of these bowel obstructions in elderly patients and to expose the results of their surgical management. Patients and Methods: Retrospective and analytical study of patients aged 65 years and over, operated on between January 2013 and December 2019 for acute bowel obstruction at the University Hospital of Bouake. Demographic, diagnostic, therapeutic and evolutionary data were analysed. Results: The study involved 36 men and 23 women (sex ratio = 1.6). The mean age of these patients was 70 ± 4.6 years (65 and 90 years). A history and/or co-morbidities were found in 67.8% of them. Patients were classified as ASA I (20.3%), ASA II (42.4%), ASA III (33.9%) or ASA IV (3.4%). The average consultation time was 5.3 ± 4.1 days (2 days and 28 days). Bowel obstructions were due to colonic volvulus (38.9%), colonic cancer (22%), postoperative adhesions (18.6%), strangulated groin hernia (16.9%) or internal bowel hernia (3.3%). Volvulated or necrotic bowel and resectable cancers were resected followed by immediate anastomosis or stoma. Near upstream stomas were performed for unresectable cancers. A herniorrhaphy for groin hernias and a mesenteric breach suture for internal hernia were performed after bowel disinterment. Adhesions were released. The time to surgery was 22.3 ± 12.4 hours (2 hours and 72 hours). The post-surgery morbidity was 32.2%, marked by parietal suppurations (47.4%). The post-surgery mortality was 16.9%. Hemodynamic or septic shock, ASA score ≥ III, bowel necrosis and ICU stay were the significant risk factors. Conclusion: Acute bowel obstructions in the elderly are dominated by colonic volvulus. The high mortality is related to various factors highlighting the frailty of the elderly. A multidisciplinary management involving the geriatrician could improve t 展开更多
关键词 Acute Bowel Obstruction ELDERLY ETIOLOGY Morbi Mortality Surgery
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