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Query: UMLS:C0000737 (abdominal pain)
 31,184 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This report covers two cases of Crohn's Disease, one in a 27 year old Senegalese woman, the other in a 38 year old Senegalese man, both presenting abdominal pain, diarrhoea and loss of weight over several months. The ulcerated lesions were staged on the colon, respecting the rectum, and reached the ileum in one patient and the esophagus in the other. Following X-rays, endoscopy and consideration of the history, Crohn's Disease was diagnosed. Treatment with corticoids produced rapid improvement with the ulcers healing after one month. The unusualness of Crohn's Disease in Black Africans adds interest to these two observations.
Dakar Med 1990
PMID:[Crohn's disease. Apropos of 2 recent cases collected at the Dakar Central Hospital]. 213 Nov 92

A pseudocyst of the pancreas (PCP) is a rare affliction in Africa despite widespread malnutrition and abdominal disorders. The authors cover 7 PCP observations on 3 men and 2 women between 18 and 32 years, and 2 boys of 5 and 6 years, in the clinical context of abdominal pain (7/7), an abdominal tumour (7/7) and as a sequence to abdominal contusion (4/7). In 5 cases, echotomography led the etiological investigation of the liquid mass to seek a pancreatic origin. Surgical treatment consisted of 2 termino-lateral cystojejunostomies on a shaped flexure++ and 3 latero-lateral cystojejunostomies (of which one had to be drained externally two times); and a corporeo-caudal pancreatectomy. Supervision of between 1 1/2 and 5 years (1 1/2 years: 3 patients; 2 1/2 years: 2 patients; 5 years: 1 patient; 1 patient lost track of) revealed only one recurrence after internal latero-lateral drainage, and that without clinical repercussions. The authors use this short experiment to study the clinical and paraclinical symptomatology, the etiology and the treatment of PCPs. They stress the role of medical pictures in diagnosis, and of interventional radiology in treatment, but above all the primacy of surgery to treat pseudocysts of the pancreas in Africa.
Dakar Med 1990
PMID:[Pancreatic pseudocyst: diagnosis, treatment. Apropos of 7 cases]. 213 90

A pediatric case of small bowel duplication is reported. Non-specific abdominal pain was the main complain. A fixed hypogastric mass was found. Abdominal palpation under general anesthesia disclosed a movable intraperitoneal mass which proved at laparotomy to be a cystic duplication of the small bowel. The cyst was excised according to Norris procedure. Recovery was uneventful. Complications and therapeutic aspects of this rare condition are discussed.
Dakar Med 1998
PMID:[Small-bowel duplication, apropos of a case in a child]. 982 72

Two cases of mesenteric serous cysts were reported. The first was a 65 years old woman who underwent laparotomy for abdominal pain associated with a mass initially thought to be ovarian. The second cyst was also an incidental discovery in a 59 years old female during abdominal computed tomography for thrombocytopenia. After surgical resection the first woman was well, 7 months and the second lady 4 years later, without recurrence. The two were unilocular serous cysts. By reporting these two observations, the authors aimed to show the rarity of the mesenteric serous cysts in a succint clarification on the disease.
Dakar Med 2001
PMID:[Mesenteric serous cysts. Report of 2 cases]. 1577 87

The case report was the first observed in Central African Republic. The patient was a thirty years woman who comes from a small-townish for dead fetus retained. She had not point out abdominal pain or bleeding and had presented a satisfied clinical state. The investigations had confirm a dead abdominal pregnancy. During the laparotomy, it was uncovered a regular mass developed on the right annex. Those annex mass hasn't presented adherences with other abdominal organs. The ablation of the mass and the right annex had been done without difficulty. The holing of operated mass had permit to uncover a macerated dead male fetus weighted 1650 grams. The following of operation was normal The histological analysis had determined the nature of that ovarian pregnancy. Hour attention was be retain by that case who had prolonged development and almost non-existence complications.
Dakar Med 2002
PMID:[Report of a case of ovarian pregnancy observed at the Gynecolgy-Obstetrics Service in Bangui (Central African Republic)]. 1577 9

The objectives emphasize the diagnosis and therapical problems concerning the child's ovary tumors for a better care in our conditions of work. We collected in a retrospective study 12 cases of ovarian tumors during 30 years. The middle age of the patients was of 11 years with extremes of 2 years and 15. The circumstances of discovery of the tumor were represented by order of frequency by an abdominal tumor (10 cases), an abdominal pain (8 cases) and of the compression signs digestive or urinary (6 cases). The medical imagery (echography, intravenous urography, Chest X-ray) permitted to evoke in the majority of the cases the ovarian origin of the mass. The surgical treatment consisted in an ovariectomy (5 times), an salpingo - ovariectomy (6 times) and a surgery of partial exeresis associated to a chemotherapy. The operative continuations were simple. A patient died of intercurrentes complications. The histological exam of the operative piece showed that it was about benign tumors. However a brought closer surveillance proves to be necessary had consideration to the two noted recidivisms.
Dakar Med 2004
PMID:[The ovarian tumors in children. A report of 12 cases]. 1578 79

Clinical and laboratory features, complications and treatment were retrospectively studied in 70 patients with bacteriologically documented typhoid fever, treated between January 1995 and June 2002 at Principal Hospital in Dakar, Senegal. Data analysis was done on a global basis as well as comparatively between the 37 children (under 15 years) and 33 adults. Mean age was 16.7 years (range, 1 to 52). The sex ratio was 1.4. Clinical manifestations included fever (97%), headache (50%), vomiting (71%), abdominal pain (54%), diarrhoea (49%), nnd splenomegaly (10%) without statistically significant difference between children and adults. Lyinphopenia was found in 51% of patients and anaemia in 78%. Coexisting illnesses Included malaria in 25.5% (mainly children) and hepatitis (transminases > 10N) in 24%. Complications included cholecystitis in 3 patients, gastrointestinal haemorrhage in 2, peritonitis in one, endocnrditis in one and osteomyelitis in one. Only one patient (HIV-positive) died. The incidence of antibiotic resistance was low, i.e., ainoxicilline: 2%, nalidixic acid: 1% and cotrimoxazole: 8.2%. No multidrug resistance was observed. This study shows that typhoid fever remains a major health problem in Dakar with slow resolution and potential complications. Amoxicililne and chloramphenicol can still be used for first-line treatment of typhoid fever. Little difference was found between children and adults.
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PMID:[Clinical and laboratory features of typhoid fever in Senegal. A 70-case study]. 1655 13

A perforation rarely reveals a primary duodenal ulcer. The occurring of digestive haemorrhage in post operative followings evokes spontaneously a stress ulcer. We report an observation of a child who presented on fourth day delay after operation an ulcer of the anterior duodenal bulbar face and a haemorrhage of the posterior bulbar face. A 7-year-old girl with no particular pathological antecedent was admitted for abdominal pain, bile vomiting and constipation evolving since 6 days. Clinical examination revealed a general state thickening, an infectious syndrome, a meteoric and general abdominal sensitivity. The abdominal radiography without preparation showed a pneumoperitoneum. The surgical exploration discovered a perforated ulcer on the bulbar anterior face. A simple closure associated with omental patch was performed. Four days after operation, she presented an abundant digestive haemorrhage with shock. The resuscitation did not improve the patient's general state. The upper digestive endoscopy revealed a haemorrhage of the posterior bulbar face. An adrenalin injection stopped the bleeding. The treatment by neutron pump inhibitors and an eradicating treatment of Helicobacter pylori permitted the healing of the ulcers. The occurring of digestive haemorrhage in the followings of surgical intervention for perforated ulcer involves an upper digestive endoscopy. This examination can reveal misdiagnosed ulcer during the surgical exploration and permits to perform a haemostatic act.
Dakar Med 2008
PMID:[Perforation and haemorrhage duodenal bulbar ulcers in a child: a case report]. 1910 14