Research Article
The Role of Ultrasound in the Diagnosis of Liver Cirrhosis in the Medical Imaging Department at Mali Hospital
Camara Mody Abdoulaye*,
Guindo Ilias,
Traore Mohamed Maba,
Yanogue Aldjouma
,
Diarra Hawa,
Sanogo Souleymane,
Kone Abdoulaye,
Goita Youssouf,
Kouma Alassane,
Toure Boubacar Mama,
Maiga Oumou,
Kamia Boureima,
Yara Mahamadou,
Coulibaly Salia,
Sidibe Siaka
Issue:
Volume 15, Issue 2, April 2026
Pages:
19-25
Received:
13 April 2026
Accepted:
23 April 2026
Published:
28 April 2026
DOI:
10.11648/j.cmr.20261502.11
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Abstract: Cirrhosis is a serious, progressive disease and constitutes a public health problem. The objective of this study was to examine the role of ultrasound in the diagnosis of cirrhosis at the Hospital of Mali. This was a prospective cross-sectional study conducted from February 2024 to February 2025. The study included all patients admitted to the department for abdominal ultrasound as part of the diagnosis of liver cirrhosis. Data were analyzed using SPSS version 21.0. Patient participation was voluntary. Patient confidentiality and anonymity were guaranteed. We identified 121 cases of cirrhosis diagnosed among 3,142 abdominal ultrasounds performed, representing a prevalence of 3.85%. Male patients accounted for 70% of cases. The mean age was 51.34 ± 13.86 years. The predominant clinical symptom was abdominal pain in 89.3% of cases. Hepatomegaly with a sharp lower border was recorded in 80.88% of cases. On ultrasound, hepatomegaly was present in 55% of patients. The echogenicity of the liver was heterogeneous in 96.7% of cases. The liver margins were irregular in 73% of cases. Hepatic dysmorphism was present in 74% of cases. Nodules were present in 60% of patients, and portal vein dilation in 58.7% of patients. Cirrhosis remains a common and serious condition. Ultrasound is an essential tool for screening and diagnosis.
Abstract: Cirrhosis is a serious, progressive disease and constitutes a public health problem. The objective of this study was to examine the role of ultrasound in the diagnosis of cirrhosis at the Hospital of Mali. This was a prospective cross-sectional study conducted from February 2024 to February 2025. The study included all patients admitted to the depa...
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Research Article
Tracheotomy in Intensive Care: Techniques, Indications and Complications in a Series of 52 Cases in the Gabriel Toure University Hospital
Kone Fatogoma Issa*
,
Soumaoro Siaka,
Cisse Naouma,
Yves Christian Tchana Makasso,
Dicko Ibrahim,
Abdoul Mounine Maiga,
Diarra Kassim,
Konate N’faly,
Ouane Aissata,
Coulibaly Assitan Kole,
Doumbia Salimou,
Konate Oumar,
Bah Famagan,
Traore Youssouf,
Boubacary Guindo,
Singare Kadidiatou,
Keita Mohamed Amadou
Issue:
Volume 15, Issue 2, April 2026
Pages:
26-33
Received:
2 April 2026
Accepted:
14 April 2026
Published:
29 April 2026
DOI:
10.11648/j.cmr.20261502.12
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Abstract: The aim of our work was to identify the indications and to assess complications of tracheostomy in the intensive care setting. This work to retrospectively analyze the files of patients with tracheostomies in the multipurpose intensive care unit of the Gabriel Toure university Hospital in Bamako over 4 years from January 2016 to December 2020, including all patients with tracheostomies in intensive care or in operating room by surgical teams. The parameters taken into account were: the reasons for admission to intensive care unit, the history, the duration of intubation and ventilation before tracheostomy, the duration of total cannulation, the complications that arose during the performance of the procedure, immediately postoperatively and late. The mean age of our patients was 31.97 ± 19.03 years with extremes of 0.25 and 79 years. The sex ratio was 2.25 in favour of the male. The circumstances of hospitalization in intensive care are dominated which are neither respiratory nor neurological. The tracheotomy was performed in 52 patients, 21 patients in the operating room by an otolaryngologist including 2 in trans-isthmic and 31 times in the intensive care unit (intensive care) by an otolaryngologist team including 11 case in trans-isthmic. Tracheostomy was performed on average 2.6 ± 5.03 days after MV initiation (Median = 2 days), with extremes ranging from 0 to 45 days. Among the 52 patients included in our study, 27 patients (51.9%) underwent a tracheostomy during the first two days of MV (early tracheostomy group) and 25 patients (48.08%) underwent a tracheostomy beyond the second day of VM (Late tracheostomy group). During our study, no decanulation was carried out in the intensive care unit, the number of places reduced, does not allow hospitalized patients of which tracheostomies remain there after a slight improvement. The postoperative consequences were simple in 12 patients, or 23.1%.
Abstract: The aim of our work was to identify the indications and to assess complications of tracheostomy in the intensive care setting. This work to retrospectively analyze the files of patients with tracheostomies in the multipurpose intensive care unit of the Gabriel Toure university Hospital in Bamako over 4 years from January 2016 to December 2020, incl...
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