Search

Your search keyword '"Ben Ousmanou Djoubairou"' showing total 2 results
Start Over Author "Ben Ousmanou Djoubairou" Publication Year Range Last 3 years
2 results on '"Ben Ousmanou Djoubairou"'

1. Lumbar Morel-Lavallée lesion: a case report and review of the literature

Author

Michèle Yolande Moune, Ben Ousmanou Djoubairou, Fred Mboka, Yadji Viche, and Abdessamad El Ouahabi

Subjects
Lumbar Morel-Lavallée lesion, Woman, Management, Case report, Medicine
Abstract

Abstract Objectives Here we describe a rare post-traumatic lesion and discuss its management. Background Lumbar Morel-Lavallée is a rarely reported lesion. The cause is usually post-traumatic in a polytraumatic context, and care is often focused elsewhere. This leads to misdiagnosis with a risk of chronic pain and infection. In addition, there is no consensus for the management as few cases have been reported so far. Case report A 35-year-old African woman was involved in a motor accident. Physical examination at the emergency department revealed moderate head trauma, a lumbar inflammatory mass, and a closed leg fracture. She underwent a whole-body computed tomography scan, which revealed a left frontal brain contusion and a large left paraspinal mass in favor of a lumbar Morel-Lavallée lesion. She benefited from osteosynthesis and conservative management of the cerebral and lumbar lesions. After 4 days, she complained of headaches and vomiting. Magnetic resonance imaging was requested. There was resorption of the cerebral contusion, and the lumbar mass was heterogeneous. She was discharged 10 days later without lower back pain and fully recovered from the headaches. Ultrasound of the lumbar soft tissue performed a month later showed no more collection. Conclusion More frequent in young men, lumbar Morel-Lavallée lesion is underdiagnosed. Thus, there is no consensus on its treatment. However, conservative management followed by close monitoring is advisable in the acute phase. Other therapy includes surgery with or without the use of sclerosing agents. Early diagnosis prevents infections. Although the diagnosis is clinical, magnetic resonance imaging is the critical paraclinical examination for its assessment. Our case is interesting because it occurs in a woman following polytrauma, and to the best of our knowledge, it is an extremely rare lesion, especially in women.

Published
2023
Full Text
View/download PDF

2. Surgical management of traumatic spinal injuries in Sylvanus Olympio Teaching Hospital

Author

Agbéko Komlan Doléagbénou, Ben Ousmanou Djoubairou, Mensah Kodjo Hobli Ahanogbé, Komi Egu, Anthony Katanga Békéti, Essossimna Kpélao, and Anani Abalo

Abstract

Introduction : Traumatic spinal injuries (TSI) is a global disease burden in low - and middle–income countries (LMIC). The burden of TSI is higher in LMICs than in developed countries. Despite improvements in TSI management, resource-constrained settings have not benefitted from this progress to the same extent as more developed countries. Hypothese : Spinal implants availability and early surgery are associated with improved neurologic function.Material and methods: This is a retrospective and descriptive study from November 2017 to October 2020. We included adult patients who presented with traumatic spine injury and who underwent surgery stabilization.Results: A total of 93 patients were studied. The population was young (35.92 ± 9.68 years old), men (91.4%). Road traffic accidents accounted for 85% of patients. At presentation, 59.1% of patients had an incomplete neurologic deficit (ASIA B-D). The cervical spine was the most common segment injured (57%). The median time from admission to the operating room was 21.06 ± 11.8 days. After surgery, 15.3% improved by at least 1 ASIA grade. Bedsores (14%) and superficial wound infection (10.8%) were the most typical complications in our series after surgery. Discussion : According to the AANS/CNS guideline, available literature has defined « early » surgery inconsistently, ranging from < 8 hours to < 72 hours. In our series, the median time from admission to the operating room was 21.06 ± 11.8 days (range 2-62). That finding could be explained by the fact that most low-income people have to pay out of their pocket because the rate of medical insurance coverage is low. In the study, only 17.2% of patients have public insurance, and 2.2% private insurance. We performed three types of surgery: anterior cervical discectomy and fusion, anterior cervical corporectomy with tricortical iliac crest graft and plate, and posterolateral thoracic/lumbar fusion. Implant availability for posterior cervical fusion was the principal driver of that decision in our limited resources.Type of study and level of proff: level 3, retrospective cohort study.

Published
2022
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results