[The chronic constrictive pericarditis, a real calcified gangue realizing a mid-ventricular bottleneck: A case report]

A 30-year-old woman consulted for a predominantly right-sided global heart failure chart that had been evolving for about 3 months. Its antecedents include a concept of poorly treated pleuropulmonary tuberculosis at the age of 8 years. Lateral chest X-ray, transthoracic echocardiography and thoracic CT showed ventricular ring calcification with mid-ventricular compression with apical ballooning. The diagnosis of chronic mid-ventricular constrictive pericarditis of tuberculosis etiology was retained. The patient was put on diuretic treatment and the immediate evolution is favorable with a regression of the signs of congestion. Surgical decortication has been indicated.

Tuberculosis of the Breast in Togo: A Series of 28 Presumed Cases

Our study aimed to describe the epidemiological, clinical and histological aspects of mammary tuberculosis in Togo. This is a descriptive cross-sectional study of breast tuberculosis for which the diagnosis was presumed on histological grounds in the pathology department (LAP) of the Lomé Tokoin university hospital from January 1995 to December 2016 (20 years). A total of 28 presumed cases of mammary tuberculosis were identified. There were 26 women and 2 men, with an average age of 34.2 ± 0.3 years. The clinical signs were nodule (84.1%), tumefaction (75%), abscess (63.6%) and tumefaction with cutaneous fistulization (59.1%). Breast involvement was isolated in 31.8% of cases and associated with pleuropulmonary tuberculosis in 54.5% of cases. Co-infection with HIV was found in 63.9 % of cases. Histology showed inflammatory granulomas made of Langhans giant cells, epithelioid cells and lymphocytes around the foci of caseous necrosis. Thoracic radiography was abnormal in 16 patients (57.1%).Mammary tuberculosis is not rare in our country. Clinical presentation is often misleading and is a diagnostic challenge, more particularly with breast abscess or cancer.

[Histological aspect of urinary schistosomiasis in Togo: results of a cohort of 192 cases]

The high prevalence of urinary schistosomiasis in Togo and its late management often lead to sequels. This study takes stock of these cancerous and non-cancerous lesions observed on histological pieces in the pathology laboratory of the Teaching Hospital of Lome in 10 years. We find 28.1 % of malignant tumor lesions, dominated by urothelial carcinoma.

[Hygiene of transvaginal ultrasound probes in a developing country: case of Togo]

The purpose of this study was to assess the knowledge and practices of hygiene rules for transvaginal ultrasound by sonographers practicing in Togo. Their knowledge of these rules is good. In practice, they mainly use condoms to protect the vaginal probe, which is sufficient to prevent horizontal transmission of infection. The shortcomings are at the level of hand hygiene; they do not routinely wash hands or wear gloves, nor do they follow guidelines for disinfection of the probes.

[Diagnostic ultrasonographique d'une hernie inguino-labiale a contenu utero-ovarien. a propos d'une observation chez un nourrisson]

Although indirect sliding inguinal hernias containing the ipsilateral ovary and fallopian tube are not uncommon in infant girls, those containing the uterus, ovary and fallopian tube are. We present the case of a 1-month-old girl with a palpable barely movable mass over the left labium major. Preoperative sonography was performed and revealed a hernia containing the uterus, ovary and fallopian tube. This diagnosis was confirmed during surgical correction. We suggest sonography be used for all diagnostic workup in female infants with an inguinal mass.

[Heterogeneous testicle on ultrasonography: consider tuberculosis after cancer in endemic zone]

The purpose of this report is to describe findings of clinical examination and imaging in a 27-year-old man admitted for nonpainful left testicular enlargement. Initial diagnosis was testicular cancer based on ultrasonography and association with pulmonary metastasis. This diagnosis was revised after histological study demonstrated testicular tuberculosis.

[Value of genitography after late discovery of abnormal sexual development: 5 cases in Lome, Togo]

The purpose of this report is to describe the value of genitography in management of abnormal sexual development abnormalities discovered at a late age (> or = 10 years). Genitography was performed in 5 patients ranging from 10 to 23 years of age. No procedural difficulty was encountered in any of these patients. Genitography allowed correct determination of anatomical sex in all patients.

[Crossed renal ectopia: a case report]

The authors report a case of a crossed renal ectopia with fusion discovered in an outpatient admitted for abdominal pain to recall embryologic, epidemiology and diagnosis aspects using a literature review.