Diallo Aa, Camara Fl, Diakité Sy, Koundouno Am, Sylla A, Baldé Tm, Sylla H, Barry Aa, T. I, Soromou G, Diallo B
Introduction: Anal suppurations (fistula and abscess) correspond to two progressive phases of the same disease, characterised by an infection of cryptic origin in the anal canal. The objectives of this study were to determine the hospital frequency, to describe the clinical aspects and to determine the therapeutic modalities of anal suppurations in the department. Methodology: This was a one-year dynamic descriptive study of patients admitted to and operated on for anal suppuration in the Department of Visceral Surgery, Donka National Hospital, Conakry University Hospital. Results: Out of a total of 351 patients operated on, we recorded 21 cases of anal suppuration, i.e. 5.98%. Anal suppuration accounted for 45.65% of all proctological disorders. The average age was 43.09 years. There was a clear male predominance (95.23%) with a sex ratio of 20:1. The clinical picture was dominated by anal discharge and evidence of skin orifices. Retroviral serology, haemogram, HBsAg and blood glucose were performed in all patients. All patients were treated surgically. Post-operative management was straightforward in 95.23% of cases, with complications occurring in 4.76%. Conclusion: Anal suppuration remains by far the most frequent proctological disease in our practice. They constitute a real public health problem because they are underestimated in the African population due to socio-cultural factors. Diagnosis is essentially clinical and treatment is surgical.
{"title":"Epidemiology and Management of Anal Suppuration at the Donka National Hospital, Chu De Conakry, Guinea","authors":"Diallo Aa, Camara Fl, Diakité Sy, Koundouno Am, Sylla A, Baldé Tm, Sylla H, Barry Aa, T. I, Soromou G, Diallo B","doi":"10.52916/jmrs244141","DOIUrl":"https://doi.org/10.52916/jmrs244141","url":null,"abstract":"Introduction: Anal suppurations (fistula and abscess) correspond to two progressive phases of the same disease, characterised by an infection of cryptic origin in the anal canal. The objectives of this study were to determine the hospital frequency, to describe the clinical aspects and to determine the therapeutic modalities of anal suppurations in the department. Methodology: This was a one-year dynamic descriptive study of patients admitted to and operated on for anal suppuration in the Department of Visceral Surgery, Donka National Hospital, Conakry University Hospital. Results: Out of a total of 351 patients operated on, we recorded 21 cases of anal suppuration, i.e. 5.98%. Anal suppuration accounted for 45.65% of all proctological disorders. The average age was 43.09 years. There was a clear male predominance (95.23%) with a sex ratio of 20:1. The clinical picture was dominated by anal discharge and evidence of skin orifices. Retroviral serology, haemogram, HBsAg and blood glucose were performed in all patients. All patients were treated surgically. Post-operative management was straightforward in 95.23% of cases, with complications occurring in 4.76%. Conclusion: Anal suppuration remains by far the most frequent proctological disease in our practice. They constitute a real public health problem because they are underestimated in the African population due to socio-cultural factors. Diagnosis is essentially clinical and treatment is surgical.","PeriodicalId":503079,"journal":{"name":"Journal of Medical Research and Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141690300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: To determine the inter-observer agreement between resident and consultant radiologists in reporting emergency head CT scans. Materials and Methods: This descriptive cross-sectional retrospective study was performed in a tertiary care hospital Karachi from 1st October 2021 to 31st march 2022. Total of 111 number of patients of 18-70 years of age of either gender who underwent emergency Head CT scans were included. Patients who came for follow-up CT scans were excluded. CT findings were interpreted by the radiology resident on duty. Subsequently, these CT images were interpreted by a consultant radiologist, and the decision of both resident and faculty member CT was correlated for inter-observer agreement. Results: The mean age was 47.47 ± 14.20 years. The majority of the patients 46 (41.44%) were between 56 to 70 years of age. Out of these 111 patients, 72 (64.86%) were male and 39 (35.14%) were female with a ratio of 1.9:1. Discrepancy between resident and consultant radiologists in reporting emergency head CT scans is seen in 6 (5.41%) patients. Inter-observer agreement between resident and consultant radiologists in reporting emergency head CT scans was found to be 94.59% with a kappa “κ” value of 0.885 which showed a very strong agreement. Conclusion: This study concluded that little discrepancy was found in inter-observer agreement between the radiology residents and the faculty members for interpretation of CT images of Head.
{"title":"The Inter-Observer Agreement Between Resident and Consultant Radiologists in Reporting Emergency Head CT Scans","authors":"Yasrab Ismail, Sanobar Bughio, Najeeb Ahmed, Aqsa Munir, Fatma Qaiser, Afshan Sheikh","doi":"10.52916/jmrs244130","DOIUrl":"https://doi.org/10.52916/jmrs244130","url":null,"abstract":"Objectives: To determine the inter-observer agreement between resident and consultant radiologists in reporting emergency head CT scans. Materials and Methods: This descriptive cross-sectional retrospective study was performed in a tertiary care hospital Karachi from 1st October 2021 to 31st march 2022. Total of 111 number of patients of 18-70 years of age of either gender who underwent emergency Head CT scans were included. Patients who came for follow-up CT scans were excluded. CT findings were interpreted by the radiology resident on duty. Subsequently, these CT images were interpreted by a consultant radiologist, and the decision of both resident and faculty member CT was correlated for inter-observer agreement. Results: The mean age was 47.47 ± 14.20 years. The majority of the patients 46 (41.44%) were between 56 to 70 years of age. Out of these 111 patients, 72 (64.86%) were male and 39 (35.14%) were female with a ratio of 1.9:1. Discrepancy between resident and consultant radiologists in reporting emergency head CT scans is seen in 6 (5.41%) patients. Inter-observer agreement between resident and consultant radiologists in reporting emergency head CT scans was found to be 94.59% with a kappa “κ” value of 0.885 which showed a very strong agreement. Conclusion: This study concluded that little discrepancy was found in inter-observer agreement between the radiology residents and the faculty members for interpretation of CT images of Head.","PeriodicalId":503079,"journal":{"name":"Journal of Medical Research and Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140246160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Imran Qureshi, Ghazala Hamid, Jaweria Naqi, Hamed Sultan Albusaidi Hamed, Parmanand Nathani, Fatema Mohammed Khamis Al Sadairi, Sanobar Bughio, Tharaa Marhoon Almamari, Darryl James Arguelles, Fatima Said Albatashi, Hooria Hafeez, Mugilan Saminathan, Muath Salim Al Abri, Rajkumar Johnwilliams
Cerebellar tonsillar herniation, often associated with Chiari malformation, involves the downward displacement of the cerebellar tonsils below the foramen magnum. This condition can lead to significant complications due to the limited intracranial space within the rigid skull. Timely diagnosis is crucial given its potentially fatal nature, with brain structural displacement evident on imaging studies. We present a case of a 27-year-old female with continuous headaches and dizziness, diagnosed with tonsillar herniation through MRI revealing 16 mm of tonsillar descent without associated hydrocephalus or syrinx. Tonsillar herniation, characterized by inferior descent of the cerebellar tonsils, may be congenital or acquired, with measurements typically referenced from the McRae line to the displaced tonsil tip. Complications include brainstem compression, obstruction of cerebrospinal fluid flow, syringomyelia, impaired blood flow, and various neurological and psychological symptoms. Management options vary based on symptom severity and may involve observation, medication, or surgical intervention to alleviate compression and improve cerebrospinal fluid flow. Consultation with a neurologist or neurosurgeon is essential for comprehensive evaluation and tailored management plans aiming to relieve pressure on the brainstem and spinal cord in tonsillar herniation cases.
{"title":"Cerebellar Tonsillar Herniation an Incidental Finding in Asymptomatic Patient","authors":"Imran Qureshi, Ghazala Hamid, Jaweria Naqi, Hamed Sultan Albusaidi Hamed, Parmanand Nathani, Fatema Mohammed Khamis Al Sadairi, Sanobar Bughio, Tharaa Marhoon Almamari, Darryl James Arguelles, Fatima Said Albatashi, Hooria Hafeez, Mugilan Saminathan, Muath Salim Al Abri, Rajkumar Johnwilliams","doi":"10.52916/jmrs244128","DOIUrl":"https://doi.org/10.52916/jmrs244128","url":null,"abstract":"Cerebellar tonsillar herniation, often associated with Chiari malformation, involves the downward displacement of the cerebellar tonsils below the foramen magnum. This condition can lead to significant complications due to the limited intracranial space within the rigid skull. Timely diagnosis is crucial given its potentially fatal nature, with brain structural displacement evident on imaging studies. We present a case of a 27-year-old female with continuous headaches and dizziness, diagnosed with tonsillar herniation through MRI revealing 16 mm of tonsillar descent without associated hydrocephalus or syrinx. Tonsillar herniation, characterized by inferior descent of the cerebellar tonsils, may be congenital or acquired, with measurements typically referenced from the McRae line to the displaced tonsil tip. Complications include brainstem compression, obstruction of cerebrospinal fluid flow, syringomyelia, impaired blood flow, and various neurological and psychological symptoms. Management options vary based on symptom severity and may involve observation, medication, or surgical intervention to alleviate compression and improve cerebrospinal fluid flow. Consultation with a neurologist or neurosurgeon is essential for comprehensive evaluation and tailored management plans aiming to relieve pressure on the brainstem and spinal cord in tonsillar herniation cases.","PeriodicalId":503079,"journal":{"name":"Journal of Medical Research and Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140253986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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