Poster électronique

Apport de l'imagerie dans la tuberculose urogénitale : à propos de 32 cas
F. El Adraoui, H. Enneddam, M. El Moulattaf, N. El Idrissi, M. Ouali El Idrissi, Z. Dahami, I. Sarf, O. Essadki, A. Ousehal - Marrakech - Maroc
Congrès 2010
Résumé
Objectifs
La tuberculose urogénitale pose encore un problème de santé dans le monde entier. Le but de ce travail est d'illustrer l'intérêt de l'imagerie dans le diagnostic et le bilan de la tuberculose urogénitale.
Matériels et méthodes
Trente deux patients présentant une tuberculose urogénitale ont été colligés sur une période de 5 ans, ils ont tous bénéficié d'un bilan radiologique.
Résultats
Les patients étaient répartis en : 19 hommes et 13 femmes, dont l'âge moyen était de 45 ans. L'ASP a montré des calcifications dans 12,5%. L'UIV a montré une mutité rénale dans 25 % des cas, une urétérohydronéphrose dans 40 % des cas, une petite vessie dans 20 % des cas. L'échographie a montré un rein détruit dans 7,4% des cas, une hydronéphrose dans 66,6% des cas, un épaississement de la paroi vésicale avec réduction de la capacité vésicale dans 14,8% des cas et un nodule épididymaire dans 25,8% des cas. La TDM a permis une meilleure étude des lésions observées à l'échographie et à l'UIV.
Conclusion
L'imagerie est capitale dans le diagnostic et le bilan de la tuberculose urogénitale. L'UIV permet de faire un bilan lésionnel précis et l'uroscanner permet à la fois une étude morphologique et fonctionnelle.
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2011-04-23 22.11 :
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