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Miliary abscess of the liver represents a rare presentation of multiple liver abscesses. They often occur in immunosuppressed patients, or those with underlying liver disease. We report the case of a 22-year-old patient, without known immunodeficiency factors, surgical history or notion of tuberculous contacts, who was admitted for generalized peritonitis and ileal perforation. An ileostomy was performed. The infectious syndrome persisted in post-operative period, associated with painful hepatomegaly. An contrast-enhanced abdominal CT scan led to the diagnosis of miliary abscess of the liver. A blood culture isolated Escherichia coli. The treatment included antibiotics and the clinical evolution was favorable. The follow-up abdominal CT scan was normal. Intestinal continuity was restored without complications. Miliary abscess of the liver is rare and requires rapid diagnosis. The treatment is based on antibiotic therapy.

Background: This paper focuses on describing the epidemilogical, lesional, and therapeutic aspects of abdomen and perineum bull horn trauma at Regional Hospital of Dapaong. Methodology: It is a descriptive retrospective study, which includes patients treated for abdomen and perineum bullhorn trauma, in the surgery department of Regional Hospital of Dapaong from January 2016 to December 2018 (3 years). Results: 34 patients were treated for abdominal and perineal bullhorn injuries. They comprised of 31 men and 3 women, with an average age of 18.47 ± 16.14 years old (extremes: 6 and 70 years old). They were mainly less than 15 years old and were herd guards. The lesion report noted 9 cases of abdominal blunt trauma, 22 cases of abdominal wounds including 19 cases of penetrating wounds, and 3 cases of perineal wounds including 1 case of associated rectal lesion. Visceral lesions were varied and often associated. The care was mainly surgical. The