Spontaneous bilateral ectopic gestation is very rare. The authors report a case diagnosed and taken care of at Yalgado Ouedraogo Teaching Hospital, Ouagadougou. It was a 30-year-old patient with no known pathological history. She had presented at the obstetric emergencies with a state of hypovolemic shock by haemoperitoneum with digestive disorders, pelvic pain, vaginal bleeding, and a mention of delayed menstruation. The ultrasound coupled with the urinary immunological pregnancy test confirmed the diagnosis of ruptured ectopic pregnancy and a bilateral form was suspected. A laparotomy in emergency confirmed the diagnosis of bilateral ectopic gestation with a right ampullary unruptured pregnancy and a left isthmic ruptured gestation. A bilateral salpingectomy was performed and counseling was made for the use of medical help of procreation in case of future need of pregnancy.

Objective: To study the sexual risk behaviors and their determining role in sexually transmissible infection (STI) and HIV among students of the University of Ouagadougou. Methodology: It was a descriptive and analytical single pass cross-sectional study from June 22 to July 21 2010 at the University of Ouagadougou. A cluster sampling in two stages was adopted to form a population of 762. Data were collected using a standardized written questionnaire completed by individual interview after informed consent. Results: The average age of students was 24.2 ± 2 years old for men and 23.7 ± 2 years old women. Singles represented 95.1% of students. The students were not scholarship grantees in 90.6% of the sample. Knowledge about STIs was average in 60.2% of cases. In total 33.65% of the students admitted to having had multiple sexual partners, 19.57% had sex with prostitutes, 34.62% had unprotected sex, 4% practiced sodomy without condoms and 3.1% of students had sex in group with one partner. In multivariate analysis, male gender was the determining factor associated with multiple sexual partner (OR = 3.30 95% CI = 2.19 to 4.95) and relations with prostitutes with an odds ratio of 16.13 (95 = 6.87% to 37.8%). The female gender was the determining factor associated with not using a condom with odds ratio of 1.5 (95% CI = 1.01 to 2.16). Conclusion: There are many risk behaviors for HIV transmission among students of the University of Ouagadougou. The urgent implementation of specific prevention programs to benefit this population is essential. * Corresponding author. C. M. R. Ouedraogo et al. 220 KeywordsRisks Sexual Behavior, Student, Ouagadougou

Aim: To report a case of bilateral tubal molar and embryonic pregnancy diagnosed and treated at the Yalgado Ouedraogo Teaching Hospital in Ouagadougou, Burkina Faso. Observation: It was an 18-year-old patient, G2P0 with no known pathological history. She was received in obstetric emergencies for suspicion of ectopic pregnancy in a two-month amenorrhea context. At the admission, the physical examination had found a sensitivity of the hypogastric region with a cry of the umbilicus and the bleeding. At pelvic ultrasound, the uterus was empty with a medium-abundance pelvic effusion and a left extra uterine mass. The initial rate of beta HCG was 5700 ml IU per ml. A framed laparotomy was carried out. The operative exploration has revealed a right tubal pregnancy cracked and a left unbroken tubal pregnancy. The diagnosis of a bilateral ectopic pregnancy was retained. A right salpingectomy and a left tubal caesarean section were carried out. Histological analysis confirmed the diagnosis of a left embryonic ectopic pregnancy associated with a right molar ectopic pregnancy. Conclusion: The systematic use of histological analysis for any extra uterine pregnancy treatment is required to not ignore an associated molar pregnancy.

Résumé Introduction Moodle est une plateforme interactive d’enseignement en ligne, un véritable amphithéâtre virtuel, supprimant les barrières géographiques et d’espaces, capable d’offrir un enseignement continu même en période de guerre ou de pandémie. But montrer la contribution possible de Moodle dans l’enseignement de la médecine en milieu tropical pour répondre aux grands nombres et aux situations de pandémie. Méthodologie Il s’est agi d’une enquête transversale et descriptive. Elle a été menée en juin 2019 à l’Université Joseph KI-ZERBO de Ouagadougou au Burkina Faso. Elle a consisté en un questionnaire soumis aux étudiants de master 1 de médecine et à des enseignants. L’enquête portait sur les solutions que les étudiants proposeraient pour améliorer leurs conditions d’apprentissage, au rôle que Moodle pourrait jouer dans l’amélioration de leur apprentissage, ainsi qu’aux préalables à résoudre avant l’adoption de Moodle. Le taux de répondant était de 75,6 % de l’ensemble de la promotion. Résultats Pour les étudiants Moodle est une bonne alternative à l’enseignement classique. Cependant des conditions préalables sont à remplir telles que le don d’ordinateur portable à chaque étudiant (90,3 %), la disponibilisation d’une bonne connexion à l’internet pour tous (96 %), leur formation préalable à l’utilisation de Moodle. Les étudiants ne trouvaient pas d’inconvénient pour leur évaluation en ligne via Moodle à condition qu’elle soit fiable et vérifiable en cas de besoin. Les enseignants dans 38 % souhaitaient que l’enseignement reste classique, présentiel contre 62 % qui préconisaient les nouvelles méthodes d’enseignement comme Moodle, pour peu que les conditions propices soient mises en place. Conclusion Moodle est un e-learning crédible pouvant faciliter la gestion des grands nombres et assurer la continuité des enseignements en situation de pandémie malgré les besoins de confinement. Cependant, il doit être une technique maîtrisée, appliquée sur un terrain préparé.

Background: The perilous path of the African woman's pregnancy often ends in difficult situations putting her life in danger. One of the solutions to save her is often to "remove" her uterus, in a hemorrhage and emergency context. It is the hemostasis hysterectomy. It's generally practiced in difficult conditions with complicated operative follow-ups. The tragedy is that finally the patient will die (almost 1 time out of 2 in our study). This is the sad reality of resource-limited countries. How many women will continue to die under these conditions? This study attempts to explore the different aspects of this reality. Objective: To study the epidemiological, clinical, and therapeutic aspects of hemostasis hysterectomies at the Teaching Hospital of Souro Sanou University Hospital in Burkina Faso. Methodology: This was a prospective cross-sectional descriptive study conducted over 12 months from January 1 to December 31, 2015. Included in our study were all patients received in our department and who required a total or subtotal hysterectomy in the management of a severe postpartum hemorrhage, during the study period. Results: The frequency of hemostasis hysterectomies was 0.4% compared to all deliveries. The average age was 29.65 years old. The average parity was 4.3. Multiparas and large multiparas accounted for 65%. The main indications were uterine rupture (40%) and uterine inertia (60%). Hysterectomy was subtotal in 95% of cases. Maternal morbidity was dominated in 90% of cases by hemorrhagic shock, hemostatic disorders, and obstetrical fistulas. The prognosis was poor, with 8 deaths or 40% of cases. Conclusion: Better management of pregnancy and childbirth