No abstract

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

Introduction : La grossesse extra-utérine (GEU) est responsable d’une mortalité évitable. Le but de cette étude est de décrire la démarche diagnostique et thérapeutique de cette affection en zone rurale. Méthodologie : Il s’est agi d’une étude transversale descriptive menée à l’Hôpital de l’Ordre de Malte d’Elavagnon, et incluant les patientes prises en charge pour GEU du 1er Décembre 2019 au 31 Décembre 2020. Résultats : Vingt-et-huit cas ont été enregistrés avec un âge moyen de 27,7 ± 5,4 ans. Il s’agissait d’une GEU rompue dans tous les cas. Le diagnostic était essentiellement basé sur la clinique et le test de grossesse. Le traitement était chirurgical radical dans tous les cas. Le produit sanguin le plus utilisé était le sang total. Le pronostic était bon dans tous les cas. Conclusion : Le diagnostic de la GEU est essentiellement clinique et le traitement chirurgical en zone rurale.

Introduction : Ballistic trauma are responsible for variable multitissue lesions which management is different from the usual traumatology. The purpose of this study is to report the experience of Togo Level 2 Hospital of Kidal on ballistic trauma in operational zone in North Mali. Methodology : It was a retrospective descriptive and transversal study on 22 months, from November 1, 2015 to August 31, 2017 ; including projectiles injured admitted to the Togo Level 2 Hospital of Kidal. Results : One hundred and fifty-two injured including 149 men and 3 women were registered. The average age was 29.6 years (extremes : 19 years and 56 years). The soldiers were the most affected (92.8%). Shrapnel were the main lesion agents (73.7%). Soft tissue lesions were predominant (65.1%), followed by fractures (15.1%). Members were the most affected sites. The management consisted of the search and the correction of the vital distress, and the specific care of ballistic lesions. The outcome was favorable for 115 injured (75.6%). 21 injured (13.8%) were evacuated to a higher level hospital. 16 cases (10.5%) of death including 15 (9.8%) before admission were registered. Conclusion : The management of injured according to the priciples of war surgery conditions the prognosis.