Introduction: Menopause is poorly documented in Africa. For most of the women living there, the experience of this period does not seem to be very problematic. For women living in rural areas, other concerns are more prominent. Methods: The study was prospective, quantitative and qualitative about 500 cases collected over a period of 6 months. The study involved postmenopausal women in the Niamey region of public services, in certain residential areas, or accompanying people in health structures. Parameters taken into account were sociocultural, antecedents, experience, knowledge, and management of menopause. The data was entered and analyzed using Microsoft Office Word 2010 and Microsoft Office Excel 2010 software. Results: The average age was 56.4 years with extremes of 40 and 80 years; 57% were still living with their husbands and 39% widows; 60.2% housewives; 53% uneducated, 17% have higher education; 60.2% had had at least 6 children and 39.6% had used contraception. The comorbidities observed were arterial hypertension (24.4%) and diabetes (7%). As for the representation that women made of menopause, for all of them, this stage is the beginning of old age. The most frequent signs were asthenia (86.2%) and mood disorders (70.6%). Almost all of the patients (99.8%) had not used hormonal treatment for the menopause and among them 27% the management of the menopause was with traditional means. Conclusion: Menopausal disorders are certainly a reality in our socio-cultural context. They are not a primary concern either through ignorance or resignation of the women concerned.

Foreign body retained for long duration sometimes causes vesico-vaginal and recto-vaginal fistula. We report a 60-year-old woman with vaginal foreign body causing vesico-vaginal and recto-vaginal fistula; she died after foreign body removal due to septic shock. The patient had vaginal purulent discharge, abdominal pain, and a septic shock. A fragment of stone (limestone) was present in the vagina, which was removed. The patient developed urinary incontinence and fecal incontinence after removal of the foreign body. The examination demonstrated the presence of vesico-vaginal and recto-vaginal fistula. The patient died four days after removal of the foreign body due to septic shock and multi-visceral failure. During the extraction foreign body, bacteria could be disseminated into the systemic circulation and might cause septic shock. Thus, wide-spectrum antibiotic therapy must be used before the procedure, which may decrease the chance of septic shock.

Introduction l´objectif de cette étude était de déterminer la fréquence et d´évaluer le pronostic maternel et périnatal lors de la grossesse suivi de l´accouchement chez les élèves mineures mariées, dans la ville de Niamey. Méthodes: c´était une étude cas-témoin des gestantes et parturientes de janvier 2018 au 31 décembre 2018 à la Maternité Issaka Gazobi de Niamey. Les élèves mineures (<18 ans) ont été comparées aux élèves âgées de 18-27 ans. Les paramètres sociodémographiques maternels, la morbi-mortalité maternelle et périnatale ont été analysées. Les statistiques usuelles et la régression logistique ont été utilisées pour analyser les résultats. Le seuil de signification a été fixé à une valeur de P-value (p<0,05). Résultats la fréquence d´accouchement chez les élèves mineures était de 3,06%. Les mineures étaient plus assidues au suivi prénatal (46,7% vs 41,9%). La césarienne (ORa=2 [1,0-3,0]), l´éclampsie (ORa=2 [1,0-4,4]), l´épisiotomie (ORa=2[1,2-1,8]) et la dépression néonatale (P<0,05 (10,6% vs 5,8%)) étaient plus élevés chez les mineures que chez les adultes. La mortalité périnatale était élevée dans les deux groupes. Conclusion nos résultats sont proches de ceux décrits dans d´autres études européennes et africaines. Les différences retrouvées pour les risques obstétricaux et périnatals semblent être liées aux facteurs sociodémographiques entourant ces gestantes mineures. Ces derniers devraient être pris en compte dans toute démarche de prévention des complications des grossesses chez les mineures.

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Adnexal torsion is defined by the existence of a partial or complete torsion of the ovary and a tubal portion around its vascular pedicle. It is a rare gynecological emergency. We report the case of adnexal torsion on a large postpartum ovarian cyst in a 40-year-old patient. The diagnosis was suspected based on clinical and ultrasound signs and confirmed by exploratory laparotomy. The appearance of the cyst was suggestive of a mucinous cystadenoma of the ovary. The treatment was radical by performing an adnexectomy. The surgical piece weighed 5.2 kg. The postoperative course was simple. Anatomopathological examination had not been carried out; the parents had buried the operating piece.