Tuberculosis is a real public health problem. It is due to Mycobacterium tuberculosis, a bacterium with a strong pulmonary tropism. Extra-pulmonary forms represent 14% of all tuberculosis cases worldwide. Digestive damage represents 3% to 5%. The treatment of tuberculosis is well codified these days. A paradoxical reaction (PR) to anti-tuberculosis drugs is defined as worsening of pre-existing clinical or radiological lesions or the appearance of new lesions during anti-tuberculosis treatment. They are rarely described in the digestive system with an acute intestinal obstruction type. We report here a clinical case of a paradoxical reaction to the type of acute intestinal obstruction in an immunocompetent patient on anti-tuberculosis treatment. It was a 56-year-old male patient with no specific history, HIV-negative followed by pulmonology for bacteriologically confirmed pulmonary tuberculosis. He was put on Poly Chemotherapy (2ERHZ / 4RH). Progress under this treatment was marked by onset on day 35 of generalized abdominal pain associated with mechanical bowel obstruction with no fever. On admission to the surgical emergency room, besides abdominal pain, the patient presented bloating and bilious vomiting, abdominal meteorism and abdominal tympanism. The diagnosis of acute intestinal obstruction of the small intestine by obstruction of probable tuberculous etiology had been suggested and the patient operated on. During the operation, we had discovered dilated small intestine, multiple ileal and parieto-ileal adhesions with ileal strangulation 60 cm from the ileo-cecal junction, multiple granular micronodular lesions and mesenteric lymphadenopathy. Procudure included adhesions resection, biopsy of omentum and mesenteric lymphadenopathy The evolution was favorable and Histopathology analysis found images in favor of mycobacteriosis.

Introduction: In Benin colon cancer is the 3rd most common cancer in men after that of the prostate and liver and the 5th in women. The latest work on colon cancer in Benin goes back more than 10 years. It is therefore a question of updating information on colon cancer in Benin by describing them in their epidemiological, diagnostic and therapeutic aspects. Method: This is a retrospective study of colon cancers diagnosed in the Visceral Surgery department of the CNHU-HKM in Cotonou over a period of 7 years. Result: Cancers of the left colon with a predilection for the sigmoid colon are the most diagnosed in Benin. It is a pathology of the relatively young subject living in an urban environment. The main histological form is lieberkuhnian adenocarcinoma. 76% of these cancers are received at the stage of complications. Surgery is the cornerstone of treatment but is often palliative in our context of late consultation. Nevertheless, hospital mortality remains low and survival at 04 years is 60%.

This study aims to investigate the epidemiological profile of patients and the diagnostic and therapeutic contribution of emergency laparoscopy at the Centre Hospitalier Auxerre (CHA) in France. It’s a year-long descriptive retrospective study conducted at the Auxerre Hospital. Out of 1130 laparoscopies, 245 were emergencies, i.e., 21.68% of laparoscopies. The mean age of our study population was 37 ± 22.78 years with patients ranging from 3 to 93-year-old. The sex ratio was 0.96. The main indications for emergency laparoscopies at CHA were acute appendicitis (44.9%) followed by exploratory laparoscopies (18.8%). Eight percent (8%) of the emergency laparoscopies were later converted to laparotomies, for the following reasons: difficult exposure, multiple adhesions, intestinal dilatation, hypercapnia. Regarding the surgical procedures, an appendectomy was performed in 37.1% of cases whereas peritoneal lavage and drainage following appendectomy were performed cavity in 18.4% of cases. We highlight a laparoscopic transdiaphragmatic pericardial fenestration performed to drain pericardial effusion due to cardiac tamponade, an uncommon procedure even in western practice. The mean duration of the procedure was 53 ± 32.52 minutes, ranging from 11 minutes and 214 minutes. The low postoperative morbidity of 6.53% in our study is one of the undeniable advantages of the laparoscopic approach. The other advantage of laparoscopy is the shortened hospital stay, even in the context of an abdominal emergency. Ample evidence of this is the average hospital stay of 5±5.4 days with 60.4% of patients spending less than 5 days in the hospital.