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%.

Introduction: Duodenal or gastric ulcer perforations constitute a medical and surgical emergency. Purpose: Expose its epidemiological, diagnostic and therapeutic aspects. Method: About a retrospective study from January 1st 2006 to March 31st, 2012 in visceral surgery at CNHU of Cotonou, records of 86 cases of duodenal or gastric ulcer perforation were analyzed. Results: On average 13.8 cases / year, perforation of peptic ulcer was the most etiological cause of acute generalized peritonitis (25.7%). The average age was 34.2 years, the sex ratio of 16.2. Average admission stay was 6 days and it was observed: undocumented epigastralgia (42cas; 48.8%), no pathological medical history (32 cases; 37.2%). Peritoneal syndrome was in 81 cases (94.2%). Abdomen radiography without preparation (71 patients / 86; 82.6%) showed a pneumoperitoneum (52 cases / 71; 77.6%). The treatment was nonoperative (2 cases / 86; 2.3%) with a favorable outcome. Surgical patients had duodenal perforation (49 cases / 84; 57%), gastric perforation (35 cases / 84; 43%). Suturing with or without other technical devices was achieved in all cases. Postoperative complications were present in 28.5% of cases and parietal abscesses were documented as a priority (14 cases / 84; 16.7%). Mortality rate was 4.7% (4/86) and the average hospital stay was 11.6 days. Conclusion: The perforations of peptic ulcer were common in young men. Clinical examination was especially helpful in the diagnosis by abdomen radiography without preparation. The treatment was medical and surgical and the outcome was mostly favorable.