Aspects Épidémiologiques, Diagnostiques Et Thérapeutiques Des Traumatismes Abdominaux À Bembéréké-Nord Bénin

Abstract

Objective: describe the epidemiological, diagnostic aspects and therapeutic approaches at Bembereke in northern Benin. Patients and methods: all victims of abdominal trauma received in the department of surgery between 1 st January 2010 and 30 July 2013 and with complete records were included in this retrospective study. Results: The abdominal trauma accounted for 1.1% of hospitalization and 10% of abdominal emergencies. The average age of patients was 28.04 ± 22.25 years with extremes of 02 and 67 years. The sex ratio equaled to 7.17. Half of the patients were children under 15 years. The first three circumstances abdominal trauma was road traffic accidents 31 (31.63%) cases, animal aggression 27 (27.55%) cases and falls from a tree 14 (14,29%) cases. Contusions were found in 73 (74.50%) cases and wounds in 25 (25.50%) cases. Fifty four (55.10%) laparotomy were performed. The rate of white laparotomy is 5.55% with 3 cases. The spleen was the most affected organ (15%) followed by small bowel (13%). Morbidity was 8.16% dominated by parietal suppuration. The rate of mortality was 2.04%. Mean hospital stay was 10.7 days. Conclusion: abdominal trauma interested young adult male in northern Benin. Road traffic accidents and animal injuries were the leading causes

Diagnosis and Treatment of Digestive Emergencies in Two Hospitals in Douala (Cameroon)

“…88.9% of cases. This rate remains lower than that of certain authors such as Sambo with 17/18 splenectomies (94.44%) [32]. These rates may be further reduced if radiological monitoring could be systematic because cases of spontaneous healing of major splenic lesions are contacted [33] [34].…”

Traumatismes de L’Abdomen et du Périnée par Encornements de Bœufs au Centre Hospitalier Régional de Dapaong, Togo

“…En effet, Maske et collaborateurs (Maske, 2016) en Inde rapportaient une proportion de 8%. Pour Sambo et collaborateurs (Sambo, 2016) au Benin, les agressions de boeufs représentaient 27,5% des causes de traumatismes abdominaux. Cette différence pourrait s'expliquer par le fait que cette étude a été réalisée dans une région où l'agriculture et l'élevage des boeufs occupent une place importante dans la vie des populations.…”

Contribution of EFAST Ultrasound in the Management of Chest and Abdomen’s Blunt Trauma in the City of Parakou, Benin

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“…In black Africa particularly, the management of chest and abdomen trauma remains a real challenge. The diagnosis of thoracic and abdominal lesions, which has become easy thanks to the development of medical imaging (ultrasound and computed tomography), is further reduced to the simple performance of a standard X-ray and an ultrasound in only 20% to 30% of cases [21] [22] [23]. In this context, puncture lavage of the peritoneum (PLP) is often the first resort in a suspected intra-abdominal lesion [24].…”