Santé (Montrouge, France)
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Santé (Montrouge, France) · Apr 2001
Case Reports[Pneumatosis cystoides intestinalis: the first case in Congo].
We report the first congolese case of intestinal cystic pneumatosis diagnosis at a patient of 64 years who was hospitalized for a glairo-sanguinolent diarrhea, of diffuse abdominal pains and meteorism. Diagnosis was confirmed by the coloscopy which showed polypoïdes formings to fine, translucent walls, depressibles, and for intestinal opacification which showed parietales incomplete images of the left colonist. Evolution was favorable under metronidazol and ciprofloxacin. The coloscopy of control did not find a recurrence.
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Santé (Montrouge, France) · Apr 2001
[Acute appendicitis at the National University Hospital in Bangui, Central African Republic: epidemiologic, clinical, paraclinical and therapeutic aspects].
We carried out a retrospective study to analyse clinical, paraclinical and therapeutic aspects of acute appendicitis cases as the National University Hospital (CNHU) at Bangui in the Central African Republic. We compared our findings with those for other African countries and for industrialized countries. From September 15 1990 to February 15 1992, 285 patients underwent laparotomy to treat acute appendicitis. ⋯ Efficient examinations for the exploration of acute nonspecific abdominal pain, such as the measurement of inflammation indicators, particularly serum activated protein C levels, graded-compression ultrasound scans and celioscopy, should be made available in the hospitals of African countries to increase the precision of diagnosis and to decrease the still too high frequency of appendectomies performed on principle. The postoperative mortality rate at the CNHU of Bangui is higher than the low rates (0.1 to 0.25%) reported for industrialized countries but is close to those reported for African countries. This high rate of mortality results partly from the lateness of consultations, because patients in tropical Africa often consult a traditional healer before resorting to modern medicine, and partly from misdiagnoses.