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Vesico-Vaginal and Recto-Vaginal Fistula and Death Caused by a Vaginal Foreign Body in a Body-Packer

Open Journal of Obstetrics and Gynecology 2022年第10期12卷 1056-1061页

作者： Hamidou Soumana Diaouga maimouna chaibou yacouba Madeleine Garba Rahamatou Nafiou Idi Madi Nayama Obstetrics and Gynecology Service Maternity Issaka Gazobi in Niamey Abdou Moumouni University Niamey Niger Obstetrics and Gynecology Service Niger-Turkey Friendship Hospital Abdou Moumouni University Niamey Niger Obstetrics and Gynecology Service Maternity of the Regional Hospital of Niamey Abdou Moumouni University Niamey Niger

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.

关键词： Vaginal Foreign Body Vaginal Discharge Vesicovaginal Fistula Rectovaginal Fistula

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Deep Vein Thrombosis Complicating SS Sickle Cell anemia in Pregnancy: About a Case Diagnosed at the Issaka Gazobi Maternity

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Open Journal of Blood Diseases 2021年第2期11卷 25-30页

作者： chaibou-yacouba maimouna Hamidou Soumana-Diaouga Amadou Djibrilla-Almoustapha Moctar Abdoulaye-Maliki Mansour Sidi-Mahamane Madeleine Garba-Rah Idi Nafiou Madi Nayama Issaka Gazobi Maternity Niamey Niger Science of Health Faculty Abdou Moumouni University of Niamey Niamey Niger Hematology Department of the Niamey National Hospital Niamey Niger Cardiology Department of the Niamey National Hospital Niamey Niger

Pregnancy in a sickle cell patient is a source of maternal and perinatal morbidities. Thromboembolic diseases of which Deep Vein Thrombosis (DVT) is one of the complications. The frequency of the latter is poorly assessed. Very few studies have been done on this topic. We report a case of DVT in a 35-year-old patient with sickle cell SS pregnant with 27SA diagnosed and cared for at the Maternity Issaka Gazobi (MIG) in Niamey. The management was based on low molecular weight heparin combined with preventive measures against sickle cell anemia and a planned cesarean section which led to a favorable maternal and perinatal prognosis.

关键词： DVT Sickle Cell Disease Gravido-Puerperalitis MIG Niamey

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