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Massive Epistaxis Revealing a Post-Traumatic Aneurysm of the Internal carotid Artery: A clinical case and Review of the literature

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International Journal of Otolaryngology and Head & Neck Surgery 2024年第2期13卷 120-125页

作者： Yannick Mossus Maguy Mbede Roger Meva’a biouélé leonel Atanga Adèle-Rose Ngo Nyeki Pierre Ongolo Zogo François Djomou Alexis Ndjolo Department of Ophthalmology ENT and Stomatology Faculty of Medicine and Biomedical Sciences University of Yaoundé 1 Yaoundé Cameroon Department of Medical Imaging Faculty of Medicine and Biomedical Sciences University of Yaoundé 1 Yaoundé Cameroon

Internal carotid artery (IcA) aneurysms are an unusual but serious cause of epistaxis. This epistaxis is massive and sometimes uncontrollable threatening the vital prognosis of patients. We report the case of a 16-year-old adolescent received in emergency with severe bilateral epistaxis, asthenia and grade-3 left exophthalmos. In his history, the subject had been the victim of an assault six months before consultation. He had received blows on the cephalic extremity with light but repeated epistaxis. The treatment consisted to blood products transfusion and local compression by sterile gazes. An IcA aneurysm in sphenoid sinus has been confirmed in a craniofacial cT scan coupled to vascular opacification. Although the IcA has a variable course in contact with the sphenoid sinus, massive epistaxis would be the consequence of a pronounced dehiscence of the IcA in the sphenoid sinus, particularly in a traumatic context. In front of this type of epistaxis in our context, general practitioners must be able to suspect a ruptured IcA aneurysm in the presence of exophthalmos and a notion of old or recent cranio-encephalic injury. Additionally, due to the high morbidity and mortality of this condition, a monitoring algorithm is necessary for patients with head trauma to facilitate early detection.

关键词： Aneurysm Internal carotid Artery Head Trauma Epistaxis

A Fatal Arterio-Tracheal Fistula Post-Tracheostomy: A case Report in a Sub-Saharan Setting

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International Journal of Otolaryngology and Head & Neck Surgery 2022年第5期11卷 277-282页

作者： Yannick Mossus Douglas Banga Nkomo Serge Rowling’s Ngouatna lutresse Thome Roger christian Meva’a biouélé leonel christophe Atanga Adèle-Rose Ngo Nyeki David Mindja Eko François Djomou Alexis Ndjolo ENT Surgeon Department of Ophthalmology ENT and Stomatology Faculty of Medicine and Biomedical Sciences of University of Yaoundé Yaoundé Cameroon Thoracic Surgeon Department of Surgery and Specialties Faculty of Medicine and Pharmaceutical Sciences of University of Dschang Dschang Cameroon Anesthesiologist Resuscitator Department of Surgery and Specialties Faculty of Medicine and Biomedical Sciences of University of Yaoundé Yaoundé Cameroon

Fatal bleeding in patients with tracheostomy is an uncommon incident, in the order of 0.1% to 1% of cases. It is secondary in 70% of cases to the innominate artery fistula in the tracheal lumen. The fistula is generally created after the necrosis of tracheal rings. The incriminated factors are the type of cannula used, the site of tracheal opening below the 3rd tracheal ring, tracheal infections and the proximity of the innominate artery to the tracheal axis. The outcome of this incident is fatal in most cases. We report the case of a 59-year-old patient with a tracheostomy on the 11th day of his admission to intensive care for severe head trauma secondary to a road accident. On the 22nd day of his admission, the occurrence of a cataclysmic and fatal haemorrhage through the tracheostomy tube evoked an arterio-tracheal fistula of the innominate artery.

关键词： Arterio-Tracheal Fistula Innominate Artery Tracheostomy Sub-Saharan Setting case Report

Placental Abruption Following Snakebites Envenomation: A case Report and literature Review

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Open Journal of Obstetrics and Gynecology 2023年第2期13卷 247-251页

作者： Kossi Edem logbo-Akey Kignomon Bingo M’bortche Pierre Yendoubé Kambote Solim biou Djato Kibandou Noe Patidi Dédé Régine Diane Ajavon Abdoul-Samadou Aboubakari Department of Gynecology and Obstetrics of the University Hospital of Kara University of Kara Kara Togo Togolese Association for Family Welfare (ATBEF) clinic University of Lomé Lomé Togo Department of Gynecology and Obstetrics of the Regional Hospital center of Tsévié University of Lomé Lomé Togo Department of Gynecology and Obstetrics of the University Hospital Sylvanus Olympio University of Lomé Lomé Togo Department of Gynecology and Obstetrics of the Regional Hospital center of Tomdé University of Kara Kara Togo

Background: Snakebite envenomation in pregnancy is uncommon. It can lead to a poor outcome in both the mother and the fetus. We describe our approach to envenomation in pregnancy based on the currently available evidence. case: We reported two case of snakebite in the third trimester of pregnancy having caused placental abruption with expelling a fresh still born baby and a live baby. In both cases, consumption coagulopathy occurred. managed by polyvalent anti-snake and blood transfusion. Their investigations became normal and they were discharged of hospitalization. conclusion: Snakebite envenomation in pregnant is a maternal and fetal emergency. Treatment must be quick and well adapted.

关键词： Snake Bite Dic Pregnancy Abruption Placenta Intra-Uterine Demise

Treatment of Precancerous lesions of the cervix of the Uterus by leep: Experience of the Principal clinic of the Togolese Association of Family Well-Being Planning center (ATBEF)

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Open Journal of Obstetrics and Gynecology 2021年第12期11卷 1675-1684页

作者： Bingo Kignomon M’bortche Baguilane Douaguibe Kossi Edem logbo-Akey Dédé Regina Ajavon Tina Ayoko Ketevi Ketevi Solim-biou Djato Francis Baramna-Bagou Abdoul-Samadou Aboubakari Koffi Akpadza clinique Principale de l’Association Togolaise Pour le Bien-Etre Familial (ATBEF) Lomé Togo Service de Gynécologie-Obstétrique du cHU Sylvanus Olympio Lomé Togo Service de Gynécologie-Obstétrique du cHU Kara Kara Togo Service de Gynécologie-Obstétrique du cHR Tsévié Tsévié Togo

Objectives: Describe the socio-demographic characteristics, describe the main indications for lEEP and present the main complications. Methodology: This was a cross-sectional and descriptive study with consecutive rec... 详细信息

Objectives: Describe the socio-demographic characteristics, describe the main indications for LEEP and present the main complications. Methodology: This was a cross-sectional and descriptive study with consecutive recruitment of the study population through cervical cancer screening campaigns throughout the country during the period July 1, 2017 to April 30, 2019. Included were all patients eligible for LEEP and having benefited from this therapeutic method during our study period. Data were collected from a registry and recorded on a questionnaire developed for this study. These data were analyzed using Epi info 3.5.1 software. The following parameters were studied: patient age, indication for LEEP, intraoperative and postoperative complications, histological examination of the specimens, and postoperative surveillance and screening follow-up one year after LEEP. Results: During the study period, 12,595 women were screened for precancerous cervical lesions. A total of 474 women had precancerous lesions. Of these women, 227 had undergone loop resection, a rate of 47.9%. The main indications for LEEP were extensive lesions (68.7%), lesions penetrating the internal cervical os (12.8%). Incidents occurred in 7.5% of patients during the procedure. Post-operative complications occurred in 14.7% of cases. Conclusion: le="font-family:Verdana;">lEEP is a better way to treat precancerous lesions but is not well known by medical staff. The equipment of health fa

关键词： Precancerous lesions cervical cancer lEEP

Placental Abruption Following Snakebites Envenomation: A case Report and literature Review

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