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Usefulness of a Clinico-Biological Francois’Score in the Diagnosis of Acute Appendicitis:Experience of the University Hospital Center of Parakou,Benin

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Surgical Science 2018年第3期9卷 91-96页

作者： Montcho Adrien Hodonou Bio Tamou-Sambo Salako Alexandre Allode Roméo Romaric Gbédolo Djifid Morel Séto Selome Romaric Tobome moise francis dossou Dodji Emile Mensah Department of Surgery and Specialties Teaching HospitalMedicine SchoolUniversity of ParakouParakouBenin Saint John of God Hospital Center of Tanguieta TanguietaBenin Teaching Hospital of Porto-Novo Faculty of Health ScienceUniversity of Abomey CalaviCotonouBenin

Introduction: Diagnostic wanderings of acute appendicitis are responsible for serious complications or abusive appendectomies. Existing Clinico-biological scores are efficient. Objective: To determine the diagnostic efficiency of Fran?ois’ score in acute appendicitis. Methodology: over 10 months, all the patients admitted in the CHUD-Parakou Emergency Department for pain in the right iliac fossa had been examined by resident students who calculated Fran?ois’ score. After verification by the surgeon, patients were put into three categories: category 1 score ≥ 2;category 2, score between -6 and 2;category 3, score below -6. Sensitivity and specificity were calculated. Results: out of 54 patients selected (29 men and 25 women), 29 were classified as group 1;19 as group 2 and 6 as group 3. An ultrasound was performed in all patients in group 2, and signs in favor of appendicitis were found in 12 patients. Of the 41 appendicectomies performed, the histologic analysis of 33 operative specimens found a pathological appendix. Sensitivity, specificity and negative predictive value per group were 100%. It has prevented almost in one every four patients (24.07%) an abusive appendectomy. Conclusion: This score would reduce diagnostic wanderings and target patient groups for imaging studies.

关键词： Acute Appendicitis Francois Score Sensitivity Specificity Resource-Limited Countries

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Introduction of monkeypox virus in Benin,2022

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军事医学研究:英文版 2023年第4期10卷 572-574页

作者： Anges Yadouleton Martin Faye Carine Tchibozo Mariam Oke Oumar Faye Thierry Lawale Eric Denon RenéKeke Ange dossou Alban Zohoun francis dossou Moussa moise Diagne Sourakou Salifou Khadija Leila Diatta Mignane Ndiaye Safietou Sankhe Amadou Diallo Sonia Bedie Clément Glele-Kakai Al Fattah Onifade Raoul Saizonou Gildas Hounkanrin Olga Quenum Yvette Badou Benjamin Hounkpatin Amadou Alpha Sall Ousmane Faye Laboratoire des Fièvres Hémorragiques Virales(LFHV) Ministry of Health of Benin01-882CotonouBenin Ecole Normale Supérieure de Natitingou UniversitéNationale des SciencesTechnologiesIngénierie et Mathématiques(UNSTIM)2282GohoAbomeyCotonouBenin Virology Department Institut Pasteur de Dakar36 Avenue Pasteur220DakarSenegal Ministry of Health of Benin 01-882CotonouBenin National Public Health Laboratory Ministry of Health of Benin01-882CotonouBenin Epidemiology Clinical Research and Data Science DepartmentInstitut Pasteur de Dakar220DakarSenegal WHO Country Office in Benin Avenue CENSAD-Les Cocotiers01BP 918CotonouBenin

Dear Editor,Monkeypox is an infectious disease that is endemic in a dozen of African *** imported cases have been also reported outside of Africa in the past[1].Since early May 2022,monkeypox infections including human-to-human transmission,were reported in a multi-country outbreak in non-endemic countries and declared Public Health Emergency of International Concern(PHEIC)by the World Health Organization(WHO)in July 2022[2].As of 20 September 2022,a total of at least 62,798 human cases of monkeypox with 20 deaths have been confirmed in 115 countries in five WHO regions[3].

关键词： Monkeypox virus Introduction Human-to-human transmission Benin

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Voluntary Ingestion of a Cola Nut Stuck into the Esophagus: An Unusual Foreign Body (FB)

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Surgical Science 2016年第5期7卷 239-243页

作者： Ismaïl Lawani Dansou Gaspard Gbéssi Aboudou Raimi Kpossou Yacoubou Imorou Souaïbou Freddy H. R. Gnangnon francis Moïse dossou Delphin Kuassi Mehinto Jean-Léon Olory-Togbé General Surgery Unit CHUD/OP Porto-Novo Cotonou Bénin Visceral Surgery Unit “A” CNHU-HKM Cotonou Bénin Hepato-Gastroenterology Unit CNHU-HKM Cotonou Bénin Visceral Surgery Unit “B” CNHU-HKM Cotonou Bénin

The cola nut (Cola nitida), is a rare foreign body. Its voluntary ingestion, for ritual practices, is a situation of exceptional occurrence, and jamming it in the esophagus is a therapeutic emergency. Here, we report the case of an adult patient, with a cola nut measuring 3 cm in diameter swallowed for a ritual purpose, jammed at the bottom of his esophagus. A surgical extraction was performed by gastrostomy after a failed attempt of endoscopic extraction. There ensued a complication of a left-esophageal fistula. The various aspects of this case are analyzed in the light of the literature review.

关键词： Foreign Body Esophagus Cola Nut Gastrostomy

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Management of Breast Cancer in Visceral Surgery of CNHU-HKM of Cotonou in Benin

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Surgical Science 2016年第3期7卷 170-176页

作者： Dansou Gaspard Gbessi Ismail Lawani Chrystelle Tawo-Nounagnon francis Moïse dossou Yacoubou Imorou Souaïbou Delphin Kuassi Mehinto Jean-Léon Olory-Togbe Kémoko Osséni Bagnan Nazaire Padonou Visceral Surgery A CNHU-HKM Cotonou Benin General Surgery CHDU-OP of Porto-Novo Porto-Novo Benin Visceral Surgery B CNHU-HKM of Cotonou Cotonou Benin

Breast cancer affects more females than males. It occurs earlier with the black females and is often diagnosed at a stage of complication. This study aims to describe its epidemiological characteristics, the changing stages, and to analyze the treatment and means of interdisciplinary and international cooperation in its care and treatment. Our study was retrospective, descriptive and analytic on breast cancer patients received at CNHU-HKM of Cotonou between January 1, 2001 and December 31, 2013. Breast cancer accounts for 24.24% of mammary pathologies and most affects the left breast. Females aged from 40 to 59 years old are the most affected. For males, the average age was 47.5 years old. Patients mostly consult at a later stage where the tumor is already palpable with nodal metastasis. Breast echography and mammography had been done only for 23.85% of the cases. In an anatomical pathology perspective, the invasive ductal carcinoma was the most common type with 87.2%. For the therapeutical aspect, a radical mastectomy according to Patey was realized in 81.65% of the cases;48.65% underwent a chemotherapy and 14.7% were able to do a radiotherapy. The chance at life for patients was decreasing while the life time is increasing. Also, the average life span of patients was increased by the combination of diverse types of treatments notably when radiotherapy is done. The incidence of breast cancers in Visceral Surgery A and B department of CNHU-HKM-Cotonou is increasing over years.

关键词： Cancer Breast Epidemiology Stage Diagnosis Chemotherapy Radiotherapy

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