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Superior Mesenteric Artery Syndrome: First Chadian Observation

Surgical Science 2017年第8期8卷 358-364页

作者： Choua Ouchemi Ali Mahamat Moussa Moussa Kalli Taday Moussa Telniaret Armel Sadie Ismael Guire sani rachid Service de Chirurgie Générale H&ocirc pital Général de Référence Nationale (HGRN) N’Djaména Tchad Service de Médecine Interne et Gastroentérologie H&ocirc pital Général de Référence Nationale (HGRN) N’Djaména Tchad Service de Radiologie H&ocirc pital Général de Référence Nationale (HGRN) N’Djaména Tchad Université Abdou Moumouni Niamey Niger

Introduction: The extrinsic compression of the third portion of the duodenum between the superior mesenteric artery and the aorta defines superior mesenteric artery syndrome. It determines an acute or chronic high intestinal obstruction pattern. We report the first observed case in Chad. Observation: HH was a 19 year-old woman with abdominal pain and intermittent postprandial vomiting since she was 5 years old. During last 11 months, post-prandial vomiting was more frequent, and non resolved after medical treatment. Unquantified weight loss was reported. Body mass index at hospitalization was 9.8. An injected abdominal scan demonstrated significant gastroduodenal distension, upstream of a stenosis of the third duodenal portion. Aorto-mesenteric space and angle were reduced. At laparotomy internal derivation by duodenojejunostomy was done. Postoperative situation was uneventful. Conclusion: Superior mesenteric artery syndrome determines an acute or chronic intestinal obstruction. Injected abdominal scan is fundamental for diagnosis. The treatment is firstly conservative but the need of surgery is common.

关键词： Superior Mesenteric Artery Syndrome Intestinal Obstruction Duodenojejunostomy Chad

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Non-Malformative Emergency Abdominal Surgery in Children Aged 0 - 5 Years

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Surgical Science 2021年第7期12卷 211-217页

作者： Lassey James Didier Harissou Adamou Oumarou Habou Ousseini Adakal Kadi Ide Younssa Hama Ibrahim Amadou Magagi Moussa Gagara Maman Bachir Abdoulaye rachid sani Department of Surgery and Surgical Specialties National Hospital of Niamey Faculty of Health Sciences of the UAM Niamey Niger Department of Surgery and Surgical Specialties Zinder National Hospital Faculty of Health Sciences of the University of Zinder Zinder Niger Department of Anesthesia Resuscitation and Emergencies Niamey National Hospital Niamey Niger Department of Surgery and Surgical Specialties Faculty of Health Sciences of the University of Maradi Niamey Niger

Childhood abdominal surgery emergencies are a major challenge and problematic for the surgeon. The objective is to assess the pattern of non-malformative emergency abdominal surgery in children under 5 years old and to evaluate their management. Patients and Methods: A retrospective study of children under five years of age operated between January 2015 and December 2019 who presented with non-malformative abdominal surgical emergency at the Niamey National Hospital. Results: We collected 327 patients aged 0 to 5 years who underwent surgery for abdominal emergency. The average age was 2.8 ± 0.7 years. Boys accounted for 70.64% (n = 231) of the cases. Non-traumatic emergencies accounted for 97% (n = 317) of the cases. They were dominated by peritonitis in 44.6% (n = 146) and strangulated hernia in 43.7% (n = 143). Peritonitis was attributed to ileal typhoid perforation in 85.61% (n = 125) cases. The strangulated hernias were umbilical at 87.41% (n = 125) and inguinal at 12.59% (n = 18). Abdominal trauma accounted for 3% (n = 10);including 6 cases of abdominal contusion and 4 cases of penetrating wound. Intestinal resection with or without stoma was performed in 28.44% (n = 93). Postoperative complications were observed in 8.5% (n = 28) of the cases and mortality was 5.5% (n = 18). Conclusion: Non-malformative emergency abdominal surgery for children under 5 years was dominated by peritonitis. The morbidity and mortality are high. Fight against disease due to dirty hands and fecal peril like such as typhoid fever will reduce their frequency, but also improve the prognosis.

关键词： Surgical Abdominal Emergencies—Peritonitis Child Prognosis Niger

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Outcomes of Thyroid Surgery at Niamey National Hospital

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Surgical Science 2021年第7期12卷 218-225页

作者： Lassey James Didier Maman Bachir Abdoulaye Ousseini Adakal Harissou Adamou Adama Saidou Ibrahim Amadou Magagi Kadi Idé Moussa Gagara Maarouf Malam Taher Sidibé rachid sani Department of Surgery and Surgical Specialties National Hospital of Niamey Faculty of Health Sciences of the University Abdou Moumouni Niamey Niger Department of Surgery and Surgical Specialties Faculty of Health Sciences of the University of Maradi Maradi Niger Department of Surgery and Surgical Specialties Zinder National Hospital Faculty of Health Sciences of the University of Zinder Zinder Niger Department of Anesthesia Intensive Care and Emergencies Niamey National Hospital Niamey Niger Maternity Issaka Gazobi Gynecology and Obstetrics Services Niamey Niger Radiology Department at Niamey National Hospital Niamey Niger

Introduction: Goiter is the most common endocrine disease in the world. The objective of our study is to assess and compare the morbidity linked to the surgical management of goiters and thyroid tumors in the general surgery department of the Niamey National Hospital. Result: We collected data on a prospective basis on 112 cases having undergone a thyroidectomy between March 2019 and April 2020. The female sex is predominant with 96.4%, i.e. a sex ratio of 0.037. The average age is 41.2 years with extremes ranging from 22 to 72 years old. The average duration of evolution of goiter is 7.5 years with extremes ranging from 5 months to 20 years old. The first reason for consultation is anterior cervical swelling. TSH testing confirmed euthyroidism in 107 patients (95.5%). Therapeutically, loboisthmectomy is the most performed procedure with 43.7%. The postoperative hormonal assessment revealed 32% hypothyroidism at 6 months, with a significant difference for cases of total thyroidectomy. The occurrence of postoperative hypocalcemia was significantly greater after total and subtotal thyroidectomy. There is no significant difference in terms of recurrent complications. Conclusion: Thyroidectomies must be performed after adequate preparation and information to the patient on possible postoperative complications, hence the need for close medical monitoring immediately and remotely.

关键词： Goiter Thyroidectomy Complications Niamey Niger

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Non-Malformative Emergency Abdominal Surgery in Children Aged 0 - 5 Years

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Surgical Science（外科学） 2021年第7期

作者： Lassey James Didier Harissou Adamou Oumarou Habou Ousseini Adakal Kadi Ide Younssa Hama Ibrahim Amadou Magagi Moussa Gagara Maman Bachir Abdoulaye rachid sani

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Outcomes of Thyroid Surgery at Niamey National Hospital

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Surgical Science（外科学） 2021年第7期

作者： Lassey James Didier Maman Bachir Abdoulaye Ousseini Adakal Harissou Adamou Adama Saidou Ibrahim Amadou Magagi KadiIdé Moussa Gagara Maarouf Malam Taher Sidibé rachid sani

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