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

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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