[Ano-rectal injuries in civilian practice in Cameroon. 10 case reports].
At the Central Hospital of Yaoundé, Cameroon, 10 ano-rectal injuries were treated over a period of 5 years. There were the same number of men and women and all patients were young (range: 7 to 35 years). The cause was illegal abortion in 2 cases and impalement following a fall from a tree in 3. The time lapse between injury and treatment was longer than 24 hours in 5 patients. In 2 cases the lesions were minor and simple debridement was possible. In the remaining 8 cases, construction of a colostomy was required using either the Hartmann terminal-type technique (n = 5) or the exclusion technique (n = 3). Three patients died: one from traumatic shock and two from septic shock. Complications were observed in 4 patients: 2 infections and 2 mechanical complications. Two patients presented permanent sequels including one with partial fecal incontinence. This study confirms the difficulty in management of ano-rectal injuries with limited facilities and reveals the variety of situations that can lead to these injuries especially in children in Africa.
Yao
J G
JG
Service de Chirurgie Viscérale, l'Hôpital Central de Yaoundé, Cameroun.
Masso-Misse
P
P
Malonga
E
E
D000293:Adolescent; D000328:Adult; D001003:Anal Canal / Q000293:injuries; D002163:Cameroon; D002423:Cause of Death; D002648:Child; D003125:Colostomy; D003646:Debridement; D005242:Fecal Incontinence / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D011159:Population Surveillance; D011331:Private Practice; D012007:Rectum / Q000293:injuries*; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D014947:Wounds and Injuries / Q000150:complications / Q000453:epidemiology / Q000209:etiology / Q000601:surgery
Les plaies ano-rectales en pratique civile camerounaise. A propos de 10 cas.