[Diagnostic ultrasonographique d'une hernie inguino-labiale a contenu utero-ovarien. a propos d'une observation chez un nourrisson]. / Diagnostic ultrasonographique d'une hernie inguino-labiale a contenu utero-ovarien. a propos d'une observation chez un nourrisson.

Although indirect sliding inguinal hernias containing the ipsilateral ovary and fallopian tube are not uncommon in infant girls, those containing the uterus, ovary and fallopian tube are. We present the case of a 1-month-old girl with a palpable barely movable mass over the left labium major. Preoperative sonography was performed and revealed a hernia containing the uterus, ovary and fallopian tube. This diagnosis was confirmed during surgical correction. We suggest sonography be used for all diagnostic workup in female infants with an inguinal mass.

Bien que les hernies inguinales contenant l'ovaire homolatéral et la trompe soient relativement fréquentes chez la petite fille, celles contenant l'utérus, un ovaire et la trompe sont rares. Nous rapportons un cas chez une petite fille de 1 mois, né à terme présentant une masse peu mobile de la grande lèvre gauche. Une échographie réalisée a mis en évidence un sac herniaire contenant l'utérus, un ovaire et vraisemblablement la trompe ipsilatérale. Ce diagnostic a été confirmé durant l'opération. Nous suggérons que l'échographique soit mis à profit dans le diagnostic de toute formation inguinale de la petite fille.

[Foreign bodies of the esophagus: etiologic and therapeutic aspects. Experience at the CHU of Lomé (Togo)]. / Corps étrangers oesophagiens: aperçu étiologique et thérapeutique. Expérience du CHU de Lomé (Togo).

AIM: To give details of the management of esophageal foreign bodies (EFB) at our hospital. DESIGN: Retrospective case review. SETTING: ENT ward of Tokoin Teaching Hospital, Lome, Togo. PATIENTS: All 105 patients admitted to the hospital for ingestion of foreign bodies between January 1990 and December 1993. The outcome for each patient was determined by examining hospital records of demographic information, identification of the foreign body and the removal procedure used. RESULTS: EFBs accounted for 6.5% of all hospital admissions. The objects ingested included coins (59.0% of cases), particularly in 2 to 5 year-old children, fish bones (12.4%), meatballs, meat bones and dentures, particularly in adults. The foreign objects were mostly removed by esophagoscopy, but sharp objects required esophagotomy (2.9%). One patient died (0.9% of cases) due to mediastinitis caused by perforation of the esophagus by a chicken bone. CONCLUSION: Community health education programs, increasing awareness of household accidents might reduce the number of emergency hospital admissions for ingestion of foreign bodies.