[Primary leiomyosarcoma of adrenal gland, in black African woman: diagnosis and therapeutically aspects]. / Léiomyosarcome primitif de la surrénale chez une noire africaine : aspects diagnostiques et thérapeutiques.

We report a bulky adrenal gland in black woman of 52 years old. This patient was submitted to surgery for resection of the mass. The histopathologic exam found primary leiomyosarcoma of adrenal gland. Beyond twelve month after adrenalectomy, the patient was alive without metastasis.

[Assessment of the cost of the curative treatment of myocardial infarction in the Abidjan Cardiology Institute]. / Evaluation du coût du traitement curatif de l'infarctus du myocarde à l'Institut de cardiologie d'Abidjan (ICA), Côte d'Ivoire.

We carried out an economical study on a period of four years from august 2001 to june 2005 in 100 patients with acute myocardial infarction admitted in the intensive care unit and in the medicine department of the Abidjan Cardiology institute. The aim of this study was to evaluate the total cost of an hospitalisation for myocardial infarction in a sub-saharan country. The average estimated cost was 944 481 F CFA (1439.7 euros) (range: 105,4237.7 euros) This cost was mainly explained by medical treatment with 324,996 F CFA, being 34.4% of the mean total cost followed by the cost of bedroom (300,200 F CFA (31.8%) and explorations costs (31.8%). 55% of our patients spent more than one million for the treatment. Neither the siege nor the appearance of left ventricular insufficiency had any incidence on the cost.