[Diagnosis of a cutaneous endometriosis decidualised and fistualized during pregnancy]. / Diagnostic d'une endométriose cutanée, décidualisée et fistulisée au cours d'une grossesse.

A case of a decidualized and fistulized cutaneous endometriosis has been observed in the obstretrical and gynecological department of the Yalgado-Ouédraogo national hospital. The patient was a 3-year-old pregnant woman in her third pregnancy primipara, without any surviving child, who presented with a large scabby exulcerated plaque on an hyperpigmented lesion, associated with para umbilical. The patient underwent 12 years earlier a laparotomy for peritonitis worsened with parietal suppuration, then by rupture. The lesion has made the diagnosis difficult and the histologist concluded that it was a decidualised cutaneous endometriosis. Based on this observation, the first one until now, the authors have made a publication on the case.

[Difficulties in quality of health evaluations in the context of an African hospital: experience of the Gynecology-Obstetrics Department of the National Hospital Center of Ouagadougou,Burkina Faso]. / Difficultés de l'évaluation de la qualité des soins dans un contexte d'hopital africain: l'expérience du Service de Gynécologie Obstétrique du Centre Hospitalier National de Ouagadougou, Burkina Faso.

The quality of medical care was studied in the gyneco-obstetrical department of the National Hospital Center of Ouagadougou, Burkina Faso. Evaluation covered not only facilities, procedures and results, but also patient satisfaction using standardized criteria. The results showed an apparent contradiction between poor facilities and high maternal and prenatal mortality rate on the one hand and proper use of procedures and good patient satisfaction on the other. Installation of a computerized medical record system should allow continuous monitoring of the quality of care in the context of a sub-Saharan hospital by providing ready access to simple standardized indicators especially of maternal and prenatal mortality.