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      Strangulation du colon sigmoïdien par un testicule ectopique géant Translated title: Strangulation of the sigmoid colon by a giant ectopic testis

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          Abstract

          Les causes de volvulus du colon sigmoïde sont variées et parmi elles la strangulation est des plus fréquentes dans notre contexte d’exercice. Les lésions vues tard permettent très rarement un traitement sans résection. La survenue d’un volvulus du colon sigmoïde autour d’un pédicule de testicule géant ectopique est une première que nous rapportons dans cette étude de cas.

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          Undescended testis: the effect of treatment on subsequent risk of subfertility and malignancy.

          The literature was reviewed for information on the long-term effects of cryptorchidism on fertility and cancer incidence. In unilateral cryptorchidism, treatment policies of orchidopexy alone, or of human chorionic gonadotrophin (hCG) therapy followed, if necessary, by orchidopexy, have resulted in similar levels of reduced fertility (15% azoospermia, and an additional 30% oligospermia, ie, sperm count less than 20 X 10(6)/mL). Very similar results were observed in unilateral cryptorchid men who had had no treatment (and were still cryptorchid at semen examination). In contrast, no untreated bilaterally cryptorchid men have normal fertility (sperm count greater than 20 X 10(6)/mL), whereas of those treated, a quarter have normal fertility. In some series, as many as half of the bilateral cryptorchid testes descended following hormonal treatment; a finding that could be attributed, at least in part, to the frequent difficulty in deciding on clinical examination, whether these testes are truly cryptorchid. There is little evidence that operation early rather than late within the age range of 4 to 14 years has any effect on subsequent fertility. Histologic studies suggest that orchidopexy should be carried out before age 2, but there are almost no follow-up data with which to evaluate the results of early operation. Since there is evidence that orchidopexy may result in testicular atrophy in a small proportion of cases, a trial of luteinizing hormone-releasing hormone (LHRH) may be advisable. There is little information available concerning the effect of age at orchidopexy on the subsequent risk of testicular cancer. Testes that cannot be brought into the scrotum should be excised.
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            [Volvulus of the sigmoid colon. Emergency resection and anastomosis].

            Eleven cases of sigmoid volvulus in patients aged 76 years in average, without visible signs of necrosis on endoscopy, are reported. All patients were treated within 6 to 48 hours by colic resection and immediate restoration of continuity with a mechanical anastomosis. Morbidity was low, including one case of evisceration and one of pneumonia, and there was no mortality after three months. Early resection seems to prevent the risks of necrosis and recurrence, and to have a good prognosis for survival.
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              Les occlusions intestinales: principales causes et morbi-mortalité à l’hôpital National de Niamey Niger - Etude prospective à propos de 124 cas

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                Author and article information

                Journal
                Pan Afr Med J
                Pan Afr Med J
                PAMJ
                The Pan African Medical Journal
                The African Field Epidemiology Network
                1937-8688
                28 March 2012
                2012
                : 11
                : 60
                Affiliations
                [1 ]Service de chirurgie A, hôpital du POINT G Bamako, Mali
                [2 ]Service d’urologie, hôpital du POINT G Bamako, Mali
                [3 ]Service d’anatomopathologie, hôpital du POINT G, Bamako, Mali
                [4 ]Service d’anesthésie et réanimation, hôpital du POINT G Bamako, Mali
                Author notes
                [& ]Corresponding author: Zimogo Sanogo, Hôpital du POINT G, Bamako, BP 333, Mali
                Article
                PAMJ-11-60
                3343688
                22593796
                fe530c0f-4ff8-4d06-a77c-c88fe6a8b381
                © Zimogo Sanogo et al.

                The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 24 February 2012
                : 21 March 2012
                Categories
                Case Report

                Medicine
                volvulus,colon sigmoïde,cryptorchidie,testicule,mali
                Medicine
                volvulus, colon sigmoïde, cryptorchidie, testicule, mali

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