Results of Management in Emergency of the Colic Cancer about 4 Cases in Sub-Saharan Africa

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Résumé

Introduction: Colon cancer is the most common of the digestive tract. It is the second cause of cancer in women
and the third cause in men, it conventionally concerns the patients of more than 60 years; it is pauci symptomatic,
but can be revealed during a digestive surgical emergency, posing the problem of its management and its prognosis
particularly in poor areas such as sub-Saharan Africa.
Patients and methods: It was cases study of patients operated in emergency in the year 2016 for histologically
confirmed colonic tumor.
Results: Four cases of colonic tumors were histologically confirmed; they were 3 men and 1 woman with an
average age of 42.5 year-old. The clinical expression was acute generalized peritonitis with 2 cases and acute
intestinal occlusion with 2 cases. The follow-up post-operative was simple with 3 cases; a postoperative
complication was noted in 1 patient and his death occurred secondarily.
Conclusion: Colon cancer is a redoubtable disease; it is not only limited to the elderly patients; the young person
is also a susceptible population suffered colon cancer in poor areas. It is paucisymptomatic and its treatment
remains a major preoccupation in sub-Saharan Africa, In view of the financial and geographical inaccessibility to
chemotherapy.

Mots-clés

Colic cancer; Occlusive syndrome; Hartmann procedure