etiologiques des rectorragies chez l’adulte en milieu Africain : A propos de 85 cas colliges en 12 ans au Chu-Campus de Lome
AbstractPurpose: To count the aetiology of proctorrhagia in Lomé.
Methods: It is a retrospective study, over 12 years (1st January 1990-31 December 2001), realised from the reports of the coloscopy. It included the patients of the two sexes, old of more than 15 years, having presented a proctorrhagia explored by ano-rectoscopy and coloscopy.
Results: The proctorrhagia represent 38.72 % of the indications of the coloscopy. The patients from 24 to 45 years were reached (52.94 %). A male prevalence was found (sex-ratio: 2.4). Among the aetiology
found, the haemorrhoids more frequent (23.53 %) were followed by the non specific colitis (16.47 %), the ulcero-haemorrhage rectocolitis (15.29 %), the colon diverticulosis (10.58 %), the amoebic colitis (9.4%) and colorectal cancer (5.88 %). The haemorrhoids were associated with a non specific colitis (1 case), an ulcero-hemorrhagic rectocolitis (1 case), an amoebic colitis (1 case) and diverticulose colic (1 case). In 12 cases (14.12 %), no aetiology was found.
Conclusion: The haemorrhoids represent the most frequent aetiology of the proctorrhagia in Lomé; however their discovery in ano-rectoscopy should not exempt realisation of a complete coloscopy in the
search of other causes.