Jovanny Tsuala Fouogue
University of Yaoundé I
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Featured researches published by Jovanny Tsuala Fouogue.
The Pan African medical journal | 2014
Florent Ymele Fouelifack; Jovanny Tsuala Fouogue; Jeanne Hortence Fouedjio; Zacharie Sando
We herein report a case of abdominal pregnancy managed in Yaounde (Cameroon). The 33 year old G5P2022 woman was referred to our setting for management of an abdominal pregnancy of 34 weeks diagnosed during the first routine obstetrical ultrasonography done two days earlier. This ultrasonography revealed a live foetus within intestinal loops with a severe oligoamnios. After two days of lung maturation, laparotomy was carried out and the live male baby weighed 2 600 grammes. The placenta was left on its implantation sites: omentun, uterine fundus and intestinal loops. The mother did well post-operatively and the resorption of the placenta took 11 months. The newborn presented compression deformities and died three days later of respiratory distress. This case illustrates that intra-abdominal fetuses can reach viability. Though rare, abdominal pregnancy remains a threat to mothers. Practitioners should therefore know the traps in its management.
The Pan African medical journal | 2013
Florent Ymele Fouelifack; Jovanny Tsuala Fouogue; Jeanne Hortence Fouedjio; Zacharie Sando
Textiloma is the inadvertent retention of a textile foreign body on the surgical site. It is a rare complication of surgery but which carries severe consequences for both patients and surgeons in terms of morbi-mortality and medico-legal procedures respectively. We herein report the case of an abdominal textiloma in a 42 year old woman who underwent a total abdominal hysterectomy for symptomatic leiomyomas. We also depict the errors that led to this mishap in a tertiary hospital in Yaounde (Cameroon). The textiloma was recognized six weeks after the causative surgery and removed by laparotomy without further complications.
The Pan African medical journal | 2013
Florent Ymele Fouelifack; Jovanny Tsuala Fouogue; Jeanne Hortence Fouedjio; Zacharie Sando
Ovarian pregnancy is very rare and to our knowledge, no case has been reported in Cameroon. We herein report a case at the Yaounde Central Hospital. It is the case of a 29 years old woman who consulted in emergency for left pelvic pain at 9 weeks of pregnancy. The level of beta human chorionic gonadotropin was 96702 milli-international Units/ milliliter and ultrasound revealed an intra-ovarian gestational sac, an empty uterus and no peritoneal effusion. In the absence of facilities for laparoscopy, an emergency laparotomy was done. We found the non ruptured mass inside the left ovary. The left fallopian tube, the uterus and the right adnexae were normal. We did a successful ovarian dissection and resection of gestational sac. Trophoblastic tissue was found at pathology. Similar symptoms should draw attention of practitioners on the plausibility of ovarian pregnancy.
British journal of medicine and medical research | 2015
Florent Ymele Fouelifack; Jeanne Hortence Fouedjio; Jovanny Tsuala Fouogue; Loic Dongmo Fouelifa; Felicitee Dongmo Nguefack; Enow Robinson Mbu
1 Department of Obstetrics and Gynecology, Higher Institute of Medical Technologies of YaoundeCameroon, Obstetrics and Gynecology Unit of Yaounde Central Hospital, Research, Education and Health Development Group “GARES falaise” Dschang, P.O.Box: 31186 Yaounde, Cameroon. 2 Obstetrics and Gynecology Unit of Yaounde Central Hospital, Department of Obstetrics and Gynecology, Faculty of Medicine and BioMedical Sciences of University of Yaounde I, Cameroon. 3 Department of Obstetrics and Gynecology, Faculty of Medicine and BioMedical Sciences of University of Yaounde I, Cameroon. 4 Faculty of Medicine, University of Lome, Togo, School of Armies Health Services of Lome, P.O.Box:14148 Lome, Togo. Department of Pediatrics, Faculty of Medicine and BioMedical Sciences of University of Yaounde I, Cameroon, P.O.Box:1364 Yaounde, Cameroon. Head of Obstetrics and Gynecology Unit of Yaounde Central Hospital, Department of Obstetrics and Gynecology, Faculty of Medicine and BioMedical Sciences of University of Yaounde I, Cameroon.
The Pan African medical journal | 2014
Florent Ymele Fouelifack; Jovanny Tsuala Fouogue; John Owoudou Messi; Danielle Victoire Tiako Kamga; Jeanne Hortence Fouedjio; Zacharie Sando
Rudimentary uterine horn pregnancy is rare and, to our knowledge, has not been previously reported in Cameroon. We herein report the case of a 22 year old second gravida referred for acute abdominal pain at 17 weeks of gestation. Physical examination revealed hemoperitoneum with hypovolemic shock. After resuscitation, an emergency exploratory laparotomy was done and we found hemoperitoneum of 3,500 milliliters, a bicornuate uterus with a ruptured right rudimentary communicating horn containing a non viable foetus. There were no other abnormalities. We performed an excision of the rudimentary horn with ipsilateral salpingectomy. Post-operative course was uneventful and the woman was discharged seven days later. This case emphasizes the importance of good antenatal care to avoid complications.
The Pan African medical journal | 2013
Jeanne Hortence Fouedjio; Florent Ymele Fouelifack; Jovanny Tsuala Fouogue; Zacharie Sando
Heterotopic pregnancy is very rare under natural circumstances. We report the case of a 28 year old Gravida2 Para1001 woman at 9 weeks of pregnancy who consulted in emergency for acute pelvic pain following metrorrhagia. Physical exam revealed hemoperitoneum without shock. An emergency ultrasonography revealed two gestational sacs, one intra-uterine and the other extra-uterine. Laparotomy was done and the findings were: a ruptured right tubal pregnancy with 1,300 milliliters of hemoperitoneum, type B left utero-adnexal adhesions and an increased uterus consistent with a 9 weeks pregnancy. Right total salpingectomy was done and the patient did well postoperatively. That intrauterine pregnancy evolved normally under progesterone supply and the woman delivered a termed live female baby weighing 3.1 kilogrammes. In our context where ultrasound is not always available, practitioners carrying out salpingectomy for ruptured ectopic pregnancies should bear in mind the plausibleness of heterotopic pregnancy in order to properly handle the uterus.
Journal of Cytology and Histology | 2018
Zacharie Sando; Jovanny Tsuala Fouogue; Jean Dupont Ngowa Kemfang; Florent Ymele Fouelifack
Background and objectives: Breast cancer is the commonest cancer in Africa. Like other countries in that continent, Cameroon has very week pathology and health information services. This study was conducted to determine the histopathologic features of breast cancer all over Cameroon.Methods: The study was retrospective and cross-sectional. Data were collected in the 10 regional hospitals and in national referral hospitals. We included complete files of patients diagnosed with breast cancer from January 1, 2008 to December 31, 2015. Doubloons were avoided for patients seen both at regional and national hospitals. Files with conflicting pathology results were excluded.Results: Of the 1666 files included, 180 (12.6%) with conflicting pathology results were excluded and1486 cases were analyzed. Mean age was 47.9 years (range 17-91 years).Ethnic groups from 3 regions out of 10 accounted for 78.1% of patients. 82.3% of cases were diagnosed in the two regions main towns of the country. Diagnosis was late, with 97.5% of patients already presenting symtpoms. Histopathological analysis was performed for 1371 (92.3%) of cases. Pathology specimens were mainly biopsies (79.4%). All male breast cancers (15 cases) and 87.7% of female cases were ductal carcinoma. Grade 2 of Scarff-Bloom-Richardson’s classification was the most frequent (51.1%) followed by Grade 3 (303%).Discussion: Ethnicity seems to have an influence on breast cancer distribution in Cameroon. Pathological diagnosis is mainly done on biopsies and ductal carcinoma is the most frequent type of breast cancer in the country. Pathology services should be evenly distributed around the country.
The Pan African medical journal | 2013
Zacharie Sando; Florent Ymele Fouelifack; Jovanny Tsuala Fouogue; Jeanne Hortence Fouedjio; Chimene Etonga Anoudem; Charlette Nangue
Carcinosarcoma of the uterus is a rare tumor representing 2-4% of uterine malignancies. Its prognosis is poor with a 5 years survival rate of 10-30%. We report a first documented case of carcinosarcoma occurring in a 62 years old woman who presented with postmenopausal vaginal bleeding for one year. The preoperative biopsy of endometrium revealed a leiomyosarcoma. Total body Computerized Tomography (CT) Scan revealed a mass limited to the uterus without other abnormalities. We carried out a total abdominal hysterectomy with bilateral salpingo-oophorectomy. Post operative histology of the specimen found a carcinosarcoma. The patient underwent a course of radiotherapy and a total body CT Scan done eight months later revealed no signs of recurrence or metastasis. Clinicopathological aspects, treatment options and prognosis of this aggressive neoplasm are reviewed. We recommend practitioners to be aware of this lesion for an early diagnosis and appropriate treatment.
BMC Pregnancy and Childbirth | 2014
Florent Ymele Fouelifack; Theodore Yangsi Tameh; Eta Ngole Mbong; Philip Njotang Nana; Jeanne Hortence Fouedjio; Jovanny Tsuala Fouogue; Robinson Enow Mbu
The Pan African medical journal | 2014
Zacharie Sando; Jovanny Tsuala Fouogue; Florent Ymele Fouelifack; Jeanne Hortence Fouedjio; Emile Mboudou; Jean Essame