ABSTRACT
Background: Intrauterine ectopic pregnancies (IUEP) are uncommon. However, invasive management technics are usually required and this could compromise fertility, or obstetric and life prognosis in subsequent pregnancies. Objective: we aimed to assess the occurrence of pregnancy after an IUEP and the outcome of these pregnancies in 2 hospitals in Yaoundé, Cameroon. Methods: this was a descriptive cross-sectional study carried out on a 5-years period (2018-2022) with an exhaustive sampling. The study was done at two reference hospitals in Yaoundé and lasted 09 months (December 2023 to August 2024). We reviewed theatre registers for cases and searched for their files from which case details were extracted. We completed data through phone calls and used descriptive statistics as appropriate. Results: we found a total of 78 intrauterine (cornual or interstitial), excluded 37 cases and 41 cases were considered. Out of the 41 patients considered in the study, 17 conceived, 10 had reached at least 30 weeks of gestation with 3 still pregnant and 7 had a term delivery; of which 3 were vaginal and 4 by caesarean section. We recorded no uterine rupture. Conclusion: The fertility after IUEP was good and the outcome of subsequent pregnancies was favourable, with a slight preference for caesarean section as route of delivery.

ABSTRACT
Background: Sigmoid surgery is a major component of digestive surgery in sub‑Saharan Africa, where emergency abdominal conditions remain frequent. Multicenter local evidence is limited. Objective: To describe indications, operative procedures, and postoperative outcomes of sigmoid surgery in four referral hospitals in Douala, Cameroon. Methods: Retrospective descriptive multicenter study over a 10‑year period. Patients aged ≥15 years undergoing surgery involving the sigmoid colon were included. Sociodemographic variables, indications, procedures, morbidity and mortality were analyzed using IBM SPSS v25. Results: A total of 116 patients were included; 68.1% were male. Mean age was 47.6 ± 15.6 years. Main indications were sigmoid volvulus (19.8%), rectosigmoid junction cancer (19%), sigmoid cancer (12.9%) and rectal cancer (12%). Sigmoid colostomy was the most frequent procedure (56.9%). Laparotomy was the predominant approach. Overall morbidity was 11.2% and mortality 5.1%. Conclusion: Sigmoid surgery in Douala is dominated by emergency indications, particularly volvulus and complicated colorectal cancers. Strengthening early diagnosis and gradual implementation of minimally invasive surgery may improve postoperative outcomes.

ABSTRACT
Background: Rectal surgery is technically demanding and associated with significant morbidity. In sub-Saharan Africa, delayed presentation frequently leads to advanced disease and emergency surgery. Objective: To describe indications, operative procedures and postoperative outcomes of rectal surgery in three referral hospitals of Douala, Cameroon. Methods: Retrospective descriptive multicenter study conducted from January 2018 to December 2023, including patients aged ≥15 years who underwent rectal surgery. Sociodemographic data, operative indications, surgical procedures, postoperative morbidity and in-hospital mortality were analyzed. Results: Ninety-one patients were included. Mean age was 54.6 ± 13.4 years with a male predominance (sex ratio 1.2). Rectal cancer was the main indication (68.1%). Abdominoperineal resection was the most frequent procedure (46.2%). Overall morbidity was 9.6% and mortality 6.5%. Conclusion: Rectal surgery in Douala is dominated by advanced malignant disease with a high rate of radical procedures.

ABSTRACT
Background: Right colon surgery is a substantial component of digestive surgery in sub-Saharan Africa, where late presentation and emergency conditions remain frequent, and multicenter data are scarce. Objective: To describe the indications, surgical procedures and postoperative outcomes of right colon surgery in four referral hospitals of Douala, Cameroon. Methods: We conducted a retrospective descriptive multicenter study over 10 years (January 2012–December 2021). All patients aged ≥15 years who underwent right colon surgery were eligible. Sociodemographic, operative and postoperative variables were extracted from medical records and analyzed descriptively. Results: A total of 145 patients were included. Mean age was 46.16 ± 18.06 years (16–87), with male predominance (64.1%; sex ratio 1.78). Emergency surgery accounted for 67.58% of cases. Obstructive right colon cancer was the leading indication (25.51%). Right hemicolectomy was the most frequent procedure (57.24%). Overall postoperative morbidity was 65.51%, dominated by surgical site infections (35.06%) and enterocutaneous fistulas (25.97%). In-hospital mortality was 6.89% (n=10). Conclusion: Right colon surgery in Douala is mainly performed in emergency settings for advanced colorectal cancer and is associated with high morbidity. Strengthening early diagnosis and perioperative quality improvement is essential to improve outcomes.