ABSTRACT
Sclerosing encapsulating peritonitis is a disease characterized by a chronicle inflammatory process in which part or all of the digestive tract is enveloped by a dense fibro collagen membrane. The clinical picture is not very telling and nonspecific, however imaging, in particular injected computed tomography, easily allows the diagnosis, but the idiopathic form remains very rare. In this article, we report the case of a 44-years-old man with no particular history, who presents to the emergency room for stopping materials and gases, an abdomino-pelvic calculated tomography injected confirms the diagnosis of an intestinal obstruction consecutive to idiopathic sclerosing encapsulating peritonitis.

ABSTRACT
The coexistence of tuberculosis with axillary lymph node metastases in breast carcinoma is rare. Axillary lymph node metastasis is the most important factor in the staging of breast carcinoma, this can mimic or complicate the staging of a malignant disease. Dual organ pathology can lead to interpretation difficulties and inappropriate treatment of tuberculosis as well as breast carcinoma. We report an observation of infiltrating carcinoma of the non-specific type of the breast in woman aged 39, where tuberculosis was found in the axillary lymph nodes in addition to metastases. The possible and simultaneous occurrence of breast carcinoma and tuberculosis should be mentioned in order to avoid difficulties of interpretation and allow adequate management of axillary tuberculous lymphadenitis and breast carcinoma.

ABSTRACT
Introduction: The aim of this study was to report our experience in the management of Volvulus of the sigmoїde colon in the general surgery department of the Ignace Deen National Hospital, CHU de Conaky, Guinea. Patients and Methods: This was a retrospective study, descriptive type, covering a 5-year period (January 2018 to December 2022), concerning the records of patients admitted and operated on for Volvulus of the sigmoїde colon at the general surgery department of the Ignace Deen National Hospital, Guinea. Results: We collected 72 cases representing 4% of digestive surgical emergencies (n=1800) and 25.35% of intestinal obstructions (n=284). The mean age was 49.4± 15.8 years (extremes: 18 and 74 years); we noted a male predominance (80.6%) with a sex ratio of 4.14. Merchants were predominant (34.7%). Abdominal pain was the main symptom in all patients. Ideal colostomy was performed in 84.7% of patients, followed by Hartmann colostomy (12.5%). Overall morbidity was 12.5%, with Surgical site infection was the only post-operative complication observed. Overall mortality was 2.8%. Average hospital stay was 11.5 ± 5.7 days. Conclusion: Volvulus of the sigmoїde colon is a common condition. Therapeutic methods are numerous, but ideal colectomy remains a procedure of choice in our context due to difficult socio-economic conditions.

ABSTRACT
Depression is a chronic mental illness, an important health problem and a leading cause of ill health and disability worldwide. Depressed patients present with a depressed mood, loss of interest in pleasurable activities, decreased energy, feelings of low self-worth or guilt, appetite or sleep disturbances, and poor concentration. Depressive symptoms are common in chronic medical illnesses like hypertension but are not recognized and treated. This study evaluated the prevalence and pattern of depression among hypertensive patients in a primary care clinic in South-South, Nigeria. This is a descriptive cross-sectional study involving 312 adult hypertensive patients attending the Family Medicine clinic of the Rivers State University Teaching Hospital, Port Harcourt selected by a systematic random sampling method. A specially designed questionnaire was used to record participants' characteristics and Patient Health Questionnaire 9 was used to evaluate for depressive symptoms. The data collected were analysed using the statistical package for social sciences (SPSS) version 20. The study lasted for 3 months and ethical approval was obtained from the ethical committee of the Rivers State University Teaching Hospital. The study showed that the prevalence of depression was 26.6%. The respondents with ages ranging between 50 – 59 years had the highest frequency of depression, 30.1% (25). More female respondents 71.1% (59) were depressed. The highest proportion of the respondents that were depressed 42.2% (35) had secondary education. More than half of the depressed respondents were married 57.8% (48). More than half of the respondents, 62.7% (52) had a monthly income below ₦50,000.

ABSTRACT
The purpose of the study: To explore the impact of backpack on adolescent muscle activity, and the relationship between it and adolescent back pain, to provide theoretical basis for domestic scholars in this field of in-depth research. Research methods: Literature related to backpack, muscle activity and back pain were searched, and the research results were analyzed. Results: The studies mainly focused on the effects of backpack type a nd mode on muscle activity, while few reports focused on the location and walking time of backpack. The main muscles studied were the upper trapezius muscle, the erector spinalis muscle and the rectus abdominis muscle, while the other muscles were not studied enough. Conclusion: The type and way of backpack, the weight of backpack, the design of backpack strap, the position of backpack and the time of backpack all have different degrees of influence on the muscle activity of various parts of teenagers, and these effects may lead to back pain, which is one of the factors that cannot be ignored.