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Congenital Left Mesenteric-Parietal Hernia Associated to a Small Bowel Volvulus: About a Case

Open Journal of Pediatrics 2020年第3期10卷 404-410页

作者： Coulibaly Yacaria Doumbia Aliou Amadou Issa Coulibaly Oumar Moussa kamaté benoi Djiré Mohamed Kassoum Tanapo Kalifa Service of Pediatric Surgery Teaching Hospital Gabriel Toure Bamako Mali

Introduction: The left mesenterico-parietal hernia or left paraduodenal hernia is an anomaly of intestinal rotation which may be responsible for intestinal obstruction. It is rare. Observation: A 5-year-old boy was admitted for abdominal pain with episodes of vomiting and cessation of matters and gases. After clinical and paraclinical investigations, the diagnosis of occlusion was accepted and the child was operated. Exploration revealed a mesenterico-parietal hernia with a retrocolic sac measuring 11 cm of collar and a deep of 18 cm containing a twisted bowel. After reduction of the content, we untwisted the small intestine and released adhesions. The hernial sac was partially resected and the defect was closed. Operating outcomes were simple. Conclusion: The mesenterico-parietal hernia is a cause of organic intestinal obstruction. Although of congenital origin, it can have a late clinical manifestation. It should be considered in case of episodes of repetitive abdominal pain and vomiting to avoid complications.

关键词： Mesenterico-Parietal Hernia Small Bowel Volvulus Child Mali

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Demographic and Clinical Characteristics of 63 Children with Myelomeningoceles

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Open Journal of Modern Neurosurgery 2021年第2期11卷 59-64页

作者： Youssouf Sogoba Seybou Hassane Diallo Issa Amadou Boubacar Sogoba Moussa Diallo benoi kamaté Daouda Mariko Coulibaly Oumar Quenum Kisito Hawa Diall Leonie Diakité Salimata Diallo Belco Maiga Fousseyni Traoré Karamoko Sacko Oumar Diallo Drissa Kanikomo Youssoufa Maiga Department of Neurosurgery H&#244 pital Gabriel Touré Bamako Mali Department of Neurology H&#244 pital Gabriel Touré Bamako Mali Department of Pediatric Surgery H&#244 pital Gabriel Touré Bamako Mali Department of Neurosurgery H&#244 pital du Mali Bamako Mali Department of Neurosurgery University Hospital of Parakou Parakou Benin Department of Pediatrics H&#244 pital Gabriel Touré Bamako Mali

Background: Myelomeningocele (MMC) is the most common neural tube defect (NTD) characterized by the extrusion of the spinal cord into a sac filled with cerebrospinal fluid, resulting in lifelong disability. In the general population, the incidence of MMC ranges from 0.3 to 4.5/10,000 births. Live born infants with myelomeningocele have a death rate of approximately 10%. Many factors may play a role in the development of MMC such as environmental and genetic factors. In this study, we present our experience with a group of 63 children afflicted with MMC. Methods: This study was a retrospective analysis of 63 patients with MMC admitted to the neurosurgical department of Gabriel Touré Hospital from September 2017 to August 2018. A detailed history was obtained from the family at presentation. The family history and medical information before and during the pregnancy were compiled. Patients underwent complete physical and neurological examinations. Forty-seven (74.60%) patients underwent repair of the MMC and a ventriculoperitoneal shunt was placed in 12 (19%) patients with accompanying hydrocephalus. The risk factors, neurological status, and surgical results have been analyzed. Results: Of 63 children with MMC admitted to our neurosurgical department, 34 (54%) were boys and 29 (46%) were girls. Forty (63.49%) patients were the children of marriages of second cousins or closer. The mean age of the fathers was 34 years (16 - 65), while that of mothers was 26 years (16 - 38). The pregnancy was unplanned in all cases. Fourteen (22.22%) mothers had genitourinary infections, 9 (14.3%) had malaria and 57 (90.47%) mothers used analgesics and antibiotics during the pregnancy. Fifty-nine (93.65%) children were born at term, 58 (92%) were delivered via normal spontaneous vaginal delivery, and 5 (8%) via cesarean section. Lumbosacral lesions were the most frequent in 27 (42.86%) patients. Forty-seven (74.60%) patients underwent r

关键词： Myelomeningocele Neural Tube Defects Hydrocephalus

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