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Giant Omphalocele Ruptured: An Operated Case and Review of the Literature

Open Journal of Pediatrics 2020年第3期10卷 447-451页

作者： Koffi Maxime Koffi Akaffou Evelyne dieth atafy gaudens Yapo Brouh da Silva-Anoma Sylvia Pediatric Surgery Mother and Children Hospital of Bingerville Bingerville Cote d’Ivoire General Pediatric Mother and Children Hospital of Bingerville Bingerville Cote d’Ivoire Anesthesiology Mother and Children Hospital of Bingerville Bingerville Cote d’Ivoire

Background: The omphalocele is a congenital defect of closure of the abdominal wall at the level of the umbilical ring with evisceration of the intra-abdominal organs in the form of a bag covered with a membrane. This membrane can rupture and become an extreme emergency that can put the infant’s life at stake. Aim: The purpose of this case report is to present a case of ruptured omphalocele operated successfully and describe the factors of good prognosis. Case Presentation: A female new-born with a giant omphalocele. This omphalocele ruptured during conservative treatment. An emergency surgery was organised and the defect was closed by using a prosthesis. The postoperative course was simple. During the 12 months follow-up, we have seen no complication. Conclusion: The management of ruptured omphaloceles is a surgical and anesthetic challenge. The mortality of this condition can be improved in our context by setting up well-equipped neonatal resuscitation units.

关键词： Ruptured Omphalocele Surgery Tanning

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Prevalence and Factors Influencing Malnutrition among Children under Five Years of Age in a Peri-Urban Environment in Abidjan

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Open Journal of Pediatrics 2024年第6期14卷 1063-1068页

作者： Akaffou-Gbery Adja Evelyne Azagoh-Kouadio Richard Gbonon Apie Cousso Précieuse Yao Atteby Jean-Jacques Attaï-Niamien Affoué Charlotte Amandine dieth atafy gaudens Department of Pediatrics Mother-Child Hospital of Bingerville (HME) Bingerville Cte dIvoire Mother and Child Department of the Teaching and Research Unit of Medical Science Flix Houphout-Boigny University Abidjan Cte dIvoire Medical Pediatrics Department of the Angr Hospital and University Center Abidjan Cte dIvoire

Introduction: Child malnutrition is a major public health problem in Côte d’Ivoire in sub-Saharan Africa. This study aimed to determine the prevalence and factors influencing malnutrition in children under five in the peri-urban area of Abidjan, the economic capital. Patients and Methods: We carried out a prospective cross-sectional analytical study from May 3rd to October 31st 2019 at the General Hospital of Yopougon Attié in a peri-urban district of Abidjan, the economic capital. The study included 522 children aged 0 to 59 months who were received for a consultation, with the informed consent of their parents. The assessment of nutritional status was based on WHO growth standards. Statistical comparisons were made using the Chi-2 test for a significant p-value below 5%. Results: The population was predominantly female (sex ratio of 0.91) with an average age of 8.21 months and overall modest socio-economic conditions. The prevalence of malnutrition was as follows: 3.45% of malnutrition by excess, including 0.57% of obesity, 16.09% of stunting (5.75% severe), 12.07% of underweight (3.45% severe), 8.04% emaciation (1.91% severe). Three risk factors were identified for default malnutrition: age less than 6 months (p = 0.022), low birth weight (p = 0.003), and prematurity (p Conclusion: Malnutrition by deficiency is common in peri-urban areas in Abidjan with the main risk factors being age less than 6 months, low birth weight and prematurity. Fighting against those risk factors could help improve the nutritional status of children under five in the peri-urban environment of Abidjan.

关键词： Children under Five Nutrition Assessment Malnutrition Abidjan

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