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Grosses Bourses Douloureuses de l’Enfant au Centre Hospitalier et Universitaire de Brazzaville
| Content Provider | Semantic Scholar |
|---|---|
| Author | Mieret, Jc Mandavo, Carine Mboutol Koutaba, E. Ondima, I. Bouya, Prosper Alain |
| Copyright Year | 2017 |
| Abstract | But. Decrire les aspects epidemiologiques, diagnostiques, therapeutiques et evolutifs des grosses bourses douloureuses dans notre pratique quotidienne. Materiels et methodes. Il s’agit d’une etude transversale retrospective a visee descriptive realisee dans le service de chirurgie pediatrique du Centre Hospitalier et Universitaire de Brazzaville, entre janvier 2012 et decembre 20014 soit 2 ans. Les dossiers de 43 enfants âges de 0 a 15 ans hospitalises pour une grosse bourse douloureuse et juges exploitables ont ete analyses. Les parametres etudies etaient : les aspects epidemiologiques, diagnostiques, therapeutiques et evolutifs. Resultats. 960 enfants ont ete admis dans le service pendant la periode d’etude. Parmi eux, 43 cas (4,5%) l’etaient pour une grosse bourse douloureuse. L’âge moyen des patients etait de 2,5 ans avec des extremes de 0 et 15 ans. Le delai moyen de consultation etait de 49 heures (extremes : 1-192 heures). La hernie inguino scrotale etranglee n= 23 (53,48%), la torsion du cordon spermatique n= 11 (25,58%), l’orchiepididymite n= 5 (11,62%), l’œdeme aigu idiopathique du scrotum n=3 (7%), le traumatisme ouvert du scrotum n=1 (2,3%) etaient les principales etiologies. Le traitement a ete chirurgical d’emblee pour la hernie inguino scrotale etranglee, la torsion du cordon spermatique et le traumatisme ouvert du scrotum et les suites operatoires ont ete simples. Le traitement a ete medical pour les orchiepididymites, les œdemes aigues idiopathiques. Conclusion. A Brazzaville, les grosses bourses douloureuses de l’enfant constituent une urgence en chirurgie pediatrique et comprennent une diversite d’etiologies susceptibles de compromettre le pronostic vital dont les plus frequentes sont la hernie etranglee et la torsion du cordon spermatique. ABSTRACT Purpose. To describe the clinical, diagnostic, and management aspects of acute scrotum in our environment. Patients and methods. This was a cross sectional descriptive study with retrospective review of files in the pediatric surgery department, covering the period January 2012 to December 2014. We recruited all the children admitted in emergency for acute scrotum and whose files were complete. 43 children aged 0 to 15 years were selected. The analyzed data were: clinical presentation, final diagnosis, management and outcome. Results. 960 children were treated in the pediatric surgery department during this period. Among them, 43 cases (4.5%) were seen for acute scrotum. The mean age was 2.5 years range (0 days - 15 years). The average delay before consultation was 49 hours range (1 - 192 hours). Incarcerated scrotal hernia (n = 23), spermatic cord torsion (n = 11), acute epididymo- orchitis (n = 5), acute idiopathic scrotal edema (n=3), and open trauma of the scrotum (n=1) were the main causes. Surgical treatment was immediate for spermatic cord torsion, incarcerated scrotal hernia and open trauma of the scrotum. The treatment was exclusively medical for epididymo-orchitis and acute idiopathic edema of the scrotum. No complications were noted. Conclusion. Acute scrotum is a pediatric surgical emergency that may jeopardize testicular function. The main surgical etiologies in Brazzaville are incarcerated hernia and spermatic cord torsion. |
| File Format | PDF HTM / HTML |
| Volume Number | 18 |
| Alternate Webpage(s) | http://www.hsd-fmsb.org/index.php/hsd/article/download/770/pdf_402 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
