TITLE:
Rare Neonatal Digestive Surgical Emergencies at the Brazzaville University Hospital Center
AUTHORS:
Lucienne Irène Patricia Ondima, Caryne Mboutol-Mandavo, Moïse Service Yanguedet, Didace Massamba Miabaou, Jean-Claude Mieret, Cardinale Princilia Okiemy Niendet, Gracia Christelle Ossete, Peggy Dahlia Gallou Mawandza, Neli Yvette Ngakengni, Gaston Ekouya Bowassa
KEYWORDS:
Newborns, Emergencies, Rare, Surgery, Morbidity-Mortality, CHU, Brazzaville
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.10 No.3,
September
7,
2020
ABSTRACT: The purpose
of our study was to evaluate the morbidity-morality of rare neonatal digestive emergencies
in order to improve their management. Observations: 7 newborns ranging in
age from 6 hours to 3 weeks were treated for rare digestive pathologies between January 2013 and July
2017 (a period of 3 years and 6 months) in the Department of Pediatric surgery of Brazzaville University Center, Congo. Males were predominant (5 versus
2 females). Pathologies listed were: 1 antenatal volvulus of the small intestine,
1 annular pancreas and 5 gastric perforations. The average time of care in the operating
room was 12 hours. The newborns were hospitalized in the pediatric surgery department
in 28.6% of cases (n = 2), and 71.4% (n = 5) in the neonatology department. The antenatal volvulus
of the intestine and annulus pancreas were integrated into a nosologic entity named neonatal occlusion (NNO). The
postoperative outcomes were simple for 4 patients (57.14%) while 3 patients died
immediately after surgery (42.86%). Conclusion: Neonatal surgical emergencies
are still difficult to manage in our context. The lack of knowledge of these rare
pathologies, which delays their management, considerably increases morbidity-mortality.
The critical analysis of this series highlights diagnostic and therapeutic difficulties
particularly with gastric perforations, hence the interest of better popularization
of pediatric surgery.