[ INTERET DE LA COELIOSCOPIE DANS LES TRAUMATISMES ABDOMINAUX DE L’ENFANT: A PROPOS DE 11 CAS ]
Volume 16, Issue 2, June 2016, Pages 440–443
Houda OUBEJJA1, Oussama Azhary2, Hicham Zerhouni3, Mounir Erraji4, Fouad Ettayebi5, and Abdelmajid Soulaymani6
1 Service des Urgences Chirurgicales Pédiatriques, Hôpital d’Enfants de Rabat, Morocco
2 Service des Urgences Chirurgicales Pédiatriques, Hôpital d’Enfants de Rabat, Morocco
3 Service des urgences chirurgicales pédiatriques, Hôpital d'enfants de Rabat, Morocco
4 Service des urgences chirurgicales pédiatriques, Hôpital d'enfants de Rabat, Morocco
5 Service des urgences chirurgicales pédiatriques, Hôpital d'enfants de Rabat, Morocco
6 Laboratory of Genetics and Biometry, Faculty of Sciences of Kenitra, University Ibn Tofail, Kenitra, Morocco
Original language: French
Copyright © 2016 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abdominal injuries are a commun cause of consultation in pediatric surgery. They often require non operative treatment when hemodynamics is stable. However, a normal physical examination is not reassuring, and imaging can not be conclusive. Materials and Methods: through a serie of 11 cases, collected in Pediatric Surgical Emergencies Department of the Children's Hospital of Rabat, over a period of 7 years, we analiszed epidemiological, clinical, therapeutic sides and outcomes. Results: The mean age of patients was 10.5 years (6-15 years) with a male predominance (82%). Abdominal contusion are represented in 9 cases versus 2 cases of abdominal wounds. The ragiologic examinations (ultrasound scans and CT) were non conclusive and all patients underwent a laparoscopy for suspected lesions of hollow organ. In 4 cases, there was intestinal perforation. Other causes are found: a splenic contusion, (one case) liver contusion (one case) and one duodenal hematoma. In 4 patients, laparoscopy was negative. Conclusion: laparoscopy both diagnostic and therapeutic avoids unnecessary laparotomy.
Author Keywords: Abdominal trauma, perforation, intestine, laparoscopy, contusion, children.
Volume 16, Issue 2, June 2016, Pages 440–443
Houda OUBEJJA1, Oussama Azhary2, Hicham Zerhouni3, Mounir Erraji4, Fouad Ettayebi5, and Abdelmajid Soulaymani6
1 Service des Urgences Chirurgicales Pédiatriques, Hôpital d’Enfants de Rabat, Morocco
2 Service des Urgences Chirurgicales Pédiatriques, Hôpital d’Enfants de Rabat, Morocco
3 Service des urgences chirurgicales pédiatriques, Hôpital d'enfants de Rabat, Morocco
4 Service des urgences chirurgicales pédiatriques, Hôpital d'enfants de Rabat, Morocco
5 Service des urgences chirurgicales pédiatriques, Hôpital d'enfants de Rabat, Morocco
6 Laboratory of Genetics and Biometry, Faculty of Sciences of Kenitra, University Ibn Tofail, Kenitra, Morocco
Original language: French
Copyright © 2016 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Abdominal injuries are a commun cause of consultation in pediatric surgery. They often require non operative treatment when hemodynamics is stable. However, a normal physical examination is not reassuring, and imaging can not be conclusive. Materials and Methods: through a serie of 11 cases, collected in Pediatric Surgical Emergencies Department of the Children's Hospital of Rabat, over a period of 7 years, we analiszed epidemiological, clinical, therapeutic sides and outcomes. Results: The mean age of patients was 10.5 years (6-15 years) with a male predominance (82%). Abdominal contusion are represented in 9 cases versus 2 cases of abdominal wounds. The ragiologic examinations (ultrasound scans and CT) were non conclusive and all patients underwent a laparoscopy for suspected lesions of hollow organ. In 4 cases, there was intestinal perforation. Other causes are found: a splenic contusion, (one case) liver contusion (one case) and one duodenal hematoma. In 4 patients, laparoscopy was negative. Conclusion: laparoscopy both diagnostic and therapeutic avoids unnecessary laparotomy.
Author Keywords: Abdominal trauma, perforation, intestine, laparoscopy, contusion, children.
Abstract: (french)
Les traumatismes abdominaux sont un motif fréquent de consultation en chirurgie pédiatrique. Ils bénéficient souvent d’un traitement conservateur quand l’hémodynamique est stable. Cela dit, un examen clinique normal n’est pas rassurant, et l’imagerie peut ne pas être concluante. Matériels et méthodes: A travers une série de 11 cas, colligés au Service des Urgences Chirurgicales Pédiatriques de l’hôpital d’enfants de Rabat, sur une période de 7 ans. Résultats: La moyenne d’âge des patients est de 10,5 ans (6-15 ans), avec une prédominance masculine (82%). Les contusions sont représentées dans 9 cas pour 2 cas de plaies abdominales. Les examens complémentaires (échographies et TDM) étaient non concluants et tous les patients ont bénéficié d’une laparoscopie pour suspicion de lésions d’organe creux. Dans 4 cas, il s’agissait de perforation intestinale. Les autres étiologies retrouvées sont une contusion splénique, une contusion hépatique et un hématome duodénal. Chez 4 patients, la laparoscopie était négative. Conclusion: la laparoscopie aussi bien diagnostique que thérapeutique permet d’éviter les laparotomies inutiles.
Author Keywords: traumatisme abdominal, perforation, intestin, laparoscopie, contusion, enfant.
How to Cite this Article
Houda OUBEJJA, Oussama Azhary, Hicham Zerhouni, Mounir Erraji, Fouad Ettayebi, and Abdelmajid Soulaymani, “THE PLACE OF LAPAROSCOPY IN ABDOMINAL TRAUMA IN CHILDREN: ABOUT 11 CASES,” International Journal of Innovation and Applied Studies, vol. 16, no. 2, pp. 440–443, June 2016.
