The syndrome of Apple-Peel (still called atresy in

Fractures among children present a quarter of all injuries and lead to frequent visits to pediatric emergencies department. The aim of this study is to report the epidemiological profile of extremity fractures among children related to home and leisure activities. Materials and methods : a retrospective study concerning patients with fractures resulting in hospitalization in the pediatric emergencies department at the Childern

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.

In order to describe the epidemiological profile of trauma victims of road traffic accidents and to determine the risk factors associated with severity of road accidents, a descriptive cross-sectional study was carried out in the pediatric surgical emergencies department of Children's hospital in Rabat, Morocco.
During 2010, the clinical and epidemiological data of 163 patients was gathered from the admission records and then analyzed. The males represented the 67% of all the victims. The days in which recorded the maximum of cases were the working days (645%). Eighty eight percent of the cases occurred within the urban perimeter and the majority (78%) of the victims belonged to that perimeter. The head injuries were the most frequent injury (51.5%), followed by lesions of the lower limbs (47.2%). As for the degree of severity, the children mainly presented moderate lesions (26.8%). The transportation of the victims to the hospital was provided by the families themselves in 43.6% of the times; 28.8% by the public ambulance and 11% of the times by Civil Protection Department.
The delay of reaching the pediatric surgical emergencies department of Children's Hospital in Rabat remained under the mark of one hour for 34.1% of the patients. The outcome was favorable in 92% for cases without sequel and 8% for cases with sequel.

Falls represent one of the most frequent causes of unintentional home injuries.
To determine the prevalence of children who were hospitalized in the surgical pediatric emergencies department, in the Children's hospital of Rabat, Morocco, secondary to falls.
Methods: a transversal retrospective study about children with home-related injuries secondary to falls carried out between January 1 and June 30, 2014. Indicators included: age, gender, cause, month, lesions, duration and location of hospital staying, surgery and evolution. The data entered on Excel and analyzed by SPSS 13. Results: 498 files related to falls from 900 hospitalizations were studied. Male were 77,9% and the median of age was 9 years [4 years; 13 years]. The lesions were head injuries (116 cases), fractures (329 cases), and bipolar trauma (43patients). Length of stay is 24 hours in 74.3%. The majority of patients was hospitalized in the emergency department and received nonoperative treatment with a simple evolution (respectively 96.4%, 77.5% and 90.5%).