Mbaye Papa Alassane, Gueye Doudou, Fall Mbaye, Zeng Florent Tshibwid A, Seye Cheikh, Seck Ndeye Fatou, Cissé Lissoune, Ndoye Ndeye Aby, Sagna Aloïse, Ngom Gabriel
Service de Chirurgie Pédiatrique, Hôpital d'Enfants Alber Royer, Université Cheikh Anta Diop, Dakar, Sénégal.
Service de Chirurgie Pédiatrique, Hôpital Aristide Le Dantec, Université Cheikh Anta Diop, Dakar, Sénégal.
Pan Afr Med J. 2022 Mar 8;41:185. doi: 10.11604/pamj.2022.41.185.30907. eCollection 2022.
congenital diaphragmatic hernia has been rarely reported in Africa. It can manifests early or late. Prognosis mainly depends on associated malformations. The purpose of this study is to report our experience in the Albert Royer National Children's Hospital, Dakar, Senegal.
we conducted a retrospective study of patients treated for congenital diaphragmatic hernia between January 2010 and December 2019.
twelve patients were enrolled, with an average age of 8.9 months. Bochdalek hernias were detected in 10 patients. The most common symptoms were respiratory symptoms (83.3%), followed by digestive symptoms (41.6%). Thoraco-abdominal X-ray was used to make a diagnosis in all patients. Three patients underwent preoperative stabilization. All patients underwent laparotomy. Hernia sac was found in 10 patients, and 50% of patients had a defect measuring between 5 and 10 cm. The postoperative course was simple in 10 patients; a polymalformed patient died.
congenital diaphragmatic hernia is a reality in our environment; it most often manifests beyond the neonatal period. Prognosis is generally good in our context.
先天性膈疝在非洲鲜有报道。其可早发或晚发。预后主要取决于相关畸形。本研究旨在报告我们在塞内加尔达喀尔阿尔贝·罗耶国家儿童医院的经验。
我们对2010年1月至2019年12月期间接受先天性膈疝治疗的患者进行了回顾性研究。
共纳入12例患者，平均年龄8.9个月。10例患者检测出波氏孔疝。最常见症状为呼吸道症状（83.3%），其次为消化道症状（41.6%）。所有患者均通过胸腹部X线进行诊断。3例患者术前行稳定治疗。所有患者均接受剖腹手术。10例患者发现疝囊，50%的患者缺损在5至10厘米之间。10例患者术后病程简单；1例多发畸形患者死亡。
先天性膈疝在我们的环境中是现实存在的；它最常在新生儿期后出现。在我们的情况下，预后总体良好。
