Amadou I, Barry A, Traore B, Coulibaly M T, Coulibaly O M, Doumbia A, Traoré F, Karembé B, Djire M K, Kamate B, Daou M B, Coulibaly Y M, Aguissa M, Konaté D, Cissé M E, Coulibaly O, Dembélé A, Coulibaly Y
Service de chirurgie pédiatrique, C.H.U Gabriel TOURE, Bamako, Mali.
Service de pédiatrique, C.H.U Kati, Bamako, Mali.
Mali Med. 2022;37(3):5-9.
Acute bursa is a medico-surgical emergency because of its many etiologies threatening the functional prognosis of the testes and their appendages.
Identify the causes of acute bursaries in the child and describe their clinical and therapeutic aspects.
This was a retrospective descriptive study from January 1, 2010 to December 31, 2015 on all children aged 0 to 15 years received and treated for acute scholarship in the Pediatric Surgery department at the teaching hospital Gabriel Touré.
In 6 years, we registered 42 patients, ie a frequency of 1.4% of surgical emergencies. The mean age was 2.98 years (24 days-14 years). Prematurity represented 11.9% of cases. Painful scrotal tumefaction was the main reason for consultation (76.2%), The main aetiologies were HISE (90.5%), scrotal trauma (4.7%), orchi epididymitis (2.4%) and testicular torsion (2.4%). The treatment was surgical in 97.6% of cases. The course after 3 months was simple in 97.6% of cases.
Acute bursa in children is an uncommon condition, especially affecting infants. Strangulated inguino-scrotal hernia was the main aetiology. The diagnosis must be early and the treatment adequate in order to reduce morbidity and mortality.
急性阴囊积气因多种病因威胁睾丸及其附件的功能预后，属于外科急症。
明确儿童急性阴囊积气的病因，并描述其临床及治疗方面的情况。
这是一项回顾性描述性研究，研究对象为2010年1月1日至2015年12月31日期间在加布里埃尔·图雷教学医院小儿外科接受治疗的所有0至15岁急性阴囊积气患儿。
6年间，我们共登记了42例患者，占外科急症的1.4%。平均年龄为2.98岁（24天至14岁）。早产儿占病例的11.9%。阴囊疼痛肿胀是主要的就诊原因（76.2%），主要病因是鞘膜积液（90.5%）、阴囊外伤（4.7%）、睾丸附睾炎（2.4%）和睾丸扭转（2.4%）。97.6%的病例采用手术治疗。97.6%的病例3个月后的病程简单。
儿童急性阴囊积气是一种罕见疾病，尤其多见于婴儿。绞窄性腹股沟阴囊疝是主要病因。必须早期诊断并进行充分治疗，以降低发病率和死亡率。
