Background: Unintentional injuries are one of the most important public health problems among children in developed and some developing countries. Aim: Our purpose is to determine the prevalence of everyday life unintentional injuries among children admitted for at least 24 hours in the pediatric surgical emergencies (PSE) department, Children’s hospital of Rabat, Morocco. Methods: A cross-sectional study of unintentional injuries in children was undertaken over 4 years (2016- 2019) in the pediatric surgical emergencies (PSE) department, Children’s hospital of Rabat, Morocco. The data were analysed by statistical software Jamovi 1.6.23. Drownings and foreign bodies were excluded. Results: 1204 patients were screened, of which 545 files were studied. The median age was 8 years[4;12] with 36,5% were less than 6 years old, 70,4% were boys. The most injuries occurred mostly during winters and summers (41,6 vs 33,8%). The medical insurance plan was provided by compulsory medical insurance (AMO) and RAMED (Medical Assistance Scheme) (30,4% and 46.5% respectively). The main circumstances were accidents of everyday life (52%) with predominance of falls. For the public road accident, pedestrians were predominant. Hospital stay did not exceed 24 hours (73%) mainly in the surgical emergency department.

Neonatal testicular torsion (NTT) was first described by Taylor et al. in 1897 [1]. It can be unilateral or less frequently, bilateral. It’s a rare disease that occurs in neonate estimated at 1 in 7500 newborns [2]. Our case report is about a 9 days old male presented with a history of a swelling and irreducible inguinal hernia. Upon admission an ultrasonography was done and reported a right inguinoscrotal hernia. Surgical exploration was performed and the exploration found an extravaginally testicular torsion with a necrotic testicular associated with an inguinal hernia sac. Inside the sac we found a vermiform appendix non perforated known as amyand’s hernia.

No abstract

Introduction: Foreign body ingestion in children is a common pediatric emergency that can result in serious complications if not managed promptly. Observation: it is a case report of an 18-month-old infant who ingested a knife while playing with his 3-year-old sister. The patient was stable but required a surgical approach due to the size of the object and the risk of esophageal injury during removal. Discussion: Children between 6 months to 3 years are at the highest risk for foreign body ingestion. The most common foreign bodies ingested by children are small objects such as coins, toys, magnets, button batteries, and small parts of other objects. Symptoms can vary depending on the type and location of the foreign body and can range from choking, difficulty breathing, and vomiting to blood in stool or vomit and fever. Sharp and elongated objects, as well as batteries and magnets, can cause life-threatening complications such as airway obstruction, esophageal perforation, or bowel obstruction. The approach to management depends on the type and location of the foreign body, and preventing foreign body ingestion in children is critical to avoiding the need for management. Various measures, such as keeping small objects out of reach, providing age-appropriate toys, and supervising young children during playtime, can be implemented to prevent foreign body ingestion in children. Conclusion: Foreign body ingestion is a common pediatric emergency that can lead to serious complications if not managed promptly. Prevention is key in reducing the incidence of foreign body ingestion in children.

No abstract

No abstract

No abstract

Tibial tubercle avulsion fractures are an uncommon injury occurring due to strong contraction of the quadriceps femoris muscle. Of all proximal tibial fractures, approximately 3% are tibial tubercle avulsion fractures. We report 3 cases of anterior tibial tubercle fractures in 3 adolescents treated at the pediatric surgical emergency department in Rabat. Standard radiographs of the knee will reveal the avulsed tibia tubercle and also allow fracture classification. There are multiple classification systems with multiple modifiers. The most commonly used is the modified Ogden classification. Tibial tubercle avulsion fractures can be associated with concomitant soft tissue damage, periosteal damage, and compartment syndrome leading to extensor mechanism disruption, joint laxity, or vascular compromise. Treatment can be nonsurgical or surgical, and indications depend on fracture type. Most fractures are surgical candidates and can be repaired with open reduction and internal fixation (ORIF) or arthroscopy. Satisfactory results are usually achieved.