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.
Background: The term bezoar refers to an intraluminal masse in the gastrointestinal system caused by the accumulation of indigestible ingested materials. Trichobezoar is a compact conglomeration of swallowed hair and constitutes less than 6% of all bezoars. The stomach is the common site of occurrence and many patients may remain asymptomatic or present a mild form of the disease. Intestinal obstruction due to trichobezoar is an extremely rare complication. The clinical findings of bezoar-induced ileus do not differ from those of mechanical bowel obstruction due to other causes and they are rarely reported in the pediatric age group. Case presentation: we report a case of acute small-bowel obstruction due to trichobezoar in a three years old boy with no history of eating disorder which presented an abdominal distention. Conclusion: This case serves to raise awareness of trichobezoar as a diagnosis in young children who present with abdominal pain, palpable mass, and signs of acute small-bowel obstruction
Unintentional accidents are very common in children and are the main reason for consultation and hospitalization in paediatric surgery. Aim: To determine the factors associated with unintentional accidents resulting in hospitalization. Material and methods: This is a cross sectional study carried out in the Paediatric Surgical Emergency Department of the Children's Hospital of Rabat over a period of 4 years. We processed 1205 children's files; the data was collected and analysed by Jamovi. Results: for the 545 files selected, the median was 8 years [4; 12] and boys were predominant (70.4%). Sociodemographic factors were represented by low health insurance. In 95.1% of cases, the family lived in a house (50.1%) or an apartment (45%) compared to 4.9% who had insanitary house. For parents' level of education, fathers had a high school education (43.6%) or never attended school (16.9%), compared to 32.9% of mothers who did not attend school. No adult was present during the accident (54.6%). The accident occurred on weekdays (73.2%), especially on winter and summer (41.6% and 33.8%). The main lesions were fractures (53%). The lesions involved the limbs (52.5%) and the head (30.2%) and were multiple in 6.5% of cases. The outcome was simple in 96.1%.
The Covid-19 pandemic has put stress on the healthcare system with a major impact on access to healthcare. The aim is to study the impact of containment on the hospitalization of children in the pediatric surgical emergency department, Children’s Hospital of Rabat. Material and methods: A retrospective study was carried out of children admitted at the Pediatric Surgical Emergencies Department (PSE), over a period of 6 months. The data were entered and analyzed by statistical software Jamovi 1.6.23. A chi-square test was used to compare the variables between the two periods: before and during containment. Results: We identified 579 children hospitalized during the first semester of 2020. The median age was 5 years [1-10] with predominance of boys (66.1%). Admission diagnosis are represented by abdominal emergencies (36.8%), head trauma (22.6%). Burns represent only 5,7%. These diagnosis were divided into visceral surgical emergencies (42%), trauma emergencies (48%) and non-urgent pathologies (10%). Surgery was done in 45.6%. Visceral and trauma emergencies were equivalent before and during the containment. On the other hand, there was a slight increase for visceral emergencies (57% Vs 43%) while the number of scheduled patients fell from 94.3% before containment to 5,7% during the containment.
Unintentional injuries (UI) correspond to “unplanned” events; they include everyday life injuries (EDL), road traffic accident (RTA) and work accidents. In our pediatric context, the latter are excluded. Aim: Draw up an epidemiological profile of UI in children hospitalized for at least 24 hours and make a comparison between EDL and RTA. Material and Methods: A cross-sectional study conducted during four years, about children hospitalized for UI, in the pediatric surgical emergency department (PSE) of the children's hospital of Rabat, Morocco. Sociodemographic and medical data were analyzed by statistical software (JAMOVI). Results: 545 files were retained. EDL represented 81.9 % with a male predominance (70.4%). The median age was 8 years [4; 12] with predominance of school children (63.5%). Infants predominated in EDL (15.1%). Spring has a predominance in RTA (33%), while there is a reversal of the trend for the other seasons (p<0.05). As regards the accident, the majority occurred on weekdays. The injured body parts were multiple for the RTA (39.1%) and affected the limbs (58.5%) for the EDL (p <0.05). Radiological abnormalities were found in 79.6% of cases in EDL. The 24-hour hospital stay was for EDL (66.7%) while RTA is hospitalized beyond 48 hours (53.7%).
Injuries related to everyday accidents are very common in children and are the main reasons for hospitalization in pediatric surgery. They have similarities with neglect. The main objective is to assess the frequency and circumstances of the occurrence of unintentional accidents in children under 6 years old. The secondary objective is to specify the associated factors and eventually determine if those accidents can be related to neglect. Material and methods: This is a cross-sectional study carried out at Pediatric Surgical Emergencies Department of Rabat Children's Hospital in 2017. Results: We identified 363 cases of unintentional accidents. The variables were collected on questionnaire. 155 children were aged 6 and under. The median age was 2, 83 years with a predominance of boys (56%). Children over 2 years old were the most affected (55.48%). Low and middle-income families dominated socio-demographic factors. The mothers in almost half of the cases never went to school. In 65.4% of cases, an adult was present during the accident, often the mother (62%). The lesions involved the limbs (64%) and the head (47%). Hospitalization was 24 hours (60.8%). There was no complication in 96.8% of cases. Some risk factors associated with unintentional accidents are also found in negligence.
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