Primary pancreatic hydatid lesions are very rare with an incidence of less than 1% in the adult population. We report an observation of a 5-year-old girl who consulted for isolated abdominal pain occurring for 2 weeks without vomiting, transit disorders or jaundice and evolving in a context of conservation of the general condition and apyrexia. Clinical examination and preoperative imaging have suggested the diagnosis of a choledochal cyst or duodenal duplication rather than a hydatid cyst of the pancreas due to the presence of a cystic hepatic image projecting into the liver hilum. During the procedure, a hydatid cyst was found occupying the head of the pancreas. Primary hydatidosis of the pancreas in children is extremely rare. Possible sources of infection include: blood diffusion, local spread via biliopancreatic ducts and peripancreatic lymphatic invasion. In the endemic areas, hydatid disease should be mentioned in the list of differential diagnoses of cystic lesions located around the biliopancreatic junction in children.
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.
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.
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