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. 2022 Mar 8:41:185.
doi: 10.11604/pamj.2022.41.185.30907. eCollection 2022.

[Management of congenital diaphragmatic hernia in sub-Saharan Africa: experience in the Albert Royer National Children's Hospital Center, Senegal]

[Article in French]
Papa Alassane Mbaye  1 , Doudou Gueye  1 , Mbaye Fall  2 , Florent Tshibwid A Zeng  1 , Cheikh Seye  3 , Ndeye Fatou Seck  1 , Lissoune Cissé  1 , Ndeye Aby Ndoye  1 , Aloïse Sagna  1 , Gabriel Ngom  1
Affiliations

[Management of congenital diaphragmatic hernia in sub-Saharan Africa: experience in the Albert Royer National Children's Hospital Center, Senegal]

[Article in French]
Papa Alassane Mbaye et al. Pan Afr Med J. .

Abstract
in English, French

Introduction: 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.

Methods: we conducted a retrospective study of patients treated for congenital diaphragmatic hernia between January 2010 and December 2019.

Results: 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.

Conclusion: congenital diaphragmatic hernia is a reality in our environment; it most often manifests beyond the neonatal period. Prognosis is generally good in our context.

Introduction: la hernie diaphragmatique congénitale est une pathologie rarement rapportée en Afrique et dont la présentation peut être précoce ou tardive. Le pronostic dépend essentiellement des malformations associées. Le but de cette étude est de rapporter notre expérience au Centre Hospitalier National d´Enfants Albert Royer de Dakar au Sénégal.

Méthodes: il s´agit d´une étude rétrospective considérant les patients pris en charge pour hernie diaphragmatique congénitale entre Janvier 2010 et Décembre 2019.

Résultats: douze patients ont été inclus, dont l´âge moyen était de 8,9 mois. Les hernies de Bochdalek ont été retrouvées chez 10 patients. Les symptômes les plus fréquents étaient respiratoires (83,3%), puis digestifs (41,6%). La radiographie thoraco-abdominale a permis d´évoquer le diagnostic chez tous nos patients. Trois patients ont bénéficié d´une stabilisation préopératoire. Tous les patients ont bénéficié d´une laparotomie, le sac herniaire était présent chez 10 patients et 50% des patients avaient un défect mesurant entre 5 et 10 cm. Les suites opératoires ont été simples chez 10 patients et un décès a été enregistré, concernant un patient polymalformé.

Conclusion: la hernie diaphragmatique congénitale est une réalité dans notre milieu, se présentant le plus souvent au-delà de la période néonatale. Son pronostic est globalement bon dans notre contexte.

Keywords: Africa; Albert Royer; Congenital diaphragmatic hernia; Senegal; management.

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Conflict of interest statement

Les auteurs ne déclarent aucun conflit d´intérêts.

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