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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Urinary ascites, uroperitoneum and urinary peritonitis in children: Management of nine case reports in madagascar
Progres en Urologie, Volume 23, No. 12, Year 2013
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Description
Objective: To evaluate the frequency of urinary peritonitis in children and to highlight its terms of management in a country with limited resources. Patients and methods: We retrospectively observed nine case reports of urinary peritonitis collected in surgical reanimation service at the CHU of Antananarivo, from 1st January 2009to 31December 2012. Results: Urinary peritonitis accounts 0.5% of all pediatric abdominal emergencies and 5% of pediatric urological emergencies collected in our service during study period. Three etiologies were traumatic bladder rupture, one bladder iatrogenic rupture, four secondary to obstructive uropathy and one other after cystolithotomy. We found a new case of posttraumatic transverse rupture of the bladder neck. Among obstructive uropathy observed, there were two cases of posterior urethral valves and two cases of ureteralpelvic junction obstruction. Clinical expression was dominated by fever, with abdominal distention and defense. In majority of cases, etiological diagnosis was made intraoperatively. The surgical treatment by laparotomy was performed under cover of systemic antibiotic therapy. Evolution was complicated with sepsis in three cases and acute renal failure in both cases. Surgical follow-up without complication were observed in four cases. A child has died to septic shock and multivisceral failure. Conclusion: Unlike urinary ascites resulting a transperitoneal extravasation of urine, uroperitoneum was a fistula between adominal cavity and content of the urinary tract. Urinary ascites was a rare cause of peritonitis. In contrast, uroperitoneum caused peritonitis quickly. Urinary peritonitis was a rare entity but severe prognosis in children. In majority of cases, etiological diagnosis was made intraoperatively. © 2013 Elsevier Masson SAS.
Authors & Co-Authors
Raherinantenaina, Fanomezantsoa
Madagascar, Antananarivo
Centre Hospitalier Universitaire D'antananarivo - Hôpital Joseph Ravoahangy Andrianavalona
Rambel, Andrianisa Hoby
Madagascar, Antananarivo
Centre Hospitalier Universitaire D'antananarivo - Hôpital Joseph Ravoahangy Andrianavalona
Rakotosamimanana, J.
Madagascar, Antananarivo
Centre Hospitalier Universitaire D'antananarivo - Hôpital Joseph Ravoahangy Andrianavalona
Rajaonanahary, Toky Mamin’Ny Aina
Madagascar, Antananarivo
Centre Hospitalier Universitaire D'antananarivo - Hôpital Joseph Ravoahangy Andrianavalona
Rajaonera, Tovohery Andriambelo
Madagascar, Antananarivo
Centre Hospitalier Universitaire D'antananarivo - Hôpital Joseph Ravoahangy Andrianavalona
Rakototiana, Felantsoa Auberlin
Madagascar, Antananarivo
Centre Hospitalier Universitaire D'antananarivo - Hôpital Joseph Ravoahangy Andrianavalona
Hunald, Francis Allen
Madagascar, Antananarivo
Centre Hospitalier Universitaire D'antananarivo - Hôpital Joseph Ravoahangy Andrianavalona
Andriamanarivo, Mamy Lalatiana
Madagascar, Antananarivo
Centre Hospitalier Universitaire D'antananarivo - Hôpital Joseph Ravoahangy Andrianavalona
Rantomalala, Harinirina Yoël Honora
Madagascar, Antananarivo
Centre Hospitalier Universitaire D'antananarivo - Hôpital Joseph Ravoahangy Andrianavalona
Rakoto Ratsimba, Hery Nirina
Madagascar, Antananarivo
Centre Hospitalier Universitaire D'antananarivo - Hôpital Joseph Ravoahangy Andrianavalona
Statistics
Citations: 10
Authors: 10
Affiliations: 1
Identifiers
Doi:
10.1016/j.purol.2013.04.017
ISSN:
11667087
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cohort Study
Study Locations
Madagascar