Pneumothorax is defined by the presence of air
between the parietal pleura and the visceral pleura. Most of the child’s
pneumothorax is traumatic. The spontaneous pneumothorax (PS) of the child is rare, and
often associated with a favoring factor. When it is large, it can affect the
life expectancy. The objective of our study was to determine the
epidemiological, diagnostic and evolutionary aspects of pneumothorax in
children aged 0 to 15 years, hospitalized at the Albert Royer National
Children’s Hospital in Dakar. This is a retrospective descriptive study of
patient records followed at the Albert Royer National Children’s Hospital
(CHNEAR) for the management of a pneumothorax during the period from 2020 to
2022. During our study, 15 patients were hospitalized for pneumothorax, with an
average annual incidence of 7.5 cases per year. The sex ratio (H/F) was 2.03.
The average age was 3.7 years. Chest pain was present in 27% of patients,
dyspnea was found in 93%, and cough in 87% of patients. All patients underwent chest radiography
and the location of the pneumothorax was predominant on the right in 60% of cases. Thoracic
drainage was performed in 93.3% of patients associated with etiological
treatment. The average length of hospitalization was 27.8 days with a cure rate
of 86.7% and a recurrence rate of 13.3%.
References
[1]
Contou, D., Razazi, K., Katsahian, S., et al. (2012) Small-Bore Catheter versus Chest Tube Drainage for Pneumothorax. The American Journal of Emergency Medicine, 30, 1407-1413. https://doi.org/10.1016/j.ajem.2011.10.014
[2]
Gupta, D., Hansell, A., Nichols, T., et al. (2000) Epidemiology of Pneumothorax in England. Chest, 55, 666-671. https://doi.org/10.1136/thorax.55.8.666
[3]
Mukhir, H., Zaghba, N., Benjelloun, H., Bakhatar, A. and Yassine, N. (2016) Treatment of the First Episodes of Spontaneous Pneumothorax. Respiratory Diseases Review, 33, 789-793. https://doi.org/10.1016/j.rmr.2015.11.015
[4]
Kuaban, C., Lekama, A.T. and Hagbe, P. (1997) Spontaneous Adult Pneumothorax in Yaoundé (Cameroon): A Retrospective Study of Eighty and One Case. La Semaine des Hopitaux de Paris, 73.
[5]
Mbatchou, B., Ngahane, H., Dia, K., et al. (2010) Etiologies of Spontaneous Pneumothorax in Senegal: Prospective Study at the University Hospital of Fann-Dakar. Médecine Tropicale, 70, 505-508.
[6]
Guerin, J.C. (1997) Spontaneous Pneumothorax. La Revue du Praticien (Paris), 47, 1320-1325.
[7]
Tschopp, J.-M., Bintclefe, O., Astoul, P., et al. (2015) ERS Task Force Statement: Diagnosis and Treatment of Primary Spontaneous Pneumothorax. European Respiratory Journal, 46, 321-335. https://doi.org/10.1183/09031936.00219214
[8]
Robinson, P.D., Cooper, P. and Ranganathan, S.C. (2009) Evidence-Based Management of Paediatric Primary Spontaneous Pneumothorax. Paediatric Respiratory Reviews, 10, 110-117. https://doi.org/10.1016/j.prrv.2008.12.003
[9]
Lissac, J., Larcan, A., Charpin, J., Maurice, P., Euzebyj, G.M. and Chretien, J. (1994) Spontaneous and Iatrogenic Pneumothorax in Adults: About 217 Personal Cases. Bulletin of the National Academy of Medicine, 2, 213-225.