Hospital Of Rabat Research Articles

A Rare Cause of Recurring Lung Infection: Moebius Syndrome

Moebius syndrome is a rare congenital disorder characterized by bilateral paralysis of the VIth and VIIth cranial nerves, leading to facial diplegia and bilateral paralysis of ocular abduction, often associated with orofacial anomalies. This work reports a case collected at the pediatric infectious diseases and pneumo-allergology department of the Children's Hospital of Rabat, of a 9-month-old male infant, 6th of a family of six, of non-consanguineous parents, with a delay in psychomotor acquisitions. The examination shows facial dysmorphism with hypertelorism, epicanthus and right facial paralysis. Since birth, he has had swallowing disorders causing repeated respiratory infections, hence his hospitalization in our training. The etiopathogenesis of this disease remains controversial, with a great clinical heterogeneity whose observed signs are mainly due to the involvement of the VIth and VIIth cranial pairs, mainly resulting in various orofacial and ocular anomalies. The treatment remains symptomatic based on a multidisciplinary approach. The aim of this observation is to identify the particularities of this syndrome with a view to early diagnosis and effective management.

Associations Between Overweight in Early Pregnancy and Newborn Conditions: A Focus on the SDGs, With Emphasis on SDG 3 for Ensuring Healthy Lives and Well-Being for All Ages

Aim: The aim of this study was to investigate the links between overweight in women giving birth in early pregnancy and the condition of their newborns at the Souissi maternity hospital in Rabat, two factors closely linked to the achievement of the 3rd Sustainable Development Goal, which is based on ensuring healthy lives and promote well-being for all at all ages. Materials and Methods: This was a prospective descriptive study conducted over a 9-month period from March to November 2022, at the Souissi maternity hospital in Rabat. Including mothers of newborns who followed their pregnancy, were either normal weight or overweight at the beginning of pregnancy, and had an uncomplicated pregnancy. Results: A total of 1,145 newborns were recruited. With a response rate of 81.65% and using a mixed questionnaire, the number of newborns surveyed was 935, subdivided into two groups. A group of mothers of normal-bodied newborns (637 cases) and a group of mothers of overweight newborns (298 cases). This study showed the existence of associations between overweight at the start of pregnancy, recorded in the mothers of the newborns surveyed, and the term of delivery (P=0.033), the course of delivery (P=0.031), the mode of delivery (P=0.005), the Apgar score at 5min below 7 (P=0.004) and neonatal complications (P=0.002). Discussion: This study, found that 68.13% of surveyed mothers had a normal BMI, while 31.87% were overweight at the beginning of pregnancy. They were more likely to have overdue deliveries (70.80% vs. 25.27% for normal-weight mothers) and dystocic deliveries (25.50% vs. 4.24%). Overweight status also correlated with higher rates of vaginal delivery (27.18% vs. 0.78% for normal-weight mothers) and poorer Apgar scores (36.58% vs. 12.56%).

Exploring the Associations Between Women's Overweight at the Beginning of Pregnancy and Postpartum Complications in the Context of SDG 3: Ensuring Healthy Lives and Well-Being for All

Aim: The aim of this study was to investigate the associations between overweight recorded in parturient women at the beginning of pregnancy and the occurrence of postpartum complications at the Souissi maternity hospital in Rabat. Materials and Methods: This was a prospective descriptive study conducted over 9-month from March to November 2022, at the Souissi maternity hospital in Rabat. Including women who followed their pregnancy, were either normal or overweight at the beginning of pregnancy and had an uncomplicated pregnancy. Results: A total of 1,145 parturient women were recruited. With a response rate of 81.65% and using a mixed questionnaire, the number of surveyed women was 935, subdivided into two groups. Normal-weight (637 cases) and overweight parturient women (298 cases). This study showed the existence of associations between overweight at the start of pregnancy, recorded in the parturient surveyed, and the term of delivery (P=0.033), the course of delivery (P=0.031), the mode of delivery (P=0.005), the postpartum complications as urinary tract infection (P=0.002), breast engorgement (P=0.001), return of hemorrhagic layers and baby-blues (P=0.005). Discussion: This study found that 68.13% of surveyed women had a normal BMI, while 31.87% were overweight at the beginning of their pregnancy. They were more likely to have overdue deliveries (70.80% vs. 25.27% for normal-weight) and dystocic deliveries (25.50% vs. 4.24%). Overweight status was also correlated with higher rates of urinary tract infection 8.505 and 2.381 time and breast engorgement 16.331 and 3.556 time respectively in the early and last postpartum period.

Chemotherapy-Induced Febrile Neutropenia Managed on an Outpatient Basis at the Pediatric Hematology and Oncology Department of the Ibn Sina Children’s Hospital in Rabat

Introduction: Febrile neutropenia (FN) is an important cause of morbidity and mortality in patients with cancer. The general objective of this study was to collect data and analyze the factors influencing management of the febrile neutropenia at the day hospital at the pediatric department of Hematology and Oncology (SHOP) of Rabat.

Vitamin D Intoxication in Children: A Case Report

Vitamin D is a crucial hormone in phosphocalcium homeostasis. Although vitamin D intoxication is rare, its complications can be dramatic, affecting both the short-term vital prognosis and long-term renal function. We report here a case of hypercalcemia due to vitamin D intoxication, with the aim of analyzing the factors that contribute to vitamin D intoxication, assessing the consequences of this intoxication on the child's health, and proposing recommendations for appropriate management. The patient was a 6-year-old child with a history of common nutritional rickets for which he had been receiving vitamin D supplementation. The patient was admitted to the pediatric emergency department of Children's Hospital in Rabat for incoercible vomiting and acute dehydration. Biological assessment showed severe hypercalcemia at 150mg/l, hypercalciuria at 192 mg /24 hours. The serum level of 25(OH) vitamin D was greater than 154 ng/ml. The diagnosis retained was as hypercalcemia due to vitamin D intoxication, confirmed by an in-depth interview with the parents, who found a over administration of the recommended dose. The evolution was marked by chronic kidney disease due to nephrocalcinosis (creatinine clearance according to the SCHWARTZ formula 17 ml/min). Heterogeneity of the expression forms of vitamin D dosages and intake regimens leads to confusion and increases the risk of misuse, as in the case of our patient, where a misreading of the medical prescription led to the intentional ingestion of toxic doses, hence the need for close and adequate medical supervision and awareness of vitamin D supplement use among healthcare professionals and parents.

Endoscopic Ultrasound in the Management of Intraductal Papillary and Mucinous Pancreatic Tumors: What is the Specificity?

Background: Pancreatic cysts, often symptomless, are more frequently detected with advanced imaging. Intraductal papillary mucinous neoplasms (IPMN) are the most common type, categorized into main-duct (MD-IPMN), branch-duct (BD-IPMN), and mixed forms, each with different risks of malignancy. Endoscopic ultrasound (EUS) aids precise diagnosis through detailed imaging and cyst fluid analysis, guiding personalized treatment and monitoring based on the patient's risk of malignancy. Method: This study was conducted at the EFD-HGE Unit of Ibn Sina Hospital in Rabat, from September 2015 to May 2024, were included all patients diagnosed with intraductal papillary mucinous neoplasms (IPMN) on imaging (MRI or CT scan). Epidemiological, clinical, biological and endoscopic ultrasound data were collected from EUS registries. Results: Out of 696 biliopancreatic EUS conducted, 44 patients were selected, representing a prevalence of 6.32%. The average age was 60.2 years (range 29-82 years), with a notable female predominance (M: 16, F: 28) (Sex Ratio = 0.57). The circumstances of discovery were incidental in 18 cases (40.9%), epigastric pain in 14 cases (31.8%), acute pancreatitis in 5 cases (11.4%), jaundice in 3 cases (6.8%), and abdominal pain in 4 cases (9.1%).biologically, cholestasis was observed in 10 cases (22.7%), elevated cytolytic enzymes in 5 cases (11.3%), and elevated Ca19-9 in 4 cases (9.1%).Endoscopic ultrasound provided details on tumor location, number, and size: predominantly in the pancreatic head in 21 cases (47.7%), body in 12 cases (27.2%), tail in 7 cases (15.9%), and multifocal in 4 cases (9.1%), with an average tumor size of 22.5 mm (range 19-57 mm). In 84.1% of cases (n = 37), there was communication solely with the main pancreatic duct (MPD), while in 15.9% (n = 7), there was communication with both the main pancreatic duct and secondary ducts, with Wirsung duct dilation in 15 cases (34%). Fine needle biopsy was performed in 23 cases (52%). ............

Phenotypic and genotypic characterization of extended-spectrum beta-lactamase-producing Enterobacteriaceae in a Moroccan hospital.

Extended-spectrum beta-lactamase-producing Enterobacteriaceae (ESBL-E) is a major public health problem in hospitals and in the community. The objective of this work was to describe the epidemiology of ESBL-E, to study their resistance profile and to determine the genes encoding the ESBL phenotype. This is a retrospective study conducted in the bacteriology laboratory of the Mohamed V Military Training Hospital in Rabat, and covering all isolates of Enterobacteriaceae from 1 January 2018 to 31 December 2020. The molecular study of ESBL genes involved a representative sample of all ESBL isolates. The overall prevalence of ESBLs in isolated Enterobacteriaceae (1402/10268) is 13.65 %. The urinary tract was the main site of isolation of ESBL (61 %). The bacterial species most concerned are Escherichia coli (41.9 %), Klebsiella pneumoniae (42.2 %) and Enterobacter cloacae (11.9 %). The study of antibiotic susceptibility showed a resistant profile marked mainly by 100 % resistance to first generation cephalosporins (1GC) and third generation cephalosporins (3GC), 55 % to piperacillin-tazobactam, 16 % to imipenem, and 87 % to fluoroquinolones. Molecular typing of ESBL strains showed a prevalence of CTX-M (95 %), SHV (50 %) and TEM (56 %). The CTX-M-1 and the CTX-M-9 groups were the most common (96.19 % and 7.62 % respectively), and CTX-M15 was found in 78.10 % of CTX-M-1 ESBL positive isolates. Most strains had more than two coexisting resistance genes. The prevalence rate of ESBL-E is critical, and preventive action at different levels (prescriber, biologist, hospital, patient, etc.) are necessary in order to limit their spread and to manage a better therapeutic strategy.

Congenital Radioulnar Synostosis, a Report of 7 Cases and Review of Literature

Background: Congenital radio-ulnar synostosis is rare condition, characterized by limited pronation and supination. It is typically diagnosed in school-aged children. The forearm is mostly fixed in a hyperpronated position. Transverse derotational osteotomy at the site of synostosis is the intervention we propose. Patients and methods: This is a retrospective study including 7 cases of congenital radio-ulnar synostosis followed and treated at the pediatric orthopedic department of the children's Hospital of Rabat between January 2006 to February 2017. Results: The average age is about 32.5 months with a male predominance. Bilateral involvement presents 57.7% of cases. According to the Cleary and Omer classification, 42.8% of cases are classified as type IV, and 57.1% of cases are classified as type III. The average degree of preoperative fixed rotation of the forearm is 66° (from 0° to 85°). Only one patient presents a poly-malformative syndrome. Ten forearms underwent surgery, with transverse derotational osteotomy at the site of synostosis, without any postoperative complications.

Continuous Epidural Catheter for Postoperative Analgesia in Children: A Case Report

The management of postoperative pain in children and infants has now become a significant concern. Continuous epidural anesthesia is a proven method for controlling acute pain after surgery. We present the case of thoracic epidural analgesia used for the repair of an extensive burn involving the back and trunk, assisted by a skin graft, in a 6-year-old girl. Department of Pediatric Intensive Care Unit, Children's Hospital of Rabat. In pediatric surgery, postoperative pain awareness is crucial for medical and paramedical teams. Continuous epidural anesthesia, utilizing suitable equipment, is feasible for young children. Its advantages during long procedures are manifold: it eliminates the need for central analgesics, ensuring stable cardiovascular function and a calm awakening post-surgery. Moreover, it provides high-quality analgesia in the postoperative phase, decreasing morbidity and easing care for children. With safe analgesics and advances in locoregional anesthesia, managing postoperative pain in pediatrics has markedly improved.

Upper Gastrointestinal Bleeding in the Emergency Department of Ibn Sina Hospital in Rabat: Etiological, Endoscopic, Therapeutic and Evolutive Aspects

Introduction: Upper gastrointestinal bleeding (UGIB) is defined as a bleeding from a lesion in the digestive tract located upstream of the duodenojejunal angle of Treitz. It is a medical emergency with a mortality ranging from 2 to 10%. The aim of the study is to investigate the main etiologies of upper gastrointestinal bleeding in our setting, and specify the main endoscopic findings, therapeutic approaches, and evolutive aspects. Materials and methods: A prospective, descriptive study conducted over an eight month period from May 1st to December 1st, including 50 adult patients admitted for UGIB who underwent conclusive esophagogastroduodenoscopy (EGD). We collected data about patients demographics, comorbidities, clinical presentaiton, physical examination findings, laboratory data, EGD results, therapeutic procedures and patient outcomes. Results: UGD represented 0.5% of emergency admissions, with a mean age of 61.22 years and no gender predominance. The main risk factors were related to the use of anticoagulants and/or antiplatelet agents, a history of chronic liver disease, chronic gastritis, and alcohol and tobacco use. Patients presented with hematemesis, melena, or both. EGD was performed in all patients, the main etiologies were peptic ulcer disease, vatical pathology and peptic pathology. Endoscopic treatment was performed in 38% patients, surgery was required in one case. Red blood cell transfusion was necessary in 83% patients. A favorable outcome was observed in 84% patients, while 16% patients died because of hemorrhagic shock, cardiogenic shock, and one case of multiple myeloma. Conclusion: UGIB remans a common medical and surgical emergency in our setting. The etiologies are dominated by peptic ulcer disease. EGD is the key investigation, with a diagnostic, therapeutic, and prognostic interest. The outcome was generally favorable in our study, except for 16% of cases who resulted in death. Preventive measures are essential.

Challenges in the Surgical Orthopedic Treatment of Long Bone Fracture in a Rare Case of Pycnodysostosis

Pycnodysostosis is a rare autosomal recessive disorder caused by an inactivating mutation in cathepsin K (CTSK) and characterized by dysmorphic facial features, a short stature, acro-osteolysis, osteosclerosis with increased bone fragility, and delayed closure of cranial sutures. Although the satisfying healing potential, many issues exist in managing fractures in pycnodysostosis patients. In this paper, we report the challenges faced in managing a fracture of the femoral shaft in a 14-year-old boy coming from a low-income family. The patient was administered to the Paediatric Surgical Emergency Department of the Children's Hospital in Rabat for the management of a closed fracture of the left femur. Despite being of small stature with dysmorphic facial features, a prominent forehead, and brachydactyly, he never had a medical consultation before. The patient then underwent a surgical reduction. We attempted titanium elastic nail fixation, but metaphyseal drilling was not feasible due to the high bone density, and the narrow medullary canal eliminated this option. Therefore we opted for the palate fixation. Sclerotic bone made drilling extremely difficult. The postoperative fracture was successfully healed.

Imported Malaria at the Ibn Sina University Hospital in Rabat: A Retrospective Study of 81 Cases.

Background In parallel with the eradication of indigenous malaria since 2005 and the certification of Morocco as a malaria-free country by the World Health Organization in 2010, imported malaria cases are still being notified in Morocco. This study aims to describe the epidemiological profile and characterize the demographic, clinical, and biological profile of imported malaria cases diagnosed at the Central Laboratory of Parasitology-Mycology of the Ibn Sina University Hospital in Rabat, Morocco. Methodology This retrospective study analyzed 81 cases of imported malaria at Ibn Sina University Hospital's Central Laboratory of Parasitology-Mycology in Rabat, Morocco from January 2015 to December 2023. Patients meeting the inclusion criteria had contracted malaria in endemic regions, confirmed through parasitological evidence on blood smears. Results Among the 81 positive cases, 55 (63%) were male, resulting in a male-to-female ratio of approximately 3:1. The imported cases came from 15 countries in sub-Saharan Africa, mainly from Ivory Coast (31 patients, 31%) and Guinea (16 patients, 16%). The main clinical sign was fever (79 patients, 97.53%). The majority of patients (70 patients, 86%) suffered from anemia, while thrombocytopenia was present in 76% of patients (62 patients). Plasmodium falciparum was the most common species found in 77 (95%)cases and Plasmodium ovale in two (2.5%) cases. However, Plasmodium vivax was isolated in only one (1.23%) case. Only one case of co-infection by P. falciparum and Plasmodium malariae (1.23%) was found. Parasitemia values due to P. falciparum were between 0.1% and 30%. On the other hand, those of other species did not exceed 2%. Conclusions In summary, among 81 imported malaria cases, 55 (63%) were men, imported mainly from 15 sub-Saharan African countries. P. falciparum was the predominant species. Fever was the most common clinical sign, accompanied by high rates of anemia and thrombocytopenia.

Les agressions sexuelles sur mineurs : bilan d’activité de l’unité de médecine légale du CHU Ibn Sina de Rabat en 2022

Introduction: Child sexual abuse is a public health problem. The challenge for the forensic doctor is to correctly interpret the forensic examination findings.Objective: To study a population of victims of child sexual abuse who consulted at the forensic medicine unit of Ibn Sina Hospital in Rabat in 2022.Material and methods: Were collected demographic data, aggression modalities and victims’ examination findings.Results: Out of 125 children, there were 92 girls and 33 boys. The median age was 14 [8;16] years old. Normal genital examinations concerned 23 (36.4%) victims who had undergone vaginal penetration. When abnormal, genital examination showed recent hymeneal tearing in 5% of cases (n = 3) and non-specific signs in the rest of the cases. Normal anal examination concerned 51.2% (n = 42) of the victims who had undergone anal penetration. When abnormal, anal examinations showed a recent anal fissure in three victims (6.97%) and non-specific signs in the rest of the cases. Clinical examinations were considered compatible with the reported facts for 32 victims (25.6%).Conclusion: In child sexual abuse, the examination is frequently normal. The lesions, if present, must be interpreted taking into account several factors (inter alia, consultation time) and, at best, by an experienced forensic doctor.

Investigations of carbapenem resistant and hypervirulent Klebsiella pneumoniae.

Hypervirulent Klebsiella pneumoniae is an emerging pathogen that has gained attention due to its increased ability to cause infections even in healthy individuals. The aim of this study is to investigate virulence factors in K. pneumoniae strains isolated from clinical specimens and their association with carbapenem resistance. The study was conducted on 260 isolates identified between 2018 and 2023 at the Mohammed V Military Teaching Hospital in Rabat, Morocco. The isolates were categorized based on their susceptibility to antibiotics. The hypermucoviscosity was determined by a string test, while thepresence of capsular serotypes and virulence genes were identified by PCR. Among our strains, 6.2% (n= 16) exhibited hypervirulent characteristics, 56% were resistant to carbapenem. Notably, 5.7%(n=6) of carbapenem-resistant isolates expressed the hypermucoviscous phenotype, while 1.5% (n=2) of carbapenem-susceptible K. pneumoniae isolates exhibited the same trait. In our study, we found that a total of 10 isolates (3.8%) had virulent capsular serotypes, with K2 being the most prevalent 40% (n = 4) and K20 in 30% (n = 3). Furthermore, we detected the presence of the Aerobactin gene in 1.5% (n = 4) of the isolates examined. Based on our findings, it appears that there was no correlation between the presence of virulence factors and carbapenem resistance. In conclusion, identifying hypervirulent K. pneumoniae in clinical specimens and assessing their antibiotic resistance profiles are crucial to ensure effective therapy and to prevent outbreaks.

FACTORS ASSOCIATED TO BURN-OUT AMONG IBN SINA HOSPITAL PUBLIC HEALTH PROFESSIONALS

Burn-out or exhaustion syndrome is caused by a prolonged exposure to a chronic professional stress. Public Health Professionals are the most exposed to this kind of risk. The ulti- mate goal here is to determine the prevalence of the burn-out and search for factors associated with this pathology among those who work in the field of health.Our sample, which is from the Ibn Sina Hospital in Rabat, consists of 150 nurses, 80 doctors, and 40 administrators. A self-questionnaire was employed, the Maslach Burnout In- ventory (MBI) as well as a clinical interview.The results of this study show a high degree of burnout. Moreover, 56.66% of participants show a high level of emotio - nal exhaustion, 45.18% suffer from a high level of depression. Meanwhile, the loss of a sense of personal accom plish ment is high among 48.51% of those surveyed. The emotional exhaustion observed among people who have worked for a long time ago is associated with the means of transportation used and to the unsuitable hours of work. Depersonalization exists among elderly people and the oldest at work.This study confirms the existence of a high level of burnout among health professionals. Many socio-demographic and socio-professional factors contribute to the increase in the level that people are affected. These factors encourage the promotion of better working life conditions.

Ramadan fasting in the third trimester of pregnancy and postpartum colostrum cortisol concentrations in Morocco.

Breast milk cortisol concentration varies among and within lactating women, but the causes and consequences of variation are not yet fully understood. This study investigated whether maternal fasting from food and water for over 16 h per day during the third trimester of pregnancy was associated with increased concentrations of cortisol in colostrum during the month of Ramadan in a Moroccan sample. Participants were women who gave birth at the public maternity hospital in Rabat, Morocco throughout the month of and month following Ramadan. Participants completed interviews (N = 92), underwent anthropometric assessment (N = 73), and colostrum samples (N = 63) were collected approximately 48-72 h postpartum. Cortisol analysis was completed on a subset of colostrum samples (N = 43). Women were categorized as fasting every day of Ramadan before giving birth (N = 52/92, 57%), fasting some days (N = 29/92, 32%), and not fasting (N = 11/92, 11%). For women who fasted, average fasting duration was 19.5 days (range: 1-29 days), and average time between the last day of fasting and birth was 8.8 days (range: 0-43 days). The number of days of fasting was positively associated with cortisol concentrations in colostrum (p < .009) in a multivariate analysis controlling for maternal anthropometry, hypertension and/or diabetes, and reasons for opting out of fasting. Each day of fasting was associated with a 4.05% increase in colostrum cortisol. Results are consistent with the hypothesis that maternal fasting during the third trimester of pregnancy increases breast milk cortisol and thus alters the hormonal milieu to which the infant is exposed.

An Evaluation of the Appropriateness of Prescribing Ultrasensitive Cardiac Troponin I in the Emergency Department of the Mohammed V Military Training Hospital in Rabat

In emergency medicine, Troponin Ic is a useful diagnostic and prognostic biomarker in the management of ischemic cardiac pathologies. However, its prescription often exceeds international recommendations. The aim of this study is to evaluate practices concerning the prescription of Troponin assays in the emergency department of the Mohammed V Military Training Hospital in Rabat. This is a prospective study. Was included in this study, every patient admitted to the emergency department of the Mohammed V Military Training Hospital in Rabat and having at least one troponin assay during the period from December 25, 2020 to January 12, 2021. The assay was performed using the "ARCHITECT STAT Highly sensitive troponin-I" method. 135 patients for whom have prescribed a Troponin assay during the period of study. A total of 219 assays were performed. The mean age was 64 years, with a predominance of males. The main reasons for admission were chest pain (29.6%), dyspnea (26.6%), neurological disorders (16.3%) and respiratory distress (10.3%). A high Troponin Ic value during the first determination was observed in almost 37% of cases. In 63% of cases, the value was negative. 53.3% of prescriptions were considered as irrelevant according to pre-established criteria. A repeated Troponin Ic assays were performed in 31% (n=127) of cases. They were deemed relevant in 25% of cases. In 6% of patients, the appropriateness of repeat assays was not demonstrated. Compliance with good prescribing practices for Troponin significantly reduces the number of unjustified samples, with a real economic impact.

Oral Verrucous Carcinoma: Case Report

Verrucous carcinoma is usually considered a low-grade variant of squamous cell carcinoma. Our case is a 56-year-old woman presented to our department of maxillofacial surgery of Ibn Sina hospital in Rabat with a budding lesion of the upper lip evolving 2 years ago. The diagnosis retained was that of well-differentiated squamous cell carcinoma of the verrucous type with infiltration of the chorion. The therapeutic decision was to perform a surgical excision with a safety margin of 1 cm followed by suturing of the defect and commissuroplasty. Its diagnosis is based on clinical and histological features. The treatment is not well codified. Surgery remains the treatment of choice.

LAPAROSCHISIS: ABOUT A CASE REPORT AND LITERATURE REVIEW

Laparoschisis is a congenital anomaly characterized by the protrusion of abdominal organs, predominantly the intestines, through a defect in the abdominal wall, typically observed on the right side. It is categorized into simple and complex types based on the extent of the defect and involvement of other organs. The estimated prevalence of laparoschisis is approximately 1 in 10,000 births, with variations noted in different regions. Interestingly, certain areas, like New York and Georgia exhibit an increasing trend, particularly among younger mothers. In Morocco, a study carried out at the Les Orangers hospital in Rabat in 2020 showing that the laparoschisis represent 5.1% of musculoskeletal malformations in newborns (equivalent to 1.7per 10,000 total births). Prenatal ultrasound is the primary diagnostic tool, enabling early detection of the abdominal wall defect and protruding organs. Magnetic resonance imaging (MRI) can provide additional information for diagnosis. Treatment options for laparoschisis include primary repair, performed shortly after birth, and delayed closure, which is postponed for a certain period after birth, depending on case-specific factors such as defect size, condition of protruding organs, and the presence of complications such as stenosis and atresia. Prognosis is influenced by the gravity of the malformation and associated conditions, necessitating close obstetrical and neonatal monitoring with tailored interventions for optimal outcomes. To illustrate the practical aspects of laparoschisis management, we present a case study involving a live-born infant diagnosed with laparoschisis at 34 weeks gestation using prenatal ultrasound. A comprehensive one-stage surgical repair was performed on the newborn. This case highlights the importance of early antenatal diagnosis through ultrasound, potential complications, and immediate and secondary management strategies for optimal outcomes in affected infants.

Exploring dimensions and shapes of edentulous patients consulting the prosthodontics centre at Ibn Sina University Hospital in Rabat, Morocco: a cross-sectional study

This cross-sectional study conducted at the Prosthodontics Centre, Ibn Sina University Hospital in Rabat, Morocco, investigates the dimensions and shapes characterizing maxillary and mandibular edentulous arches in a patient population seeking consultation. The objective is to provide insights crucial for optimizing outcomes in prosthetic therapy, informing decisions on impression trays, occlusion planes, prosthetic teeth, and implant attributes. Sixty-seven edentulous Moroccan patients (40 men, 27 women), aged 31 to 90, were recruited at the Prosthodontics Centre. Maxillary and mandibular casts were meticulously crafted, and precise measurements of anterior and posterior width and length were acquired for both arches. Arch shapes were categorized into O-shape, V-shape, and U-shape. Data were analyzed using Microsoft® Excel 2013 and SPSS software (IBM SPSS Statistics 23). Analysis revealed maxillary arch lengths ranging from 40 to 58 mm, maxillary arch widths from 38 to 58 mm, mandibular arch lengths from 33 to 56 mm, and mandibular arch widths from 30 to 60 mm. The predominant arch shape was the ovoid, constituting 34% (n=23) of maxillary cases and 54% (n=36) of mandibular cases. This study provides novel insights into the dimensions and shapes of maxillary and mandibular edentulous arches in patients seeking consultation at Ibn Sina University Hospital, Rabat, Morocco. The findings offer valuable guidance for prosthetic therapy decisions, emphasizing the importance of integrating established references and arch classifications for optimal outcomes in the treatment of edentulous patients in Morocco.