Introduction: Occurrence of chylolymphaticcyst with malrotation and midgut volvulus is a rare clinical entity and occurs as a result of lymphatic proliferation due to lymphatic obstruction caused by volvulus.

Methods: Since its first inception, very few studies have been published on this topic. We did a scoping review to identify the existence of the said condition in literature. We conducted this analysis using Mesh search terms “Midgut Volvulus”, “Mesenteric Cyst”, “Chylolymphatic Cyst” and “Malrotation” in PubMed, from the inception till current date.

Results: Scoping review revealed that only 13 cases are reported in literature so far. The cyst predominantly occurred in the jejunum (61%) and, to a lesser extent, in the ileum (30%) among the cases investigated. Most postoperative recoveries proceeded without complications, barring two cases identified during postmortem examinations. Intraoperative findings included the presence of a Ladd’s band in 5 out of the 13 cases; however, the referenced studies did not note significant additional anomalies, except for congenital atresia of the transverse colon.

Conclusion: As this is a rare combination of two congenital anomalies, preoperative clinical diagnosis is difficult and requires careful evaluation and surgical management.

Introduction : Digestive stoma is defined by the derivation of a segment of the digestive tract to the skin. It is called a colostomy when this segment corresponds to the colon. In the neonatal period it is most often carried out in an emergency context. The aim of this work is to report our experience in the management of colostomies in newborns at Ziguinchor Regional Hospital in Senegal (CHRZ).

Patients and Methods : We conducted a retrospective descriptive study at the CHRZ pediatric surgery department over a period of 7 years (January 2015 to December 2021). All patients aged 0 to 28 days who received a colostomy were included. The parameters studied were: frequency, age, sex, time to admission, indications, type of colostomy, postoperative outcomes. Data were collected from consultation registers and emergency registers. The analysis was carried out using Excel 2020 software.

Results : Over a 7-year period, 37 colostomies were performed on newborns. The male sex was predominant with a sex ratio of 2.7/1. Their average age was 3.2 days with extremes of 1 and 7 days. The majority of our patients, 56.76%, were admitted after 72 hours of progress. The main reason for performing the colostomy was anorectal malformation. The loop colostomy was more frequently performed. The evolution was favorable in 81.09%. The majority of deaths occurred between the 1st and 3rd day of admission.

Conclusion : Colostomy in the neonatal period is a procedure which is not without complications, especially since it is often carried out in an emergency context. Its frequent complications in new patients are mainly linked to diagnostic delay and associated malformations. Improving this situation requires a thorough preoperative assessment, appropriate surgical technique, good resuscitation and adequate equipment.

Introduction : Endoscopic incision is generally considered the definitive treatment for Posterior Urethral Valves (PUV). This study aims to describe our technique for endoscopic resection of PUV and the long-term outcomes of bladder function.

Patients and methods : We conducted a prospective study in the Pediatric Surgery Department at Albert Royer Children’s Hospital, Dakar, from January 1, 2020, to June 20, 2023. Thirty-two children with PUV underwent endoscopic treatment and were followed for at least six months. We assessed pre- and postoperative urinary diversion, age at PUV incision, bladder capacity, urinary incontinence, voiding disorders, bladder dysfunction, and renal failure.

Results : The mean age at treatment was 27.3 months (range: 1 day to 10 years); 65.6% were infants. Preoperative urinary diversion was performed in 62.5% of patients. Post-incision, transurethral catheterization averaged 49.9 hours. At a mean follow-up of 4.8 years, no patients reported dysuria; 90.5% experienced urinary incontinence, and 76.2% had urgency and frequent urination. Among those over 5 years old, 80% were suspected of bladder dysfunction. Three months post-resection, 90.6% had normal renal function. After an average of 16.7 months, 75% had elevated age-specific creatinine levels. Ultrasound showed improvement in 46.8%, stability in 28.1%, and worsening in 9.3%. Renal scintigraphy revealed pyelonephritic scarring in two patients; one had normal results.

Conclusion : Despite endoscopic incision, renal and bladder function outcomes in children with PUV remain unpredictable, especially with comorbid factors like delayed treatment, urinary diversions, and infections.