[Pleural Textiloma discovered after treatment of a persistant arterial channel]

Post-operative foreign bodies are rare and inlocalized in the abdomen for the majority of cases. 80% of these foreign bodies were textiloma. Report a new case of post operative body localized in the pleukral cavity. A 6 years old boy, prevresly treated on age 11 months for persisitant arterial channel, was admitted with diagnosis of non systematized operety in middle fueld of cefts lung. Tumor with a posserior shadow one evaluated to scan alloy its longitudinal axis secondary by condensation of lung tissue, this among evolued in textiloma. CT scan showed a condensation of lung tissue hyperdense tumor in its center. Pleuval membrane because thick the foreign body was removed significally and a pleural decortication was performed post operative course was uneventful. Pleural textiloma, is rare but it still severe complications with its life listening wish an medico legal consequences

[Epidemiologic and clinical features of congenital heart diseases in children at the Bizerta hospital]

The aim of this study is to establish the epidemiologic profile of congenital heart disease in newborns in a Tunisian deparmtent of the north west of Tunisia

Methods: We report 79 cases of congenital heart defects treated which are followed up in the department of general paediatrics in the University hospital of Bizerta during 9 years. The informations concerning the patients is taking to a data file. The newborns included had a congenital heart disease suspected clinicly or confirmed by a cardiac echography

Results: The sex-ratio was 0.79 with a mean of weight birth of 3075g. The prematurity reaches 20,1%. The consanguinity was 30.5%. Congenital heart defects were detected the first week of life in 47% with a murmur on 77,6%, cyanosis on 70%, dyspnea on 89%. The annual incidence was evaluated 2,5%. One hundred and Twelve heart defects were diagnosed. The medical treatment was indicated on 46,3% and the surgery on 22,5%. Mortality was on 23,8%

Conclusion: Congenital heart disease particularly in neonatal period are crippled by a high morbidity and mortality, it's a case of emergency in pediatric cardiology

[Epidemiologic profile of the newborn of unmarred mother in Bizerta. About 187 cases]

The aim of this study is to establish the epidemiologic profile of 187 illegitimate pregnancies compared to pregnancies from married mothers

Patients and methods: A transversal retrospective study was carried out in Bizerta from 1990 to 2003. The witness group was constitued by women whose gonna delivery at the same period with p<0.05

Results: Throughout this study, we have found that single mothers with a mean age of 24 years, are younger than married mothers and has a rural origin and primiparous status. Pregnancy was not followed-up in 70,6% vs 1,6% and mater-nal serology was done in 17% vs 96,8%. 38,4% of new-borns of single mothers were hospitalised [vs 13.2% in the group witness] for materno-foetal infection [14,4%], respiratory distress syndrome [11,7%], prematurity [9,6%] and intra-uterine growth delay [2,1%]. The mortality rate in newborns of single mothers was 5.3%

Conclusion: Illegitimate pregnancy is not well followed-up, worst to live and comport a risk for the health and mental in mothers and newborns