Surgical Complications Revealing Nephrotic Syndrome Of Children At Hopital Saint Jean De Dieu De Tanguieta (Benin)

Abstract

Seraphin Ahoui, Montcho Adrien Hodonou, Romeo Haoudou, Evariste Eteka, Romaric Tobome, Hubert Charlemagne Egoulety, Giambastiani Priuli

Background: Thromboembolic and infectious complications of nephrotic syndrome are powerfuland canbefunctional or life threatening. Surgical complications are rare, hence the interest of our work which aimed to study the therapeutic and evolutionary clinical aspects of the surgical complications of the children’s nephrotic syndrome at ’’Hopital Saint Jean De Dieu De Tanguieta’’ (Benin).

Methods: This was a prospective case study of children with complicatednephrotic syndrome followed at ‘’Hopital Saint Jean De Dieu De Tanguieta’’ (Benin) fromOctober 2016 to December 2018.

Results: We reported two cases, all male. Before surgical complications the symptoms were dominated by an oedema syndrome lasting for each of them on averageeightmonths. Surgical complications thatrevealednephrotic syndrome were a spontaneous amputation of the right foot due to arterialthrombosis in a seven-year-old boy and a necrotizingfasciitis of the left foot in a 10-year-old child.The nephrotic syndrome wasidiopathic and the cares werebothsurgical and medical. Nephrotic syndrome wascorticosensitivewith a goodevolution in five months.

Conclusion: These two cases teach that any childhoodoedema syndrome must bequicklyexplored for appropriated management to avoidtheseserious complications and aftereffects.

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