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Background <p>Congenital malformations, which are responsible for thousands of neonatal deaths every year, are prevalent in low-resource countries. Severe birth defects are mainly multifactorial but their occurrence may be exacerbated by low socioeconomic conditions and environmental factors, especially in mining areas.</p> Case presentation <p>A male neonate delivered, at term, by caesarean section from a 23-year-old woman presented multiple malformations (cardiac exstrophy, abdominal agenesis) and died 12&#xa0;h after birth. The (non-consanguineous) father was an artisanal gold miner. No genetic or further morphological testing was done due to lack of resources.</p> Discussion and conclusion <p>The present case of severe congenital malformation in a gold mining area of the Democratic Republic of Congo, illustrates the challenges associated with the lack of specialized antenatal and neonatal care in a resource-poor country.</p>

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Anterior abdominal wall agenesis associated with cardiac exstrophy and macrocephaly in a gold mining area of the Democratic Republic of the Congo: management and prognosis in a resource-limited area

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年12月4日

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  • Etienne Kajibwami Birindwa,
  • Rodrigue Noko Magene,
  • Paterne Safari Mudekereza,
  • Jules Mongane Irenge,
  • Cyril Nyakadere Iragi,
  • Christophe Kyembwa Munyumbi,
  • Blandine Bulambo Asoka,
  • Fabrice Gulimwentuga Cikomola,
  • Patrick de Marie Katoto Cimusa,
  • Benoit Nemery,
  • Théophile Kabesha Amani B.,
  • Tony Shindano Akilimali,
  • Gloire Mubake Wabulakombe,
  • Guy Mulinganya Mulumeoderhwa,
  • Dieudonné Sengeyi Mushengezi Amani

摘要

Background

Congenital malformations, which are responsible for thousands of neonatal deaths every year, are prevalent in low-resource countries. Severe birth defects are mainly multifactorial but their occurrence may be exacerbated by low socioeconomic conditions and environmental factors, especially in mining areas.

Case presentation

A male neonate delivered, at term, by caesarean section from a 23-year-old woman presented multiple malformations (cardiac exstrophy, abdominal agenesis) and died 12 h after birth. The (non-consanguineous) father was an artisanal gold miner. No genetic or further morphological testing was done due to lack of resources.

Discussion and conclusion

The present case of severe congenital malformation in a gold mining area of the Democratic Republic of Congo, illustrates the challenges associated with the lack of specialized antenatal and neonatal care in a resource-poor country.