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

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. 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. 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.

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Publication Details

Journal
Maternal Health Neonatology and Perinatology
Published
2025-12-03
DOI
https://doi.org/10.1186/s40748-025-00237-4
Primary Topic
Folate and B Vitamins Research
Type
article
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0.00
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article

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

Guy Mulinganya Mulumeoderhwa, Jules Mongane Irenge, Benoît Nemery, Etienne Kajibwami Birindwa et al.
Maternal Health Neonatology and Perinatology
Folate and B Vitamins Research
article

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

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

Abstract

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. 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. 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.

Maternal Health Neonatology and PerinatologyVol. 11(1)
Stellenbosch University (ZA), Kinshasa General Hospital (CD), University of Kinshasa (CD), Institut Supérieur de Développement Rural (CD), Institut Supérieur Pédagogique de Bukavu (CD), Institut Supérieur de Technique Médicale (CD), Université Officielle de Bukavu (CD), Kamituga General Hospital (JP), Université Catholique de Bukavu (CD), KU Leuven (BE)
Openalex Percentile: Top 45%
Folate and B Vitamins Research
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