Author(s)

Maïga Amadou^1*, Diakité Ibrahima², Bah Amadou², Diallo Aly Boubacar¹, Traoré Bathio¹, Moussa Diassana¹, Sidibé Boubacar Yoro², Koné Tani², Doumbia Arouna Adama², Traoré Amadou², Saye Zakari², Saadé Oumou Hélène², Kanté Lassana², Konaté Madiassa², Dembélé Souleymane², Samaké Moussa², Dembélé Bakary Tientigui², Traoré Alhassane², Togo Adégné²

¹Service de chirurgie générale, Hôpital de Sikasso, Sikasso, Mali.
²Service de chirurgie générale, CHU Gabriel Touré, Bamako, Mali.

The appendicular peritonitis is complications of acute appendicitis which are characterized by the diffusion of the infectious process to the peritoneal cavity thus carrying out a generalized or located purulent peritonitis. It can appear from the start or follow the stage of appendicular abscess. Our objectives were to determine the frequency, to describe the clinic and para clinic aspects, to identify the principal germs and their sensitivities to antibiotics and to describe the operative continuations. Our prospective and descriptive study focused on patients treated for appendicular peritonitis, from January 1^st to December 31^st 2016, in the General Surgery Department of the Hospital of Sikasso. During the period of our study, 31 cases of appendicular peritonitis were collected, which represented 4.36% of surgical interventions, 19.25% of urgent surgeries. The male sex accounted for 71.0% with a sex-ratio of 2.44 at the risk of males, the average age was of 20 years ± 12.99, the abdominal pain + vomiting was the reason for consultation in 54.8% of cases. The physical examination allowed in most cases to make the diagnosis. In doubtful cases some additional examinations have been requested (abdomen without preparation, abdominal ultrasound). The surgical treatment consisted of an appendectomy with peritoneal lavage followed by drainage. The average length of hospital stay was 8.8 days with extremes of 1 - 44 days. Hospital mortality was 9.7%. Delay in consultation and age were factors of morbidity and high mortality.

Appendicular Peritonitis, Surgical Emergencies, Hospital of Sikasso

Amadou, M. , Ibrahima, D. , Amadou, B. , Boubacar, D. , Bathio, T. , Diassana, M. , Yoro, S. , Tani, K. , Adama, D. , Amadou, T. , Zakari, S. , Hélène, S. , Lassana, K. , Madiassa, K. , Souleymane, D. , Moussa, S. , Tientigui, D. , Alhassane, T. and Adégné, T. (2022) Appendicular Peritonitis in the General Surgery Department of Gabriel TOURE CHU. Surgical Science, 13, 9-14. doi: 10.4236/ss.2022.131002.