Author(s)

Cheickna Tounkara^1*, Hamidou Samake², Bambaké Dembele¹, Modibo Togola¹, Bakary Tientigui Dembele³, Alhassane Traore³, Pierre Adégné Togo³, Lassana Kante³

¹Department of General Surgery of the Cs Ref of Commune I of Bamako, Bamako, Mali.
²Directorate of Social and Health Service of the Armed Forces Mali, Bamako, Mali.
³Department of General Surgery of the CHU Gabriel TOURE of Bamako, Bamako, Mali.

Liver abscesses correspond to a newly formed cavity created by necrosis of the liver parenchyma induced by the pathogen. The aim of the present work was to study liver abscesses; determine the frequency; describe the clinical and paraclinical aspects, therapeutic and evolutionary modalities; determine the follow-up of treatment in order to assess the cost of treatment in the Reference Health Center of Commune I of Bamako in Mali. This prospective study, involving 30 cases of liver abscess, took place over a period of 24 months from January 2015 to December 2016 in the general surgery department of the Cs Ref of commune I. The liver abscess is very often the consequence of amoebiasis which is rampant in the underprivileged population and it remains topical in surgical practice in Mali. Our hospital frequency was 0.081% with an average age of 34.40 years and extremes of 16 and 61 years; a sex ratio of 2.3 in favor of men. The main clinical signs were fever (56.7%), hepatalgia (73.3%) and hepatomegaly (26.7%). Hepatic collections objectified on abdominal ultrasound were located in the right lobe in 70% of cases and unique in 62%. Amebic serology carried out in 100% was negative in 20%; 10% of cases had undergone surgical treatment. The consequences were simple for all our patients. The average cost of care, approximately 100,000 FCFA, was significantly higher than the minimum wage (28,460 FCFA) in Mali.

Liver, Abscess, Guided Ultrasound Puncture, Surgery, Bamako, Mali

Tounkara, C. , Samake, H. , Dembele, B. , Togola, M. , Dembele, B. , Traore, A. , Togo, P. and Kante, L. (2023) Liver Abscesses in General Surgery at CsRef CI in Bamako Mali. Surgical Science, 14, 590-597. doi: 10.4236/ss.2023.149064.