Author(s)

Cheickna Tounkara^1*, Oumar Amadou Malle¹, Modibo Togola¹, Hamidou Samake², Lamine Soumare³, Sékou Koumare³, Zimogo Zié Sanogo³, Djibril Sangare³

¹Department of General Surgery of the Reference Health Center of Commune I, Bamako, Mali.
²Directorate of the Social Health Service of the Armed Forces of Mali, Bamako, Mali.
³Department of General Surgery “A” of Point G Hospital, Bamako, Mali.

Acute generalized peritonitis is an acute inflammation of the peritoneum. It is most often secondary to perforation of the digestive organ and/or the spread of an intra-abdominal septic focus. The absence of a study on peritonitis in a reference health center motivated us for this work. The aim of this study was to study the inadequacies that could be seen in the management of peritonitis in the CSRef(s). We carried out a retrospective study of 40 patients received at the CSRéf of commune I for acute generalized peritonitis from 2011 to 2012. The average age was 30.1 years with a standard deviation of 3.4; extremes ranging from 14 years to 60 years and a Sex ratio = 1.22 (22 men out of 18 women). Abdominal pain was the main reason for consultation (present in all our patients). In most cases, clinical examination alone made it possible to make the diagnosis. Surgical treatment depended on the etiology (appendectomy associated with washing-drainage was the most commonly performed surgical procedure). All our patients received general anesthesia. The average length of hospitalization was 7 days with extremes ranging from 1 to 15 days. We noted a Morbidity rate of 22.5%, dominated by wall abscesses and a mortality of 2.5%. The delay in consultation and referrals constitutes a factor in mortality and high morbidity.

Peritonitis, Surgery, Csref CI, Bamako Mali

Tounkara, C. , Malle, O. , Togola, M. , Samake, H. , Soumare, L. , Koumare, S. , Sanogo, Z. and Sangare, D. (2023) Acute Peritonitis at the CSRef of the Commune I in the District of Bamako: Signs, Diagnosis and Treatment. Surgical Science, 14, 626-636. doi: 10.4236/ss.2023.1410068.