TITLE:
Epidemiological-Clinical and Therapeutic Aspects of Acute Appendicitis at the Reference Health Center of Commune III (C.S.Ref CIII) of the District of Bamako
AUTHORS:
Karembé Boubacar, Tounkara Idrissa, Soumaré Modibo Dianguina, Diarra Issaka, Diarra Mouminy, Touré Aboubacar, Traoré Boureima, Camara Aboubacar, Sanogo Seydou, Fall Ibrahim, Coulibaly Abdoulaye, Traoré Abdoulaye, Diarra Drissa, Diakité Mané, Coulibaly Yacaria, Kanté Lassana, Dembélé Bakary Tientigui, Togo Adégné
KEYWORDS:
Appendicitis, Surgery, Anatomical Pathology
JOURNAL NAME:
Surgical Science,
Vol.14 No.1,
January
18,
2023
ABSTRACT: Objectives: It was to determine the epidemiological-clinical and therapeutic aspects
of acute appendicitis at the Reference Health Center of Commune III of the
district of Bamako. Methodology: This was a prospective study from January 1 to
December 31, 2020 including patients operated for acute appendicitis and
confirmed at histology and cases of abscess and appendicular plastron. Results: We collected 60 cases of
acute appendicitis. They accounted for 17.29% of surgical indications.
The average age of our patients was 25.5 years. The male sex was the most
represented at 63% with a sex ratio of 1.72. The Pain in the right iliac fossa
was the most represented reason for consultation with 76.7%. It was at the type
of bite 70% of the cases. On physical examination the defense of the right
iliac fossa was present in 96.7%. Digestive signs were marked by nausea 28.4%
(17 patients) and vomiting 25% (15 patients). The digital rectal exam was
painful to the right of the Douglas fir in 76.7% of our patients. In biology a
complete blood count (CBC) performed in all our patients has objectified hyper
leukocytosis in 80% of cases. The reactive protein (CRP) performed in 36
patients was elevated with values between 18 and 46 mg/ml.
The imaging performed was an abdominal ultrasound that found a roundel image of
the appendix with increased size in 65%. Surgical treatment consisted of classical Mac Burney appendectomy in 54 patients
(90%). The gesture performed was an appendectomy in all our patients. All our
appendectomy parts were sent for pathological examination. This examination
classified the parts as non-specific appendicitis in 60%, phlegmonous
appendicitis in 22% and catarrhal appendicitis in 18% of cases. Surgical
follow-up was simple in 98.4% (59 patients) and morbidity was marked by
digestive fistula in one patient. We recorded one case of death (1.6%). Conclusion: Acute appendicitis remains the most common surgical
emergency in commune III of the district of Bamako. It is a pathology that can
be found at all ages of life. Its morbidity and mortality are low subject to
early diagnosis and management.