TITLE:
Acute Peritonitis at the CSRef of the Commune I in the District of Bamako: Signs, Diagnosis and Treatment
AUTHORS:
Cheickna Tounkara, Oumar Amadou Malle, Modibo Togola, Hamidou Samake, Lamine Soumare, Sékou Koumare, Zimogo Zié Sanogo, Djibril Sangare
KEYWORDS:
Peritonitis, Surgery, Csref CI, Bamako Mali
JOURNAL NAME:
Surgical Science,
Vol.14 No.10,
October
26,
2023
ABSTRACT: 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.