TITLE:
Acute Peritonitis at the Reference Health Center of Commune I of the District of Bamako: Epidemiological, Clinical and Therapeutic Aspects
AUTHORS:
Tounkara Cheickna, Samake Hamidou, Maïga Amadou, Cisse Alou Hamadoun, Diarra Issaka, Sanogo Modibo, Togola Modibo, Dembele Bakary Tientigui, Traore Alhassane, Togo Pierre Adegne, Kante Lassana
KEYWORDS:
Acute Peritonitis, Epidemiology, Diagnostic, Therapy, Surgical Emergencies, Cs Ref CI, Bamako, Mali
JOURNAL NAME:
Surgical Science,
Vol.14 No.12,
December
27,
2023
ABSTRACT: Acute peritonitis is most often secondary to perforation of the digestive
organ and/or the spread of an intra-abdominal septic focus. The objectives of
this work were to study acute peritonitis in the general surgery department of
the Cs ref of commune I in Mali, to determine the frequency of peritonitis, to
describe the epidemiological, clinical and therapeutic aspects in order to
analyze the surgical consequences and to
assess the additional cost of treating acute peritonitis. This study was
prospective, descriptive, cross-sectional involving 40 patients received in the
surgery department of the Cs ref of commune I for acute peritonitis from
January 1, 2018 to December 31, 2018. There were 40 patients among whom 28
(70%) were men and 12 were women (30%), i.e. a sex ratio =
2.3. The average age was 25 years with extremes varying between 16 and 54 years
and a standard deviation of 11.78. Abdominal pain was the main reason for
consultation. Clinical examination alone made it possible to make the diagnosis
in 75% of cases. Surgical treatment depended on the intraoperative etiology.
The clinical diagnosis was supported by ASP and abdominal ultrasound; performed
respectively in 10% and 90% of patients. Appendiceal peritonitis was the
intraoperative diagnosis observed in 50% of cases. All our patients benefited
from a peritoneal toilet with drainage. We noted a morbidity rate of 5%
dominated by parietal suppuration. The average cost of care was 175,000 FCFA.