TITLE:
Appendicular Abscess: Epidemio-Clinical and Therapeutic Aspects in the General Surgery Department of the Reference Health Center of Commune III (C.s.ref CIII) of the District of Bamako
AUTHORS:
Karembé Boubacar, Tounkara Idrissa, Diarra Issaka, Soumaré Modibo Dianguina, Traoré Boureima, Sanogo Seydou, Diallo Moctar, Camara Aboubacar, Touré Aboubacar, Coulibaly Abdoulaye, Fall Ibrahim, Diakité Mané, Diarra Mouminy, Diarra Drissa, Traoré Abdoulaye, Coulibaly Yacaria, Kanté Lassana, Dembélé Bakary Tientigui, Togo Adégné
KEYWORDS:
Abscess, Appendix, Surgery
JOURNAL NAME:
Surgical Science,
Vol.14 No.2,
February
10,
2023
ABSTRACT: Objectives: The main goal of this study is to determine the hospital frequency of
appendicular abscess, to describe the diagnostic and therapeutic aspects and to
analyze the postoperative follow-up. Methodology: This was a descriptive
and analytical prospective study from January 1, 2020 to June 30, 2021
including patients admitted to our department for appendicular abscess
diagnosed pre- and or intraoperatively and confirmed to histology. Results: We collected 30 appendicular abscesses that accounted for 18.75% of emergency
interventions. The 16 - 25 age group was the most represented at 53%. The
average age was 24 years with extremes of 10 and 58 years. The male sex was
mostly represented (60%) with a sex ratio of 1.5. The majority of our patients
were students (53.3%). The main clinical signs found were abdominal pain and
vomiting (100%). The pain was localized in the Right Iliac Fossa (RIF) in 80% of cases.
Fever was present in all our patients with a temperature between 38˚C and
38.5˚C. The physical examination found pain with defense of the right iliac
fossa in 93.3% of cases. A painful mass was present in 27 patients (90%).
Treatment consisted of appendectomy with abscess drainage in all patients.
Postoperative follow-up was simple in 83.3% of cases; we recorded three cases
(10%) of parietal suppuration, one case of fistula (3.3%) and one death. Conclusion: Appendicular abscess is a medical-surgical emergency frequent surgery in our
context because of the delay in diagnosis. It is a condition with low morbidity
and mortality subject to early diagnosis and prompt and appropriate treatment.