Author(s)

Moussa Diassana^1*, Bathio Traoré¹, Aly Boubacar Diallo¹, Mamadou Bernad Coulibaly¹, Doh Sylla¹, Amadou Maiga², Aboubacar Karambé², Amadou Bah², Aboubacar Yoro Sidibé², Layes Touré³, Ternan Traoré³, Ousmane Dembelé⁴, Salif Traoré⁴, Moussa Kanté⁵, Mamadou Sangaré⁵, Kokoroba Sidibé⁵, Youssouf Diakité⁶, Mahamadou Coulibaly⁷, Moro Sidibé⁸, Soumaila Alama Traoré⁹, Moussa Samaké¹⁰, Nana Kadidia Fofana¹¹, Bakary Tientigui Dembélé²

¹General Surgery Department of the Sikasso Hospital, Sikasso, Mali.
²General Surgery Department CHU Gabriel-Touré, Bamako, Mali.
³Traumatology Department of the Sikasso Hospital, Sikasso, Mali.
⁴Urology Department of the Sikasso Hospital, Sikasso, Mali.
⁵Anesthesia and Resuscitation Department of the Sikasso Hospital, Sikasso, Mali.
⁶Odontostomatology Department, Sikasso Hospital, Sikasso, Mali.
⁷Surgery Department, Koutiala Reference Center, Koutiala, Mlai.
⁸Ophthalmology Department, Sikasso Hospital, Sikasso, Mali.
⁹Gyneco-Obstetrics Department, Sikasso, Mali.
¹⁰Surgery Department, Bamako District Hospital, Bamako, Mali.
¹¹Commune IV District Hospital, Bamako, Mali.

Traumatic digestive perforation is the pathological opening of the wall of a hollow organ of the digestive tract (esophagus, stomach, small intestine, large intestine, rectum, and extrahepatic bile ducts) following trauma. Injuries to the digestive viscera, especially from trauma, have been known since antiquity. Aristotle recognized that a slight blow can cause an intestinal injury. Perforation of a hollow organ of the digestive sphere results in peritonitis, which in this case is the consequence of an infection of the peritoneal cavity by spreading of the digestive contents. The aim of the work was to describe the epidemiological, clinical and therapeutic aspects of traumatic digestive perforation. Patients and method: The study was retrospective and descriptive from January 1, 2016 to December 31, 2020, in the general surgery department of the hospital of Sikasso (Mali). Patients operated for traumatic digestive perforation were included. Results: The clinical records of 42 patients were collected. Traumatic digestive perforations represented 12.3% of patients hospitalized for abdominal trauma. The average age of the patients was 26.6 years, with a sex ratio of 6:1. The most frequent etiology was road traffic accidents with 38% of patients. The average delay of consultation was 5 days. Abdominal pain was present in 38 patients, vomiting in 17 patients. On physical examination, the most frequent signs were abdominal contracture in 61.9% of patients, and disappearance of pre-hepatic dullness in 54.7% of patients. On rectal examination, the douglas was bulging and painful in 21 patients. X-ray of the abdomen without preparation showed pneumoperitoneum in 54.1% of patients. Excision, suture and peritoneal lavage were performed in 31 patients. The postoperative course was marked by parietal suppurations in 5 patients, a digestive fistula in 2 patients and 4 cases of death (9.5%). Conclusion: Traumatic digestive perforation is a frequent pathology in surgery. Road accident was the main cause. The treatment is essentially surgical.

Perforation, Digestive, Traumatic, Sikasso (Mali)

Diassana, M. , Traoré, B. , Diallo, A. , Coulibaly, M. , Sylla, D. , Maiga, A. , Karambé, A. , Bah, A. , Sidibé, A. , Touré, L. , Traoré, T. , Dembelé, O. , Traoré, S. , Kanté, M. , Sangaré, M. , Sidibé, K. , Diakité, Y. , Coulibaly, M. , Sidibé, M. , Traoré, S. , Samaké, M. , Fofana, N. and Dembélé, B. (2023) Traumatic Digestive Perforation in the Hospital of Sikasso: Epidemio-Clinical and Therapeutic Aspects. Surgical Science, 14, 405-413. doi: 10.4236/ss.2023.146045.