DOI: 10.36347/sasjs.2023.v09i06.016

Pages: 568-573

Introduction: Upper digestive haemorrhages represent a medico-surgical emergency that can be life threatening. Material and Method: this was a retrospective study that was carried out over a period of five years (2015- 2019) in the Department of Surgical Emergencies of the Ibn Sina University Hospital of Rabat, involving six patients aged between 36 and 82 years. Result: the clinical symptoms was marked by hematemesis and melena in five patients, rectal bleeding in one patient, epigastralgia preceding the gastrointestinal bleeding in 3 patients. All of our patients presented with heavy bleeding. One of our patients had a history of bulbar ulcer complicated by peritonitis, four patients are chronic smokers. Medication intake was noted in two patients. The oesogastro-duodenal fibroscopy made the diagnosis and showed a gastro-duodenal ulcer in all the patients. All patients underwent surgical treatment: three ulcer sutures and three antrectomies. Haemostasis was ensured in five patients, surgical revision was necessary in one patient with postoperative hemodynamic instability. Discussion: In light of these results and a review of the literature, surgery remains the essential recourse in the event of severe bleeding from peptic ulcer. Conclusion: haemorrhagic ulcer is the most common cause of upper ulcerative digestive haemorrhages, its diagnosis is clinical and endoscopic, emergency surgery is immediately indicated in the case of massive bleeding.