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Scholars Journal of Applied Medical Sciences | Volume-11 | Issue-09
Management of Appendicular peritonitis at the Commune I Reference Health Center of Bamako
Diarra I, Tounkara C, Dembélé Ks, Sanogo M, Dramé Bm, Kanthé D, Koné O, Keita B, Touré S, Coulibaly B, Kassogué S, Karembé B, Kanté L
Published: Sept. 17, 2023 | 174 167
DOI: 10.36347/sjams.2023.v11i09.013
Pages: 1658-1666
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Abstract
Aim: To determine the frequency of appendicular peritonitis in the department. To determine the diagnostic and therapeutic aspects. To analyze the results of management. Methodology: This was a retrospective study conducted over a period of 05 years, from 01 January 2017 to 31 December 2021. Results: We collected 136 cases of acute generalised peritonitis, including 75 cases of appendicular peritonitis, i.e. 6.1% of surgical procedures. Males accounted for 73% of cases, with a sex ratio of 2.75 in favour of males. The mean age was 33.73 years, with a standard deviation of 12.22; the extremes ranged from 16 to 65 years. Abdominal pain was the most frequent reason for consultation, accounting for 97% of cases. In most cases, the diagnosis was made on clinical examination. Appendectomy, peritoneal cleansing and drainage were performed in all our patients. Post-operative management was straightforward in 87% of cases. Conclusion: Appendicular peritonitis is one of the most common aetiological entities. It is diagnosed clinically and managed medico-surgically.