DOI: 10.36347/sasjs.2024.v10i01.024

Pages: 136-142

Introduction: Acute generalized peritonitis is an acute inflammation and / or infection of the peritoneum. It is most often secondary to perforation of an intraperitoneal organ and/ or the spread of an intra-abdominal septic focus. Post-traumatic peritonitis is due to the pathological opening of the wall of a hollow organ of the digestive tract following trauma. Objective: To study post-traumatic peritonitis in the general surgery department of the Fousseyni Daou Hospitol in Kayes. Patients and Method: This was a rétrospective and descriptive study. The retrospective period extended from March 2019 to February 2022 and the prospective period from March 2022 to February 2023 inclusive. We included in this study all patients who consulted the emergency reception services and who were operated and the hospitalized in the general surgery department of the Fousseyni Daou Hospitol in Kayes for post-traumatic peritonitis. Results: The frequency of post-traumatic peritonitis was 10%. The 11-20 year old age group was the most represented with 34.40%. In our series, 90.60% of patients Cameroun urgently. Abdominal contusions were the most frequent reason for admission with 46.90%. Public road accidents were the most common etiology with 34.40%. The most common preoperative diagnosis was peritonitis by perforation of a hollow organ with 62.50%. Therapeutically,50% of patients benefited from excision, suture, washing and drainage. Surgical site infection was the main complication with 28.60%, and the death rate was 57.10% among complications. Conclusion: Post-traumatic peritonitis is nowadays a concern in emergency surgery because it represents a significant cause of death in the surgical environment.