DOI: 10.36347/sasjs.2024.v10i04.001

Pages: 404-406

Non-traumatic abdominal surgical emergencies are acute non-traumatic pathologies whose initial clinical expression is centred on the abdominal wall and which require surgical management within a short period of time. The aim of our study was to contribute to improving the management of non-traumatic abdominal surgical emergencies in the Visceral Surgery Department of the Conakry Military Hospital. This was a retrospective descriptive study of 258 cases hospitalised and operated on for non-traumatic abdominal surgical emergencies at Conakry Military Hospital. In the course of this study, 542 patients underwent surgery, 258 of whom (47.60%) were non-traumatic abdominal surgical emergencies. The age group most affected was 21 to 40 years, i.e. 46.13%. The mean age was 26.04 years, with extremes of 11 and 76 years. The sex ratio was 0.53 M/F. Pupils/students were most affected (43.02%). 87.21% of our patients were from Conakry. Abdominal pain was the main reason for consultation (100%). Acute appendicitis was the most frequent, accounting for 81.01% of cases. All patients received intraoperative and postoperative medical treatment. Post-operative management was generally straightforward (96.51%). Post-operative morbidity was dominated by serious infectious pathologies (1.55%). We also recorded 5 cases of death, giving a case-fatality rate of 1.94%. Early consultation of patients and prompt treatment could favourably improve prognosis.