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SAS Journal of Surgery | Volume-10 | Issue-09
Acute Appendicitis at the Bougouni Reference Health Center
Coulibaly O, Sylla M, Traore S.A, Goita D, Koné M, Bagayoko O, Camara B, Sodio P, Samaké D, Doumbia A, Konaté M, Traoré A, Cissé M, Samaké A.M
Published: Sept. 26, 2024 | 129 102
DOI: https://doi.org/10.36347/sasjs.2024.v10i09.017
Pages: 1092-1093
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Abstract
Introduction: Acute appendicitis is an acute inflammation of the vermicular appendix. The objective was to describe the epidemiological, clinical, anatomo-pathological, and therapeutic aspects of appendicitis. Methodology: We carried out a prospective study from January 2020 to December 2020. Results: We listed 60 cases of acute appendicitis which represented 34.4% of surgical emergencies. The average age was 30.9 years. There is a predominance of men with a sex ratio of 1.61. The average consultation time was 2 days. The clinical manifestation was pain in the right iliac fossa. Abdominal ultrasound revealed thickening of the appendicular wall in 55 (91.67%) of cases. The blood count showed hyperleukocytosis in 59 (98.3%). The Alvarado score was between 08 -10 in 57 (95%) of cases. The appendix was laterocecal in 36 (60%) of cases. Appendectomy with burial of the stump was performed in 40 (66.7%), appendectomy without burial in 20 (33.3%). The postoperative complication was parietal abscess 1 (1.66%). Mortality was 0%. Conclusion: Acute appendicitis is the most common abdominal surgical emergency in our department. Early treatment would help reduce complications.