DOI: https://doi.org/10.36347/sasjs.2024.v10i10.007

Pages: 1130-1134

Our objectives were to determine the hospital frequency, describe the clinical, diagnostic, and therapeutic aspects, and assess the postoperative outcomes. Methods: The study took place in the surgery department of the CSRéf of Ouélessébougou. It was a descriptive, analytical, and retrospective study over a 26-month period, from June 2021 to October 2023, including all patients operated on for acute peritonitis with an exploitable medical record. Results: During the study period, 182 patients underwent emergency surgery, of which 43 cases were for acute peritonitis, a frequency of 0.44%. The average age was 28.58±16.53 years, ranging from 7 to 70 years. The age group of 01 to 30 years was the most represented, accounting for 60.5%. The majority of patients were male (65%). All patients presented with abdominal pain, associated with vomiting as a functional symptom. The initial site of pain was in the right iliac fossa in 48.8% of patients. ASP (Abdomen without Preparation) was performed on 33 patients, revealing diffuse greyness in all these patients and an interhepatic-diaphragmatic gas crescent in 11 patients. Ultrasound was performed in 21 patients (49%), especially when the clinical diagnosis was unclear. General anesthesia was administered to all patients. Appendicular etiology was identified in 46.5% of cases. The majority of patients had a good prognosis according to the Mannheim Peritonitis Index (MPI) in 97.7% of cases. Postoperative outcomes were uncomplicated in 72.1% of patients, but 23.3% experienced parietal suppuration.