DOI: https://doi.org/10.36347/sasjs.2024.v10i11.022

Pages: 1300-1305

The aim of the work was to describe the epidemiological, clinical and therapeutic aspects of digestive surgical emergencies. Patients and method: the study was retrospective, and descriptive from January 2017 to December 2022.It was carried out in the general surgery department of the Sikasso hospital (Mali). Have been included patients received and cared for digestive surgical emergencies. The parameters studied were: frequency, age, sex, clinical aspects, treatment, and postoperative outcomes. Results: We listed 600 files that represented 44.8% of operated patients. The average age was 27.5 years. There was a predominance of men with a sex ratio of 2.3 at risk for men. One third of patients were admitted within 48 hours. Abdominal pain was the main symptom of the reasons for consultation, i.e. 90%. Plain abdominal X-ray found pneumoperitoneum in 24.3% of patients, and a fluid-air level in 20.8% of patients. Abdominal ultrasound showed thickening of the appendicular wall in 34.9% of patients, peritoneal effusion in 36.9% of patients, intussusception in 2.7% of patients, thickening of the gallbladder wall in 2.5%. The most common etiologies were acute peritonitis in 223 patients, acute intestinal obstruction in 141 patients, acute appendicitis in 128 patients. Appendectomy with or without burial, appendectomy plus peritoneal toilet, suture of the perforation, stoma, resection anastomosis, splenectomy were the surgical procedures performed. The postoperative course was simple in 93% of patients. Parietal suppuration was the most common complication in 5.5%. Mortality was 2.3%. Conclusion: Digestive surgical emergencies occupy an important place in surgery due to their high frequency. The etiologies are multiple. Delay in management increases the risk of complications occurring.