DOI: https://doi.org/10.36347/sasjs.2026.v12i08.016

Pages: 729-734

The aim of this work is to improve the management of non-traumatic digestive surgical emergencies in the surgical emergency department of the University Hospital of Brazzaville. Patients and method: This was a descriptive study with a prospective data collection method from January 1, 2022 to December 31, 2022. It involved 458 patients operated on for a non-traumatic digestive surgical emergency in whom the epidemiological, diagnostic, therapeutic and prognostic aspects were collected and analyzed. Results: The hospital frequency was 9.8% of all surgical emergencies. The average age of onset was 40 ± 11.7 years. The most affected age group was 28 to 37 years. There was a male predominance with a sex ratio of 1.3. The average consultation time was 72 hours. 15.7% of patients had comorbidity. Peritonitis was the most common etiology, with appendicular origin in the foreground. All patients underwent exploratory laparotomy, 98.2% of which were open. The most commonly performed procedure was appendectomy. The average hospital stay was 5 days. Morbidity was around 15%, dominated by parietal suppurations. Conclusion: Non-traumatic digestive surgical emergencies represent an important diagnostic entity in our context and affect young adults; its etiology is dominated by secondary acute generalized peritonitis.