DOI: 10.36347/sasjs.2021.v07i11.018

Pages: 726-729

The aim of this study was to gather epidemiological and diagnostic data, and to evaluate the therapeutic and evolutionary modalities of peptic ulcer perforation. Material and method: From October 1, 2012 to September 31, 2013, we performed a prospective descriptive study on 30 patients admitted to the general surgery department of Kankan hospital for peritonitis due to peptic ulcer perforation. Result: During this study we treated 30 patients urgently for Peritonitis due to peptic ulcer perforation, ie 8.26% of all cases. The average age of our patients was 43.16 years with extremes of 15 and 74 years. We noted a male predominance with a sex ratio M / F equal to 14. The most affected socio-professional layer was the farmers / gold washers 20 cases, ie 66.66%. The signs in favor of peritonitis due to peptic ulcer perforation were dominated by abdominal pain, abdominal defense or contracture in 100% of cases. Simple suture was the most used surgical technique in 24 cases, ie 80%. The postoperative effects were simple in 10 patients, ie 33, 33% and complicated in 12 patients. We recorded 8 cases of death or 26.66%. The mean length of hospital stay was 12.83 days with extremes of 1 and 40 days. Conclusion: Our study shows that peritonitis due to peptic ulcer perforation is a serious condition that can be life-threatening. The improvement of this prognosis depends mainly on the early diagnosis of the condition, effective means of resuscitation and the speed of the surgical procedures.