Authors :
Sylla H; Balde H; Diakite S Y; Barry Am; Balde Ak; Camara Fl; Barry Ab; Diallo Ad; Diallo B
Volume/Issue :
Volume 7 - 2022, Issue 12 - December
Google Scholar :
https://bit.ly/3IIfn9N
Scribd :
https://bit.ly/3hWcx9K
DOI :
https://doi.org/10.5281/zenodo.7487996
Abstract :
Aim : To contribute to the study of peritonitis
by ileal perforation in the department. Material and
Methods : This was a retrospective, descriptive study over
five years from 1 January 2016 to 31 December 2020.
Results : We collected 30 cases of ileal perforation
peritonitis (6.7%). The mean age of our patients was 26.06
years and the extremes were 8 and 78 years. The sex ratio
was 3.28. Students were the most represented socioprofessional group (43.33%) and 80% of patients came
from the city of Conakry. Abdominal pain, parietal
defence and painful rectal touch were present in all our
patients (100%). Declive dullness and disappearance of
prehepatic dullness represented respectively 80 and
66.66%. General condition was poor in 56.66% and
impaired in 20%. Typhoid perforation was the most
frequent etiology in 40% of cases and perforation was
unique in 26.67% of cases. Suture excision was the most
common procedure. The postoperative course was
favourable in 40% of cases, with complications in 53.33%
and death in 43.33%. The average hospital stay was 14.6
days with extremes of 1 and 49 days. Conclusion :
Peritonitis due to ileal perforation is relatively frequent in
the department and very serious. The diagnosis is
essentially clinical and typhoid fever is the main etiology.
Early diagnosis, availability of the emergency kit and
equipment of the resuscitation department could improve
the prognosis.
Keywords :
Peritonitis, Ileal Perforation, Epidemiology, Clinical, Treatment.
Aim : To contribute to the study of peritonitis
by ileal perforation in the department. Material and
Methods : This was a retrospective, descriptive study over
five years from 1 January 2016 to 31 December 2020.
Results : We collected 30 cases of ileal perforation
peritonitis (6.7%). The mean age of our patients was 26.06
years and the extremes were 8 and 78 years. The sex ratio
was 3.28. Students were the most represented socioprofessional group (43.33%) and 80% of patients came
from the city of Conakry. Abdominal pain, parietal
defence and painful rectal touch were present in all our
patients (100%). Declive dullness and disappearance of
prehepatic dullness represented respectively 80 and
66.66%. General condition was poor in 56.66% and
impaired in 20%. Typhoid perforation was the most
frequent etiology in 40% of cases and perforation was
unique in 26.67% of cases. Suture excision was the most
common procedure. The postoperative course was
favourable in 40% of cases, with complications in 53.33%
and death in 43.33%. The average hospital stay was 14.6
days with extremes of 1 and 49 days. Conclusion :
Peritonitis due to ileal perforation is relatively frequent in
the department and very serious. The diagnosis is
essentially clinical and typhoid fever is the main etiology.
Early diagnosis, availability of the emergency kit and
equipment of the resuscitation department could improve
the prognosis.
Keywords :
Peritonitis, Ileal Perforation, Epidemiology, Clinical, Treatment.
