Appendicitis: Epidemioclinical and Histological Aspects at the Nianankoro Fomba Hospital in Segou

Abstract

Summary: This was a single-centre prospective descriptive study carried out in the general surgery department of the Nianankoro Fomba Hospital in Segou over a period of one year. We collected a total of 53 cases of acute appendicitis which represented 14.52% of our surgical activity, 22.36% of the surgical abdominal emergencies. The sex ratio was 2.1 in favour of the male. The clinical signs were polymorphous. Patients consulted for a painful abdominal syndrome most often located in the IDF, 81.1% of cases. Palpation revealed pain in the IDF in 52 (98%) patients, tenderness in the IDF in 21 (40%) patients. Abdominal contracture and a mass in 1(2%). The signs of BLUMBERG, ROVSING and PSOÏTIS were respectively: 58.4%; 0%; 0% of cases. The rectal examination was painful in 49.0% of cases. The postoperative course was simple in 38 patients (71.1%). Complications were observed in 28.3% of our patients, including 14 parietal suppurations, and we recorded 1 case of death. The average hospital stay was 6.4 days.