Caecal Perforations: Anatomoclinical Aspects and Management in the General Surgery Department at the CHU Donka

Abstract

Introduction: the aim of this study was to analyze the management of 45 cases of caecal perforations in the general surgery department at CHU Donka Conakry. Methodology: This was a descriptive retrospective study lasting 10 years, from January 1, 2013 to December 31, 2022 performed in the general surgery department at CHU Donka, Conakry. Results: We have recorded in 10 years, 45 cases of caecal perforations or 9.45% compared to other cecal pathologies. The age groups from 50 to 64 years accounted for 35.5% or 16 cases. The average age was 53.2 years and the extremes were from 6 years to 86 years. The male sex represented 27 patients or 60% with a sex ratio of 1.5. Abdominal pain and fever were the reasons for consultation in all our patients and the clinical diagnosis of appendicitis was made in 20 patients or 44%. Luberkunian adenocarcinoma was histologically evoked in 15 cases, i.e. 33.33%, and benign behavior was visualized in 25 patients, i.e. 56%. Conclusion: The anatomopathological examination constitutes a means of evaluation of the lesion assessment but also of the etiological diagnosis.