Abstract
The aim of this work was to eassess the contribution of imaging in the management of non-traumatic abdominal surgical emergencies at the General Surgery Department of the Ignace Deen National Hospital. Material and methods: This was a prospective, descriptive study that included for 6 months all patients admitted and operated for a non-traumatic abdominal surgical emergency and having performed at least one imaging test. Results: During our study period, Non-traumatic abdominal surgical emergencies accounted for 25.27% of admissions. The average age was37.58 years old with a male predominance (65.3%) and a sex ratio of 1.88. The mean consultation time was 66.92h±40.15. PSA was the most performed imaging test (86.44%) followed by abdominal ultrasound (8.47%). The main non-traumatic abdominal surgical emergencies observed were acute generalized peritonitis (45.8%), followed by acute intestinal obstruction (44.1%). The agreement between imaging and operative diagnosis was 93.46% on PSA, 92.86% on abdominal ultrasound and 100% on abdominal CT. Conclusion: Non-traumatic abdominal surgical emergencies are frequent, imaging examinations (ASP, ultrasound) allow a good appreciation of all non-traumatic abdominal emergencies when they are judiciously used. In addition, CT, although essential, remains inaccessible due to its cost, thus limiting its emergency use.
Highlights
Non-traumatic abdominal surgical emergencies include all abdominal conditions of non-traumatic origin, of recent occurrence, having in common the therapeutic emergency [1]
We reported the concordance and correlation between imaging diagnosis and operative lesions (Tables 5 and 6)
467 surgical pathologies were admitted to the department, non-traumatic abdominal surgical emergencies represented 118 cases, or 25.27%
Summary
Non-traumatic abdominal surgical emergencies include all abdominal conditions of non-traumatic origin, of recent occurrence, having in common the therapeutic emergency [1]. They constitute one of the most frequent reasons for consultation in emergency reception services [2, 3]. The proportion of diagnostic errors is estimated between 25 and 50% in the absence of imaging [1]. Close collaboration between the responsible clinician and the Diakite Sandaly et al.: Contribution of Imaging to the Management of Surgical Emergencies in the General. An abdominal surgical emergency is managed promptly and adequately, providing a better prognosis for patients [7]
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