Management of Appendicular peritonitis at the Commune I Reference Health Center of Bamako

Abstract

Aim: To determine the frequency of appendicular peritonitis in the department. To determine the diagnostic and therapeutic aspects. To analyze the results of management. Methodology: This was a retrospective study conducted over a period of 05 years, from 01 January 2017 to 31 December 2021. Results: We collected 136 cases of acute generalised peritonitis, including 75 cases of appendicular peritonitis, i.e. 6.1% of surgical procedures. Males accounted for 73% of cases, with a sex ratio of 2.75 in favour of males. The mean age was 33.73 years, with a standard deviation of 12.22; the extremes ranged from 16 to 65 years. Abdominal pain was the most frequent reason for consultation, accounting for 97% of cases. In most cases, the diagnosis was made on clinical examination. Appendectomy, peritoneal cleansing and drainage were performed in all our patients. Post-operative management was straightforward in 87% of cases. Conclusion: Appendicular peritonitis is one of the most common aetiological entities. It is diagnosed clinically and managed medico-surgically.