PERITONITE TUBERCULEUSE : CIRCONSTANCES DE DECOUVERTE, PRISE EN CHARGE ET FACTEURS PRONOSTIQUES AU SERVICE DE CHIRURGIE GENERALE DU CHU IGNACE DEEN.

Abstract

Summary The aim of this study was to report our experience in the management of tuberculous peritonitis in the general surgery department of the Ignace Deen National Hospital, Conakry University Hospital. Material and method:Ten-year retrospective descriptive study (January 2013 to December 2022) carried out in the general surgery department of the Hôpital national Ignace Deen/CHU de Conakry. All complete records of patients admitted for tuberculous peritonitis and confirmed by bacteriology and anatomical pathology were included in the study. Sociodemographic, clinical, therapeutic and prognostic variables were studied. Results:In the course of this study, we collated 41 cases of tuberculous peritonitis out of 4366 hospitalizations in the general surgery department of the Ignace Deen national hospital/CHU in Conakry, representing 0.94% of the department's total activity. Mean age was 58.97 years, with extremes of 12 and 77 years. HIV was associated with TBP in 56.1% of cases. Symptoms were dominated by fever (100%), abdominal pain (100%), weight loss (97.6%) and ascites (97.6%). The diagnosis was suspected preoperatively in all cases and confirmed by bacteriology and pathological anatomy. Treatment was based on two months' RHZE and four months' RH, on a short six-month regimen in 95.1% of cases. L’évolution a été majoritairement favorable dans 97,56%. Nous avons enregistré 3 décès. The majority of cases progressed favorably (97.56%). We recorded 3 deaths. Conclusions: Tuberculous peritonitis, reputed to be rare, has seen a resurgence in incidence with the advent of HIV. Careful questioning can help avoid unnecessary laparotomies. Key words: Tuberculous peritonitis, circumstances of discovery, treatment, prognosis, Ignace Deen.