Abstract
Objective: Identify the factors affecting the non-traumatic intestinal perforations peritonitis outcome. Methods: This was a retrospective study over a period of 30 months (1st January 2014 – 30th June 2016), which took place in four hospitals in northern Benin, including three district hospitals and one teaching hospital. The study population consisted of patients operated for generalized acute peritonitis. The inclusion criteria were: peroperative confirmation of the non-traumatic ileal perforation and the existence of a complete medical record in relation to the variables studied. Results: We collected 121 cases of non-traumatic ileal perforation peritonitis with a total of 447 cases of generalized acute peritonitis; the non traumatic ileal perforation peritonitis frequency was 27.1%. Ninety-nine files met the inclusion criteria. The mean age was 17 ± 12 years with extremes of 2 and 60 years. The sex ratio was 2.4. The predictive factors were: age (p 0.00), consultation time (p 0.03), surgical time (p 0.02), amount of peritoneal fluid (p 0.001), perforation number (p 0.0009), surgical technique (p 0.0003) and postoperative complications such as digestive fistula (p 0.001) and postoperative peritonitis (p 0.04). Conclusions: At the end of our study, the factors of bad prognosis identified were the age, the time of consultation, the time of surgery, the quantity of peritoneal fluid. Some postoperative complications may cause death.
Highlights
The small bowel perforation peritonitis is one of the main causes of generalized acute peritonitis in developing countries [1]
The aim of this study was to identify the factors which influence the prognosis of peritonitis by non traumatic ileal perforation as they are managed in hospitals in north eastern Benin
One hundred twenty one non-traumatic ileal perforation peritonitis cases were collected from a total of 447 acute generalized peritonitis with a frequency of 27.1%
Summary
The small bowel perforation peritonitis is one of the main causes of generalized acute peritonitis in developing countries [1]. It is a medical and surgical emergency. Among these ileal perforations, typhoid etiology is the most represented in developing countries [2]. Typhoid etiology is the most represented in developing countries [2] Their prognosis remains poor, justified by high morbidity and mortality rates. This morbidity rate was 46% in Niger, 2001 [3], mortality rate, 18% in Mali, 2009 [1] and 20% in Democratic Congo, 2014 [4].
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