Management of Acute Lithiasic Cholecystitis in a Secondary Hospital: Somine Dolo Hospital in Mopti Epidemiological Aspects, Risk Factors, Diagnosis, Treatment and Evolution

B Traoré¹, M Coulibaly², D Traoré¹, O Guindo³, A Traoré⁴, D Cisse¹, P Coulibaly⁵, S Mariko⁶, A Guindo¹,

DT Théra¹, ARB Sidbé⁷, KI Keita8, MS Konate⁹, FM Keita¹⁰, S Toure¹⁰, D Samaké¹¹ and AP Togo¹²

Published: June 01, 2022

DOI: 10.55162/MCMS.02.039

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Abstract  

     Acute cholecystitis can now have an impact worthy of interest in black Africa, although it was considered rare in the past. Several surgical works currently published in Africa have demonstrated this.
     The objective of this work was therefore to determine the hospital frequency in the department of general surgery of acute lithiasic cholecystitis, to describe the diagnostic and therapeutic aspects, to describe the surgical follow-up and to evaluate the cost of management.
     This was a retrospective and prospective study that was carried out from 1 January 2016 to 31 December 2018 in the general surgery department of the Sominé Dolo Hospital in Mopti. It involved 46 patients including 16 men and 30 women with an average age of 50.64 years ± 14.97 and sex-ratio of 0.54, having been operated by intraoperatively confirmed acute cholecystitis laparotomy.
     The annual frequency was 15.33 cases/year. The defense sign in right hypochondrium was found in all our patients. Cholecystectomy was the rule of surgical treatment in the absence of the laparoscopy spine, and non-training of surgeons in coeliosurgery, all our patients were operated by conventional surgery. Antibiotic prophylaxis and antibiotic therapy were performed in all our patients. Vesicular bed drainage 45(97.8%) was the main surgical procedure associated with cholecystectomy Operative soot was simple in 84.8% of our patients. The morbidity rate was 13.04%; the mortality rate was 2.17%.
     The average cost of care was 129,800 FCFA (±9650 FCFA) ie 197.66 ± 14.69 euros.

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