Peritonitis By Ileal Perforations of Typhic Origin in The Surgery Department of The Somine Dolo Hospital in Mopti

Brehima Traore¹*, Djibril Traore¹, Kiffery Ibrahim Keita⁸, Modibo Coulibaly², Pierre Coulibaly⁶, Abdoulaye Yangali¹, Omar Guindo³, Abdoulaye Traore⁵, Fode Mori Keita¹, Dramane Samake⁷, David T Thera¹ and Adegne Pierre Togo^4
1Department of General Surgery, Somine DOLO Hospital of Mopti
²Medical Biology Laboratory Service, Somine DOLO Hospital of Mopti
³Public Health Department, Somine DOLO Hospital of Mopti
⁴Department of General Surgery, CHU Gabriel Toure
⁵Anesthesia/Resuscitation Service and Operating Room
⁶Gyneco-Obstetrics Department, Somine DOLO Hospital of Mopti
⁷Department of Medicine, Somine Dolo Hospital in Mopti
⁸Sikasso Reference Health Center
*Corresponding Author: Brehima Traore, Research Fellow in General Surgery CNRST/Mali.

Published: October 01, 2024

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Abstract  

Although relatively rare in developed countries, ileal perforations of typhoid origin are a public health problem in developing countries, particularly in Mali.

The aim of our study was to study ileal perforations of typhoid origin in the surgery department of the Sominé Dolo Hospital in Mopti.

This was a prospective study that took place from November 1, 2017 to October 31, November 2018, i.e. 12 months.

During this study, we observed 58 cases of ileal perforations of typhoid origin, i.e. 8.41% of emergency consultations.

It is a pathology of young people with an average age of 19.7 years.

We found a predominance of men (63.8% males) with a sex ratio of 1.76.

Emergency was the most frequent method of recruitment (91.4%).

The mean time to consultation was 13.1 days after symptoms.

Among the signs suggestive of intestinal perforation, abdominal pain (100%), abdominal defense or contracture (100%), pain on digital rectal examination (94.9%) and abolition of abdominal breathing (74.1%) were the most frequent. Radiography of the abdomen without preparation taking the diaphragmatic cupolas suspected the diagnosis of intestinal perforation through the intercosto-diapragmatic crescent gas in 53.4% of cases.

Widal's serodiagnosis was positive in 74.1% of cases.

Excision-suture was the most used operative technique in our series (58.6%).

Early morbidity was 51.5% and overall mortality was 29.3%, i.e.

17 deaths out of 58 cases of ileal perforations of typhoid origin.

Keywords: Peritonitis; Typhoid; Perforation; Ileum; Surgery

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