%0 Journal Article
%T Epidemiological-Clinical and Therapeutic Aspects of Acute Appendicitis at the Reference Health Center of Commune III (C.S.Ref CIII) of the District of Bamako
%A Karemb¨¦ Boubacar
%A Tounkara Idrissa
%A Soumar¨¦ Modibo Dianguina
%A Diarra Issaka
%A Diarra Mouminy
%A Tour¨¦ Aboubacar
%A Traor¨¦ Boureima
%A Camara Aboubacar
%A Sanogo Seydou
%A Fall Ibrahim
%A Coulibaly Abdoulaye
%A Traor¨¦ Abdoulaye
%A Diarra Drissa
%A Diakit¨¦ Man¨¦
%A Coulibaly Yacaria
%A Kant¨¦ Lassana
%A Demb¨¦l¨¦ Bakary Tientigui
%A Togo Ad¨¦gn¨¦
%J Surgical Science
%P 30-37
%@ 2157-9415
%D 2023
%I Scientific Research Publishing
%R 10.4236/ss.2023.141004
%X Objectives: It was to determine the epidemiological-clinical and therapeutic aspects
of acute appendicitis at the Reference Health Center of Commune III of the
district of Bamako. Methodology: This was a prospective study from January 1 to
December 31, 2020 including patients operated for acute appendicitis and
confirmed at histology and cases of abscess and appendicular plastron. Results: We collected 60 cases of
acute appendicitis. They accounted for 17.29% of surgical indications.
The average age of our patients was 25.5 years. The male sex was the most
represented at 63% with a sex ratio of 1.72. The Pain in the right iliac fossa
was the most represented reason for consultation with 76.7%. It was at the type
of bite 70% of the cases. On physical examination the defense of the right
iliac fossa was present in 96.7%. Digestive signs were marked by nausea 28.4%
(17 patients) and vomiting 25% (15 patients). The digital rectal exam was
painful to the right of the Douglas fir in 76.7% of our patients. In biology a
complete blood count (CBC) performed in all our patients has objectified hyper
leukocytosis in 80% of cases. The reactive protein (CRP) performed in 36
patients was elevated with values between 18 and 46 mg/ml.
The imaging performed was an abdominal ultrasound that found a roundel image of
the appendix with increased size in 65%. Surgical treatment consisted of classical Mac Burney appendectomy in 54 patient