Epidemiological, clinical and prognosis aspects of acute generalized peritonitis in South-Kivu Province: descriptive observational study of 278 cases.

Autor: Cikwanine JPB; Department of Surgery, Evangelical University in Africa Panzi Hospital, Bukavu, Democratic Republic of Congo., Alumeti DM; Department of Surgery, Evangelical University in Africa Panzi Hospital, Bukavu, Democratic Republic of Congo., John Mutendela K; Médecins d´Afrique, Coordination-Europe, Savigny Sur Orge, France., Ise-Somo PK; Department of Surgery, Evangelical University in Africa Panzi Hospital, Bukavu, Democratic Republic of Congo., Yoyu JT; Department of Medical Works and Research, Progressive Medical Systems, Goma, Democratic Republic of Congo., Ciza PM; Department of Surgery, Ciriri Rau Hospital, Bukavu Democratic Republic of Congo., Raha M; Department of Surgery, Evangelical University in Africa Panzi Hospital, Bukavu, Democratic Republic of Congo., Kalau WA; Department of Surgery, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Jazyk: angličtina
Zdroj: The Pan African medical journal [Pan Afr Med J] 2024 Jan 02; Vol. 47, pp. 1. Date of Electronic Publication: 2024 Jan 02 (Print Publication: 2024).
DOI: 10.11604/pamj.2024.47.1.38288
Abstrakt: Introduction: the aim was to determine epidemiological, clinical, therapeutic, and prognostic aspects of acute generalized peritonitis (AGP).
Methods: we conducted an observational, cross-sectional and multicentre study over 2 years of 278 cases of acute generalized peritonitis operated in semi-urban and urban hospitals in South-Kivu Province, Democratic Republic of Congo.
Results: the population of this study was young with a mean age was 28.9 ± 16.1 years with extremes of 1.3 years to 80 years with a sex ratio M: F of 0.8. Peritonitis aetiology was dominated by intestinal perforation 132 cases (47.4%), the admission time in 65, 5% was more than 72 hours. Acute abdominal pain was the most reason for consultation in 93.2% of cases, 11.9% of patients were in hypovolemic shock. In 40.6%, the treatment of patients consisted in intestinal resection with terminal anastomosis, or ileostomy in 32.7%. About the outcomes, 32.4% of the patients had a surgical reoperation and 15.8% of the digestive fistulas were reported. The average duration of the hospitalization was 23.4 ± 20.3 days. Morbidity rate was 14.7%.
Conclusion: the AGP remains one of the abdominal emergencies observed in different semi-urban and urban hospitals of the province of South-Kivu, causing some problems of medical and surgical management, starting from the delay of admission, the severity of the symptoms related to the etiology of the intestinal perforation. In all cases, AGP requires a well-executed resuscitation procedure and surgical technique to improve the prognosis and reduce mortality, which seems to be high in this study.
Competing Interests: The authors declare no competing interests.
(Copyright: Jean Paul Buhendwa Cikwanine et al.)
Databáze: MEDLINE
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