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- Title
ABCES AMIBIEN DU FOIE EN CHIRURGIE GENERALE DU CHU GABRIEL TOURE, BAMAKO, MALI.
- Authors
Traoré, A.; Togo, A.; Kanté, L.; Dembélé, B. T.; Diakité, I.; Coulibaly, Y.; Samaké, B. M.; Konaté, M.; Koné, T.; Diarra, A.; Tounkara, I.; Keita, M.; Diango, D. M.; Diallo, G.
- Abstract
The objectives were to determine the frequency, to describe the clinical and therapeutic aspects of amoebic liver abscess. This was a retrospective study in the general surgery department of the CHU Gabriel Toure from 1 January 2004 to December 2008. Were included in this study all patients hospitalized and treated for amoebic liver abscess. We collected 53 cases a frequency of 1.3%. This was 45hommes (84.9 %) and 8femmes (15.1%). The sex ratio was 5.6. The average age was 39.5 years. The average consultation time was 3 weeks. The signs observed were fever 96.2 % ( 51cas ) , the hepatalgy 94.3 % ( 50cas ) , hepatomegaly 90.6 % ( 48cas ) and anorexia 88.7 % ( 47cas ) . Collections abscess objectified in abdominal ultrasound were located in the right lobe in 79.2 % (42cas), unique in 92.5 % ( 49cas ) and 100 mm in diameter on average. Pulmonary radiograph found an elevation of the right diaphragmatic dome 66.7 % (14 cases). Amoebic serology performed in 60.4 % of cases, was negative in 2 cases (6.2 %). The only medical treatment was effective in the majority of 62.7 % (32cas), an ultrasound-guided paracentesis associated with medical treatment was required in 31.4% (16 cases). Surgical methods were very few recommended 5.9 % (3 cases). The average amount of pus was 637.6ml. Average duration of treatment was 11 days. We recorded three deaths, including one due to sepsis on peritonitis from ruptured liver abscess and 2 cases on grounds of HIV.Conclusion: The amoebic liver abscess is uncommon in our service. Negativity serology does not exclude the diagnosis. Medical treatment is usually curative in the absence of complications.
- Publication
Mali Médical, 2014, Vol 29, Issue 4, p5
- ISSN
0464-7874
- Publication type
Article