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- Title
PERITONITES TYPHIQUES CHEZ L'ENFANT : Evaluation de la morbi-mortalité au CHU Gabriel Touré, Bamako.
- Authors
Coulibaly, Y.; Togo, A.; Keita, M.; Diakité, A. A.; Dembélé, B. T.; Diakité, I.; Kanté, L.; Traoré, A.; Coulibaly, C. A. T.; Doumbia, A.; Karembé, B.; Konaté, M.; Diallo, G.
- Abstract
Aims: To determine related factors of complications of ileal typhoid perforations. Material and method: It was about a retrospective study done from June 1st, 2005 to June 30th, 2010 in all children aged from 0 to 14 years treated for peritonitis by ileal perforations in the service of paediatric surgery at the teaching hospital Gabriel Touré. Traumatic perforations and patients with incomplete files were not included in this study. Results: In 5 years time we gathered 105 cases of ilal typhoid perforation. After surgical treatment early outcomes were simple in 70 patients (66.6%), a parietal suppuration has been noted in 15 patients (14.3%) and fistula in 4 (3.9%). Sixteen patients (15.2%) have died. Complications were related to patients age, ASA Score, time limit of care, quantity of peritoneal fluid, number and site of perforation, surgical techniques and duration of surgery P(<0.05). Sex, anaemia, surgeon, and perforation's diameter have not influenced occurrence of complications. Conclusion: Reduction of morbi-mortality goes through prevention, earlier diagnosis and appropriate management of typhoid fever.
- Publication
Mali Médical, 2013, Vol 28, Issue 3, p24
- ISSN
0464-7874
- Publication type
Article