ACUTE PERITONITIS BY ILEAL PERFORATIONS OF TYPHOID ORIGIN

Typhoid ileal perforations are a public health problem in developing countries. The aim of this study was to evaluate the surgical techniques used in the treatment of typhoid perforation peritonitis in the general surgery department of a regional hospital in Togo.The study was prospective and descriptive over three years. We collected 41 cases.It was a pathology of a young subject with an average age of 12.8 years. A male predominance with a sex ratio of 2.15 was noted. The average consultation time was 4.76 days. The diagnosis was based on the endemic context, clinical signs, pneumoperitoneum on the unprepared abdominal radiograph and intraoperative anatomical lesions. Excision-suture was the technique used in 70.7% of cases. The mortality rate was 2.4%.The management of typhoid peritonitis requires diagnostic assessment and good resuscitation, which are lacking in our regional hospitals. Mortality was not affected by the surgical technique used.

Autorentext

KANASSOUA Kokou Kouliwa:Nascido em 8 de março de 1972 em ATAKPAME (TOGO);Estudos primários e secundários em ATAKPAME;Estudos universitários na Faculdade de Ciências da Saúde da Universidade de Lomé sancionados por um Doutorado Estatal em Medicina e depois um Diploma de Estudos Especializados em Cirurgia Geral em 2008.Médico Cirurgião do CHU KARA.