La pyélonéphrite emphysémateuse : à propos d'un cas guéri

Rabii, R.; Fekak, H; Mezzour, H; Joual, A; Moufid, K; Mrini, M. El; Benjelloun, S; Cherkab, Rachid; Bensaid, A.; Kettani, Chafik El; Barrou, L.

doi:10.1016/s0003-4401(03)00006-8

Cited by 4 publications

(2 citation statements)

References 10 publications

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“…It is a common surgical pathology requiring therapeutic urgency [2]. Peritonitis ranks 3rd among digestive surgery emergencies in Africa after occlusions and acute appendicitis [3] [4].…”

Section: Introductionmentioning

confidence: 99%

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Acute Peritonitis at the CSRef of the Commune I in the District of Bamako: Signs, Diagnosis and Treatment

Tounkara,

Malle,

Togola

et al. 2023

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Acute generalized peritonitis is an acute inflammation of the peritoneum. It is most often secondary to perforation of the digestive organ and/or the spread of an intra-abdominal septic focus. The absence of a study on peritonitis in a reference health center motivated us for this work. The aim of this study was to study the inadequacies that could be seen in the management of peritonitis in the CSRef(s). We carried out a retrospective study of 40 patients received at the CSRéf of commune I for acute generalized peritonitis from 2011 to 2012. The average age was 30.1 years with a standard deviation of 3.4; extremes ranging from 14 years to 60 years and a Sex ratio = 1.22 (22 men out of 18 women). Abdominal pain was the main reason for consultation (present in all our patients). In most cases, clinical examination alone made it possible to make the diagnosis. Surgical treatment depended on the etiology (appendectomy associated with washing-drainage was the most commonly performed surgical procedure). All our patients received general anesthesia. The average length of hospitalization was 7 days with extremes ranging from 1 to 15 days. We noted a Morbidity rate of 22.5%, dominated by wall abscesses and a mortality of 2.5%. The delay in consultation and referrals constitutes a factor in mortality and high morbidity.

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“…It is a common surgical pathology requiring therapeutic urgency [2]. Peritonitis ranks 3rd among digestive surgery emergencies in Africa after occlusions and acute appendicitis [3] [4].…”

Section: Introductionmentioning

confidence: 99%

“…The prognosis can be improved by urgent and multidisciplinary care, combining early diagnosis, emergency exploratory laparotomy and early and appropriate resuscitation [4]. The prognosis depends on age, etiology, and time to diagnosis [2].…”

Section: Introductionmentioning

confidence: 99%

Acute Peritonitis at the CSRef of the Commune I in the District of Bamako: Signs, Diagnosis and Treatment

Tounkara,

Malle,

Togola

et al. 2023

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Traitement conservateur d’un cas de pyélonéphrite emphysémateuse

et al. 2008

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RESUMENous rapportons un cas de pyélonéphrite emphysémateuse chez un patient âgé de 49 ans diabétique. Devant le jeune âge du patient, l'insuffisance rénale et l'absence de lésions parenchymateuses étendues, un traitement conservateur consistant en un drainage percutané associé à une antibiothérapie a été choisi. A travers cette observation et une revue de la littérature, nous discutons les différentes modalités thérapeutiques. article accepté (après corrections): 26/1/2008 dans un contexte de syndrome septique. Il était suivi depuis 17 ans pour un diabète traité par insuline, au stade de complicationsFig. 1: Arbre urinaire sans préparation montrant une clarté gazeuse à projection rénale droite.

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