Péritonites par perforations typhiques au CHU Gabriel-Touré de Bamako (Mali)

Togo, Alexandr V.; Coulibaly, Y; Kanté, L; Traoré, A.; Diango, Djibo M.; Keita, M.; Dembele, Benoit; Diakité, I.; Traoré, S; Maiga, Aminata; Dieffaga, M. M.; Diallo, G.

doi:10.1007/s12157-009-0132-7

Cited by 8 publications

(9 citation statements)

References 9 publications

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“…8%, 15.2%. On the other hand, it was below 29.3% of Niangaly[5] but above 8.33% of Togo A[18]. Despite the high nature of anastomosis resections in our study 71.2%, we found no significant difference (p0.05) in morbidity-mortality with that of the African series[8] [9].…”

contrasting

confidence: 77%

TyphicIleal Perforation at Kati Chu-BSS for Diagnostic and Therapeutic Aspects (Mali)

Keita¹,

Diarra²,

Keita³

et al. 2021

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Ileal perforation of typhus origin is a common and serious complication of typhoid fever in tropical environments. It is one of the main causes of morbidity in surgery in Mali. However, it would be preventable if salmonellosis were properly managed upstream, and if our living environments were cleaned up. The purpose of this study is to report on the experience of the Kati UHC General Surgery Department in the management of peritonitis by typhic perforation and to assess its prognosis. Patients and Method: This is a retrospective descriptive study that took place from January 2007 to December 2020 in the General Surgery department of the Hospitalo-University BSS Center of Kati (Mali). We have included patients who have undergone peritonitis with confirmed typhic ileal perforation with laparotomy. The other etiologies of peritonitis by ileal perforation were not retained. Results: In 14 years, we collected 89 cases of peritonitis by typhic ileal perforation. It accounted for 3.14% (89/2829) of surgical procedures, 37.5% (89/1181) of visceral surgical emergencies and 27.6% (89/322) of all acute peritonitis causes combined. There were 70 men against 29 women; the sex ratio was 2.4 with an average age of 25.8 years (extremes 8 years to 65 years). Anastomosis resetions (ileo ileal and ileocolic) predominated in 71.8% of patients. However, the ileo stoma was performed in 5.6%. A significant relationship (p 0.05) was observed between high mortality and MPI score > 26. Morbidity was 39.4% with mortality of 15.7%. The average length of stay in hospital was 12.2 days. Conclusion: Typhoid ileal perforation

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confidence: 77%

TyphicIleal Perforation at Kati Chu-BSS for Diagnostic and Therapeutic Aspects (Mali)

Keita¹,

Diarra²,

Keita³

et al. 2021

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“…The relapse rate of nephroblastoma was estimated at 7.4%. This value could be underestimated because of the rather high rate of loss of sight due mainly to poverty and the distance from the household treatment site [17] [29]. In our study, the mortality rate was high in case of relapse (58%).…”

Section: Relapse Ratementioning

confidence: 61%

Prevalence and Prognosis of Relapse of Nephroblastoma at the Pediatric Oncology Unit of Bamako

Diakité¹,

Togo²,

Doumbia³

et al. 2019

OJPed

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The nephroblastoma is the third pediatric cancer in Mali, this study aimed to describe the prevalence and prognosis of nephroblastoma relapses. Methods: It was a descriptive retrospective study over a 10-year period from January 2005 to March 2015. We collected children aged 0 to 15 years followed for relapse of nephroblastoma in the pediatric oncology unit of university hospital center (UHC) Gabriel Toure. Results: The frequency of relapse of nephroblastoma was 7.4% (19 cases) whose mean age was 42 months with a sex ratio of 1.3. The relapse occurred before the end of the postoperative course in 16% of cases (3 patients). It was local recurrence in 52% of cases (10 patients), pulmonary 16% (3 patients), and hepatic 11% (2 patients). According to the SIOP classification, 47% of patients were diagnosed in stage III (9 patients) and 21% (4 patients) in stage IV. The tumor was high risk in 37%. Palliative chemotherapy was performed in 63% of the patients (12 patients) and the remaining seven were put on a high risk diet. The overall survival at 5 years was 21% or 4 patients. Conclusion: Our results showed all the difficulties in the management of nephroblastoma relapses in our context.

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“…In France, where exercise conditions are better, rapidly growing embryonic tumors are diagnosed earlier, with a median duration of less than one month [8]. The long diagnostic delay could be explained by household poverty, customary practices and beliefs and the shortage or lack of qualified personnel [9].…”

Section: Comments and Discussionmentioning

confidence: 99%

Clinico-Pathological Profile of Malignant Abdominal Tumors in Children: Experience of the Pediatric Oncology Unit in Bamako

Doumbia¹,

Dembelé²,

Togo³

et al. 2021

OJPed

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Péritonites par perforations typhiques au CHU Gabriel-Touré de Bamako (Mali)

Cited by 8 publications

References 9 publications

TyphicIleal Perforation at Kati Chu-BSS for Diagnostic and Therapeutic Aspects (Mali)

TyphicIleal Perforation at Kati Chu-BSS for Diagnostic and Therapeutic Aspects (Mali)

Prevalence and Prognosis of Relapse of Nephroblastoma at the Pediatric Oncology Unit of Bamako

Clinico-Pathological Profile of Malignant Abdominal Tumors in Children: Experience of the Pediatric Oncology Unit in Bamako

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