政治学と広報ジャーナル
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概要

Surgical Pathologies of the Right Iliac Fossa: Anatomo-Clinical Aspects and Management in the General Surgery Department, Conakry Hospital

Diakite Sandaly, Mamy Gnan Francis, Dabo Mamoudou, Camara Soriba Naby*, Soumaoro Labilé Togba,Conte Ibrahima, Fofana houssein, Fofana Naby, Keita Mariame, Camara Mariame, Toure Aboubacar, Diallo Aissatou taran

Introduction: The aim of this study was to report our experience in the management of surgical pathologies of the right iliac fossa at the Ignace Deen CHU national hospital in Conakry.

Methodology: This was a prospective descriptive study lasting 6 months from October 01, 2018 to March 30, 2019 in the general surgery department of the Ignace Deen National Hospital

Result: During our study, 919 surgical pathologies were admitted to the department, FID pathologies represented 373 cases or 40.59%. We noted a female predominance in 67% (250 cases); the sex ratio was 0.4. The 10-20 year age group was the most represented with 146 cases, or 39.14%. The average age of our patients was 38 years with extremes of 2 years and 82 years. Pupils/students were the most represented socio-professional layer with 183 cases (49.06. Abdominal pain, nausea and/or vomiting, stopping the transit of materials and gases were the most common functional signs). Abdominal ultrasound was the most contributing imaging test with 71 cases (19.03%). Acute appendicitis with 268 cases was the most frequent digestive pathology, ectopic pregnancy with 12 cases the most represented gyneco-obstetric pathology and 02 cases of right ureteral lithiasis due to urological pathologies. Mac Burney’s incision with 254 cases, or 68.09%, was the most performed first voice. The operative consequences were simple in 365 cases 97, 85

Conclusion: Surgical pathologies of the right iliac fossa remain dominated by acute appendicitis, although gyneco-obstetric pathologies such as ruptured ectopic pregnancy and urological pathologies such as right ureteral lithiasis are not negligible.