Non-Traumatic Abdominal Surgical Emergencies at the Kolondiéba Referral Health Center (MALI)

Introduction: The aim of this study was to determine the epidemioclinical profile and evaluate the management of non-traumatic abdominal surgical emergencies. Methodology: This was a retrospective, descriptive, cross-sectional study from January 1, 2023 to December 31, 2024. All patients treated for a non-traumatic abdominal surgical emergency in the general surgery unit of the kolondiéba referral health center were included. Results: We managed 201 non-traumatic abdominal surgical emergencies, representing 29.6% of surgical procedures (n:677) and 84% of abdominal surgical emergencies (n:239). Mean age was 30.56 years, with extremes of 1 year and 81 years. The majority of patients were male (61.2%). Housewives and farmers were in the majority, with 33.8% and 26.3% respectively. Average duration was 113 hours. Abdominal pain was present in (98%), vomiting (93.5%), and cessation of matter and gas (39.8%). Ultrasound and radiography of the abdomen without preparation had been performed in (59.7%) and (27.8%) respectively. The etiologies most frequently encountered were acute appendicitis (28.3%) and acute generalized peritonitis (26.3%), with 16% of complications dominated by parietal suppurations (11%), and a mortality rate of 3%. The average length of hospital stay was 8.2 days. Conclusion: Non-traumatic surgical emergencies are frequent and associated with a high complication rate at the center. Improving the technical level in terms of personnel and equipment could help improve prognosis.