Epidemiological-Clinical and Therapeutic Aspects of Acute Appendicitis at the Reference Health Center of Commune III (c.s.ref CIII) of the District of Bamako

Objectives: It was to determine the epidemiological-clinical and therapeutic aspects of acute appendicitis at the Reference Health Center of Commune III of the district of Bamako.Methodology: This was a prospective study from January 1 to December 31, 2020 including patients operated for acute appendicitis and confirmed at histology and cases of abscess and appendicular plastron.Results: We collected 60 cases of acute appendicitis.They accounted for 17.29% of surgical indications.The average age of our patients was 25.5 years.The male sex was the most represented at 63% with a sex ratio of 1.72.The Pain in the right iliac fossa was the most represented reason for consultation with 76.7%.It was at the type of bite 70% of the cases.On physical examination the defense of the right iliac fossa was present in 96.7%.Digestive signs were marked by nausea 28.4% (17 patients) and vomiting 25% (15 patients).The digital rectal exam was painful to the right of the Douglas fir in 76.7% of our patients.In biology a complete blood count (CBC) performed in all our patients has objectified hyper leukocytosis in 80% of cases.The reactive protein (CRP) performed in 36 patients was elevated with values between 18 and 46 mg/ml.The imaging performed was an abdominal ultrasound that found a roundel image of the appendix with increased size in 65%.Surgical treatment consisted of classical Mac Burney appendectomy in 54 patients (90%).The gesture performed was an appendectomy in all our patients.All our appendectomy parts were sent for pathological examination.This examination classified the parts as non-specific appendicitis in 60%, phlegmonous appendicitis in 22% and catarrhal appendicitis in 18% of cases.Surgical follow-up