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Clinical and Histopathological Aspects of Acute Appendicitis at the Ignace Deen National Hospital of Conakry, Guinea

Received: 13 April 2022     Accepted: 27 April 2022     Published: 12 May 2022
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Abstract

Purpose: Acute appendicitis represents the most frequent surgical emergency in digestive surgery. The aim of this study was to describe the clinical and histological aspects of acute appendicitis at the Ignace Deen National Hospital in Conakry (Guinea). Method: This was a prospective study of a period of 6 months, from September 1 to December 31, 2020. All patients admitted and operated on in the department for acute appendicitis and whose surgical specimen was histologically examined were included in this study. Results: During the six months of the study, we collected 123 cases of acute appendicitis, i.e. 34.3% of the total surgical activity of the department. The average age of the patients was 17.50±11.30 years. The female gender was the most predominant (69%). The diagnosis was essentially clinical. Appendectomy was performed in all patients by conventional approach. Laterocacral topography was the most frequent (43.09%) followed by pelvic (26.01%). In 57.6% of cases it was a cathartic appendicitis and 9% of cases were normal appendicitis. The overall mortality was 2.44%. Conclusion: Acute appendicitis is the most common indication for emergency abdominal surgery worldwide. Its clinical diagnosis remains sometimes difficult and source of multiple controversies because of the absence of anatomical parallelism.

Published in Journal of Surgery (Volume 10, Issue 3)
DOI 10.11648/j.js.20221003.11
Page(s) 101-103
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Acute Appendicitis, Diagnosis, Treatment, Histopathology

References
[1] Cervellin G, Mora R, Ticinesi A, et al. Epidemiology and outcomes of abdominal pain in a large urban Emergency Department: retrospective analysis of 5,340 cases. Ann Transl Med. 2016; 4: 362.
[2] Ilves I. Seasonal variations of acute appendicitis and nonspecific abdominal pain in Finland. WJG. 2014; 20: 4037.
[3] Khermakhem R, Boukedi A, Rahay H et al Apport de l’échographie abdominale dans la prise de décision thérapeutique devant une symptomatologie appendiculaire chez l’enfant. A propos de 266 cas. [Contribution of abdominal ultrasonography in therapeutic decision making in the face of appendicular symptomatology in children. About 266 cases]. Journal de pédiatrie et de puériculture 2013; 26: 36-37.
[4] Ndour O, Faye Fall A, Mbaye PA, Ndoye NA, Seck NF, Ngom G, Ndoye M. Complications de l’appendicectomie chez l’enfant. [Complications of appendectomy in children]. Rev Afr Chir Spéc 2015; 1: 18-23.
[5] Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol 1990; 132: 910–925.
[6] Gomes CA, Abu-Zidan FM, Sartelli M, et al. Management of Appendicitis Globally Based on Income of Countries (MAGIC) Study. World J Surg. 2018; 42: 3903–10.
[7] Ngowe M, Bissou Mahop J, Atangana R, Eyenga VC, Pisoh-Tangnym C and Sosso AM Aspects cliniques actuels des appendicites aiguës de l’adulte à Yaoundé, Cameroun. Bull Soc Pathol Exot, 2008; 101 (5): 398-399.
[8] Touré A, Ngowé M, Touré FB et al Prise en charge des complications post opératoires précoces des appendicectomies dans le service de chirurgie générale de l’Hôpital National Ignace Deen du CHU de Conakry. [Management of early postoperative complications of appendectomies in the general surgery department of the Ignace Deen National Hospital of Conakry.]. J Afr Chir Digest 2013; 13 (1): 1431-1434.
[9] Soumaoro LT, Touré A, Mamy GF, Diallo IS, Bah IB, Diallo AT Péritonite appendiculaire: fréquence et prise en charge dans le service de chirurgie générale de l’hôpital national Ignace Deen de Conakry (Guinée). [Appendicular peritonitis: frequency and management in the general surgery department of the Ignace Deen National Hospital in Conakry, Guinea]. Médecine d’Afrique Noire 2019; 66 (2): 86-90.
[10] Espejo OJA, Mejia MEM, Guerrero LHU Acute appendicitis: imaging findings and current approach to diagnostic images. Rev Colomb Radiol 2014; 25 (1): 3877-88.
[11] Leite NP, Pereira JM, Cunha R, Pinto P and Sirlin C CT evaluation of appendicitis and its complications: imaging techniques and key diagnostic findings. AJR 2005; 185 (2): 406-417.
[12] Jaschinski T, Mosch C, Eikermann M, et al. Laparoscopic versus open appendectomy in patients with suspected appendicitis: a systematic review of meta-analyses of randomised controlled trials. BMC Gastroenterol. 2015; 15: 48.
[13] Yu M-C, Feng Y, Wang W, et al. Is laparoscopic appendectomy feasible for complicated appendicitis? A systematic review and meta-analysis. Int J Surg. 2017; 40: 187–97.
[14] Sallinen V, Akl EA, JYou JJ. Meta-analysis of antibiotics versus appendicectomy for non-perforated acute appendicitis BJS 2016; 103: 656–667.
[15] Akbulut S, Tas M, Sogutcu N, Arikanoklu Z, Basbug M, Ulku A et al Atypic histopathologic findings in appendix Gastroenterologia 2011; 17 (15): 1961-70.
[16] Thiam I, Doh K, Dial C, Agbobli M,•Diop M,•Woto-Gaye G. Étude nécropsique de 100 appendices au Sénégal [Necropsy study of 100 appendages in Senegal]. J. Afr. Hépatol. Gastroentérol. DOI 10.1007/s12157-015-0643-3.
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  • APA Style

    Naby Laye Youssouf Camara, Saa Yawo Kondano, Naby Fofana, Louncény Konate, Boubacar Barry, et al. (2022). Clinical and Histopathological Aspects of Acute Appendicitis at the Ignace Deen National Hospital of Conakry, Guinea. Journal of Surgery, 10(3), 101-103. https://doi.org/10.11648/j.js.20221003.11

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    ACS Style

    Naby Laye Youssouf Camara; Saa Yawo Kondano; Naby Fofana; Louncény Konate; Boubacar Barry, et al. Clinical and Histopathological Aspects of Acute Appendicitis at the Ignace Deen National Hospital of Conakry, Guinea. J. Surg. 2022, 10(3), 101-103. doi: 10.11648/j.js.20221003.11

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    AMA Style

    Naby Laye Youssouf Camara, Saa Yawo Kondano, Naby Fofana, Louncény Konate, Boubacar Barry, et al. Clinical and Histopathological Aspects of Acute Appendicitis at the Ignace Deen National Hospital of Conakry, Guinea. J Surg. 2022;10(3):101-103. doi: 10.11648/j.js.20221003.11

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  • @article{10.11648/j.js.20221003.11,
      author = {Naby Laye Youssouf Camara and Saa Yawo Kondano and Naby Fofana and Louncény Konate and Boubacar Barry and Alsény Diallo and Labilé Togba Soumaoro and Aboubacar Toure and Aissatou Taran Diallo},
      title = {Clinical and Histopathological Aspects of Acute Appendicitis at the Ignace Deen National Hospital of Conakry, Guinea},
      journal = {Journal of Surgery},
      volume = {10},
      number = {3},
      pages = {101-103},
      doi = {10.11648/j.js.20221003.11},
      url = {https://doi.org/10.11648/j.js.20221003.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20221003.11},
      abstract = {Purpose: Acute appendicitis represents the most frequent surgical emergency in digestive surgery. The aim of this study was to describe the clinical and histological aspects of acute appendicitis at the Ignace Deen National Hospital in Conakry (Guinea). Method: This was a prospective study of a period of 6 months, from September 1 to December 31, 2020. All patients admitted and operated on in the department for acute appendicitis and whose surgical specimen was histologically examined were included in this study. Results: During the six months of the study, we collected 123 cases of acute appendicitis, i.e. 34.3% of the total surgical activity of the department. The average age of the patients was 17.50±11.30 years. The female gender was the most predominant (69%). The diagnosis was essentially clinical. Appendectomy was performed in all patients by conventional approach. Laterocacral topography was the most frequent (43.09%) followed by pelvic (26.01%). In 57.6% of cases it was a cathartic appendicitis and 9% of cases were normal appendicitis. The overall mortality was 2.44%. Conclusion: Acute appendicitis is the most common indication for emergency abdominal surgery worldwide. Its clinical diagnosis remains sometimes difficult and source of multiple controversies because of the absence of anatomical parallelism.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Clinical and Histopathological Aspects of Acute Appendicitis at the Ignace Deen National Hospital of Conakry, Guinea
    AU  - Naby Laye Youssouf Camara
    AU  - Saa Yawo Kondano
    AU  - Naby Fofana
    AU  - Louncény Konate
    AU  - Boubacar Barry
    AU  - Alsény Diallo
    AU  - Labilé Togba Soumaoro
    AU  - Aboubacar Toure
    AU  - Aissatou Taran Diallo
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    PY  - 2022
    N1  - https://doi.org/10.11648/j.js.20221003.11
    DO  - 10.11648/j.js.20221003.11
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 101
    EP  - 103
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20221003.11
    AB  - Purpose: Acute appendicitis represents the most frequent surgical emergency in digestive surgery. The aim of this study was to describe the clinical and histological aspects of acute appendicitis at the Ignace Deen National Hospital in Conakry (Guinea). Method: This was a prospective study of a period of 6 months, from September 1 to December 31, 2020. All patients admitted and operated on in the department for acute appendicitis and whose surgical specimen was histologically examined were included in this study. Results: During the six months of the study, we collected 123 cases of acute appendicitis, i.e. 34.3% of the total surgical activity of the department. The average age of the patients was 17.50±11.30 years. The female gender was the most predominant (69%). The diagnosis was essentially clinical. Appendectomy was performed in all patients by conventional approach. Laterocacral topography was the most frequent (43.09%) followed by pelvic (26.01%). In 57.6% of cases it was a cathartic appendicitis and 9% of cases were normal appendicitis. The overall mortality was 2.44%. Conclusion: Acute appendicitis is the most common indication for emergency abdominal surgery worldwide. Its clinical diagnosis remains sometimes difficult and source of multiple controversies because of the absence of anatomical parallelism.
    VL  - 10
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Author Information
  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

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