Traumatic Digestive Perforation in the Hospital of Sikasso: Epidemio-Clinical and Therapeutic Aspects

Traumatic digestive perforation is the pathological opening of wall a hollow organ tract (esophagus, stomach, small intestine, large rectum, and extrahepatic bile ducts) following trauma. Injuries to viscera, especially from trauma, have been known since antiquity. Aristotle recognized that slight blow can cause an intestinal injury. Perforation sphere results in peritonitis, which this case consequence infection peritoneal cavity by spreading contents. The aim work was describe epidemiological, clinical therapeutic aspects traumatic perforation. Patients method: study retrospective descriptive January 1, 2016 December 31, 2020, general surgery department hospital Sikasso (Mali). operated for were included. Results: records 42 patients collected. perforations represented 12.3% hospitalized abdominal average age 26.6 years, with sex ratio 6:1. most frequent etiology road traffic accidents 38% patients. delay consultation 5 days. Abdominal pain present 38 patients, vomiting 17 On physical examination, signs contracture 61.9% disappearance pre-hepatic dullness 54.7% rectal douglas bulging painful 21 X-ray abdomen without preparation showed pneumoperitoneum 54.1% Excision, suture lavage performed 31 postoperative course marked parietal suppurations fistula 2 4 cases death (9.5%). Conclusion: pathology surgery. Road accident main cause. treatment essentially surgical.