Lesappendicites aigues et leurs complications: a propos de 2000 cas

ABSTRACT

The aim of this work is to show through a series of acute appendicitis the gravity of the developed forms of the appendicitis and this by a comparative study all along the diagnostic, therapeutic and post-operative stage of the simple forms and the developed forms. Our retrospective study is about 2000 cases of acute appendicitis and their complications collected in the service of the Surgical emergencies in the IBNO ROCHD C.H.U. of Casablanca between June 1980 and June 1986 we have noticed 62,25% of the simple forms against 87,75% of the developed forms [Abscess, plastron peritonitis]. Their frequency is of 28% with regard to the abdominal emergencies, and there is a light masculin predominance 55,5% As to the age 86,35%patients are between 10 and 30 years old The developed formes occur more frequently in extrem ages. The acute appendicitis is a clinical diagnosis. The pain is the more constant sign. Found in 98% of the cases; the nauseas and vomits belong to the clinic board in 70%of the cases. The anomalies of the white form are inconstant. No complementary examination allows to do the diagnosis The acute appendicitis stays thena difficult diagnosis; in spite of all, still 5,6% of the pieces of appendicectomies do not show any inflamnatory sign to the pathology. As to the treatment, 91,4% of the cases have been appendicectomies, 90 patients have undergone a medical treatment and of whom for 82 cases the draining was the only therapeutic mean. At last, the complications may interest the two forms with clear predominance for the suppurated forms; this incites to put all in effect to diagnose and treat in time an appendicitis