Les péritonites biliaires primitives

Peritonitis by perforation of the gall bladder of typhic origin is a rare condition. In Côte d’Ivoire, no studies to our knowledge have addressed the vesicular complications of typhoid fever in children. The aim of this work was to describe the epidemic-clinical, therapeutic and evolutionary aspects of the perforation of the gall bladder of typhic origin in subjects under 15 years of age. In 6 years, five children showed a vesicular perforation of typhic origin or 9.4% of peritonites of typhic origin. They were 5 boys with an average age of 07.4 years 5–11 years. The children were from low socioeconomic backgrounds. No history was noted. Clinical examination revealed peritoneal syndrome. X-ray of the abdomen without preparation carried out in all children had objectified a diffuse greyness. Leucocytosis was present in all cases. Treatment in all children initially consisted of resuscitation and antibiotic therapy with the 3 rd generation cephalosporin and an imidazole. Surgical exploration revealed gangrene and perforated gallbladder without damage to other organs or the presence of stones. A cholecystectomy was performed. The following procedures were simple in 4 patients. A patient died of sepsis following postoperative peritonitis by biliary fistula. Perforation of the gall bladder of typhic origin is rare in children. It is usually discovered at the stage of peritonitis. The treatment combines antibiotic therapy and cholecystectomy. Systematic screening should reduce the progression to this complication.

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“…However, other aetiologies could have been mentioned in particular the biliary lithiasis which remains common. [ 11 ]…”

Section: Discussionmentioning

confidence: 99%

“…However, the seriousness of this condition would stem from the association of several factors of poor prognosis, including the toxicity of bile effusion, superinfection by often multiple germs. [ 11 ]…”

Section: Discussionmentioning

confidence: 99%

Peritonitis by Perforation of the Gall Bladder of Typhoid Origin in Children

Lohourou¹,

Nandiolo²,

Celestin³

et al. 2023

African Journal of Paediatric Surgery

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“…Mortality in primary biliary peritonitis is related to the toxic nature of bile when it is discharged into the large peritoneal cavity [21].…”

Section: Discussionmentioning

confidence: 99%

Complications of typhoid fever in digestive surgery: a descriptive study based on 295 cases in a sub Saharan environment

Ouédraogo

Ouangré

Zida

et al. 2019

Preprint

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Background: Typhoid fever is endemic in sub-Saharan Africa. Inadequate management often leads to complications, which are mainly surgical. Surgical complications are fraught with heavy mortality. Objective: To describe the surgical and digestive complications of typhoid fever in the Surgical Department of Tenkodogo Regional Hospital in Central-Eastern Burkina Faso. Methods: This was a descriptive study performed in the digestive surgery department of Tenkodogo Regional Hospital. It covered the period from January 2014 to December 2018. The records of all patients who were admitted for a surgical complication of typhoid fever were included. Results: Two hundred and ninety-five patients were treated for a surgical complication of typhoid fever. There were 184 male patients (62.4%) and 111 female patients. Their average age was 15.7 years. The reported complications were peritonitis by ileal perforation with 212 cases (71.2%), acute cholecystitis with 45 cases (13.8%), primary biliary peritonitis with 23 cases (6.8%) and liver abscess with 15 cases (5.1%). Patients were operated on by laparotomy and laparoscopy under general anaesthesia. The ileal perforations were treated according to 3 surgical procedures: excision-suture of the perforation, resection-anastomosis at the same time and ileostomy with restoration of the digestive continuity after 3 weeks. In cases of acute cholecystitis or biliary peritonitis, a cholecystectomy was proposed. The liver abscesses were drained by laparotomy or by puncture. Antibiotic therapy was associated with surgical treatment. The average length of stay of patients was 9 days. Twenty-eight patients died, which represents 9.5% mortality. Conclusion: The surgical complications of typhoid fever are responsible for heavy mortality in digestive surgery.

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Peritonitis

Offner

2013

Pathologie

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Les péritonites biliaires primitives

Cited by 3 publications

References 2 publications

Peritonitis by Perforation of the Gall Bladder of Typhoid Origin in Children

Peritonitis by Perforation of the Gall Bladder of Typhoid Origin in Children

Complications of typhoid fever in digestive surgery: a descriptive study based on 295 cases in a sub Saharan environment

Peritonitis

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