Caecal Perforations: Anatomoclinical Aspects and Management in the General Surgery Department at the CHU Donka
Keita Doubany Mariame, Guirassy Mariama II, Condé Ansoumane, Traoré Lansana, Mohamed Albert Diawara, Naby Fofana, Foafana Houssein, Toure Aboubacar
Introduction: the aim of this study was to analyze the management of 45 cases of caecal perforations
in the general surgery department at CHU Donka Conakry.
Methodology: This was a descriptive retrospective study lasting 10 years, from January 1, 2013 to
December 31, 2022 performed in the general surgery department at CHU Donka, Conakry.
Results: We have recorded in 10 years, 45 cases of caecal perforations or 9.45% compared to other cecal
pathologies. The age groups from 50 to 64 years accounted for 35.5% or 16 cases. The average age was
53.2 years and the extremes were from 6 years to 86 years. The male sex represented 27 patients or 60%
with a sex ratio of 1.5. Abdominal pain and fever were the reasons for consultation in all our patients
and the clinical diagnosis of appendicitis was made in 20 patients or 44%. Luberkunian adenocarcinoma
was histologically evoked in 15 cases, i.e. 33.33%, and benign behavior was visualized in 25 patients,
i.e. 56%.
Conclusion: The anatomopathological examination constitutes a means of evaluation of the lesion
assessment but also of the etiological diagnosis.
