Liver Abscesses in General Surgery at CsRef CI in Bamako Mali
- 1 Department of General Surgery of the Cs Ref of Commune I of Bamako, Bamako, Mali
- 2 Directorate of Social and Health Service of the Armed Forces Mali, Bamako, Mali
- 3 Department of General Surgery of the Cs Ref of Commune I of Bamako, Bamako, Mali
- 4 Department of General Surgery of the Cs Ref of Commune I of Bamako, Bamako, Mali
- 5 Department of General Surgery of the CHU Gabriel TOURE of Bamako, Bamako, Mali
- 6 Department of General Surgery of the CHU Gabriel TOURE of Bamako, Bamako, Mali
- 7 Department of General Surgery of the CHU Gabriel TOURE of Bamako, Bamako, Mali
- 8 Department of General Surgery of the CHU Gabriel TOURE of Bamako, Bamako, Mali
Abstract
Liver abscesses correspond to a newly formed cavity created by necrosis of the liver parenchyma induced by the pathogen. The aim of the present work was to study liver abscesses; determine the frequency; describe the clinical and paraclinical aspects, therapeutic and evolutionary modalities; determine the follow-up of treatment in order to assess the cost of treatment in the Reference Health Center of Commune I of Bamako in Mali. This prospective study, involving 30 cases of liver abscess, took place over a period of 24 months from January 2015 to December 2016 in the general surgery department of the Cs Ref of commune I. The liver abscess is very often the consequence of amoebiasis which is rampant in the underprivileged population and it remains topical in surgical practice in Mali. Our hospital frequency was 0.081% with an average age of 34.40 years and extremes of 16 and 61 years; a sex ratio of 2.3 in favor of men. The main clinical signs were fever (56.7%), hepatalgia (73.3%) and hepatomegaly (26.7%). Hepatic collections objectified on abdominal ultrasound were located in the right lobe in 70% of cases and unique in 62%. Amebic serology carried out in 100% was negative in 20%; 10% of cases had undergone surgical treatment. The consequences were simple for all our patients. The average cost of care, approximately 100,000 FCFA, was significantly higher than the minimum wage (28,460 FCFA) in Mali.
- Yahchouchi, E. and Cherqui, D. (1998) Abcès non parasitaire du foie. Vol. 15, Elsevier, Paris, 7-15.
- Silvain, C., Chagneau-Derrode, C., Crugeon, C. and Tasu, J.-P. (2006) Abcès non parasitaires du foie—diagnostic et conduite à tenir. EMC: (Elssevier SAS, Paris), 1, 1-9.
- Traoré, M.I. (2006) Les abcès du foie en milieu hospitalier de Bamako. Thèse de Médecine, 06M64.
- Dembélé, B.M. (2007) Affections hépatobiliaires chirurgicales dans le service de chirurgie “B” à l’hôpital du Point G de Bamako. Thèse de Médecine, 07M126
- Bonkoungou, P., et al. (2000) Liver Abscesses in Children in a Tropical Hospital: A Seven Study in the Bobo Dioulasso Hospital (Burkina Faso). Médecine et maladies infectieuses, 30, 773-775. https://doi.org/10.1016/S0399-077X(01)80034-2
- Sanogo, M. (2007) Etude des abcès amibiens du foie dans le service de chirurgie “A” Centre Hospitalier Universitaire du Point G. Thèse de Médecine, 7M608.
- Diaby, G.S. (2012) Etude des abcès du foie dans le service de chirurgie générale et pédiatrique du CHU Gabriel Touré. Thèse de Médecine, 12M329.
- Djossou, F., et al. (2003) Abcès amibien du foie. Analyse de 20 observations et proposition d’un algorithme thérapeutique. La Revue de Médecine Interne, 24, 97-106. https://doi.org/10.1016/S0248-8663(02)00015-2
- Lodhi, S., et al. (2004) Features Distinguing Amoebic from Pyogenic Liver Acbcess: A review of 577 Adult Cases. Tropicak Medicine and International Health, 9, 718-723. https://doi.org/10.1111/j.1365-3156.2004.01246.x
- Kéïta, A.D. (1989) Contribution à l’étude des abcès amibiens du foie à propos de 10 cas. Traitement court terme par le Tinidazole, Thèse de Médecine, 89M13.
- Sacko, L. (2003) Prise en charge des abcès du foie dans les services de chirurgie “A” et “B” de l’hôpital du Point G. Thèse de Médecine, M05.
- Guillet, V., et al. (2004) Les abcès du foie chez l’enfant: Etude rétrospective de 33 cas observés en Nouvelle-Calédonie de 1985 à 2003. Archives de Pédiatrie, 11, 1046-1053. https://doi.org/10.1016/j.arcped.2004.03.101
- Ibara, J.R., et al. (2000) Abcès du foie à germe pyogènes, aspects cliniques, Morphologiques et étiologiques à propos de 38 cas. Médecine d’Afrique Noire, 47, 92-96.