Non-Traumatic Digestive Perforations at the Koutiala Reference Health Center: Therapeutic Aspects

Aim: To describe the therapeutic aspects of non-traumatic digestive perforations at the Koutiala referral health center. Patients and Methods: This was a prospective, descriptive study from August 1, 2017 to July 31, 2018, i.e. 12 months. Patients admitted and operated on for non-traumatic digestive perforation were included. 30 patients were registered. The parameters studied were age, sex, etiologies, treatment and postoperative follow-up. Results: The majority were men (76.7%, n=23), with a mean age of 36.3 years±21.4. Etiologies were dominated by infectious perforation in 70% of cases. The site of perforation was ileal in 20 patients (66.7% of cases). All patients underwent laparotomy. Simple suture of the perforation was performed in 73.3% of cases, anastomotic resection in 16.7%, ileostomy in one case (3.3%), colostomy in one case (3.3%), and cholecystectomy in one case (3.3%). Average hospital stay was 5.8 days±2.2. Morbidity was 20% and mortality 10%.