Niasse Abdou¹*, Diagne Tidiane², Faye Papa Mamadou³, Toure Alpha Oumar³, Cisse Mamadou³, Dieng Madieng⁴ and Konate Ibrahima⁵

¹Departement of Medicine, Alioune Diop University of Bambey, General Surgery Unit of Cheikh Ahmadoul Khadim Hospital in TOUBA, Diourbel, Senegal
²General Surgery Unit, Pikine Hospital, Dakar, Senegal
³General Surgery Unit, Dalal Jamm Hospital, Dakar, Senegal
⁴General Surgery Unit, Aristide Le Dantec Hospital of Dakar, Senegal
⁵General Surgery Unit, Regional hospital of Saint-Louis, Saint-Louis, Senegal

*Corresponding Author: Niasse Abdou, Departement of Medicine, Alioune Diop University of Bambey, General Surgery Unit of Cheikh Ahmadoul Khadim Hospital in TOUBA, Diourbel, Senegal.

Received: May 28, 2025; Published: July 23, 2025

Abstract

The aim of our work was to evaluate the results of the management of acute appendicitis.

Materials and Methods: This was a retrospective study over 6 years which included patients aged at least 15 years treated in the general surgery department of Pikine hospital, for simple or complicated acute appendicitis. The epidemiological, diagnostic, therapeutic and prognostic aspects were studied.

Results: We collected 583 cases representing 28.5% of surgical emergencies. The average age was 26.73 years and the sex ratio was 1.81. The abdominal pain was constant. Hyperleukocytosis was present in 75.65% of neutrophil-predominant cases. Ultrasound was performed in 94.17% of cases and was contributory in 76.7%. Acute appendicitis was simple in 61.4% of cases. We had 121 cases (20.75%) of appendicular abscesses, 89 cases (15.27%) of peritonitis and 15 cases (2.57%) of appendicular plastrons. All patients were operated on hot and this within 48 hours in more than half of the patients (76.49%). Overall morbidity was 6% (n = 35) and was dominated by surgical site infections. Mortality was 0.9% (n = 5) and hospitalization was 5.90 days on average.

Conclusion: Appendicitis remains a frequent surgical emergency. A non-contributory abdominal ultrasound should not delay treatment given the sensitivity of the clinical picture. Early surgery guarantees a good prognosis.

Keywords: Acute Appendicitis; Peritonitis; Appendiceal Abscess; Appendicular Plastron; Appendectomy

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Citation

Citation: Niasse Abdou., et al. “Management of Acute Appendicitis in Adult". Acta Scientific Clinical Case Reports 6.8 (2025): 07-12.

Copyright

Copyright: © 2025 Niasse Abdou., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.