Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 6 Issue 8

Amoebic Liver Abscess in the Department of General Surgery at Somine Hospital DOLO of Mopti, Mopti, Mali

Bréhima Traoré1*, Modibo Coulibaly2, Oumar Guindo3, Djibril Traoré1, Abdoulaye Traoré5, Kiffery Ibrahim Keita1, Aly Boubacar Diallo9, Souleymane Sanogo7, Alhassane Traoré4, Mathias Diassana1, Korotimou Mallé1, Fodé Mory Keita1, DK Dembele1, Dramane Samaké6 and Yacaria Coulibaly8

1General Surgery Department, Sominé Hospital DOLO in Mopti, Mali
2Medical Biology Laboratory Service, Sominé DOLO Hospital in Mopti, Mali
3Public Health Service, Sominé DOLO Hospital in Mopti, Mali
4Department of General Surgery, CHU Gabriel Touré, Mali
5Anesthesia/Resuscitation Department and Operating Theatre, Mali
6Medical Service, Sominé Dolo Hospital in Mopti, Mali
7Medical Imaging Department of the Luxembourg Mother and Child Hospital in Bamako, Mali
8Gabriel Touré University, Hospital Pediatric Surgery Department, Mali
9Sikasso Regional Hospital, General Surgery Department, Mali

*Corresponding Author: Bréhima Traoré, General Surgery Department, Sominé Hospital, DOLO in Mopti, Mali.

Received: April 07, 2022; Published: July 08, 2022

Abstract

We performed a 3-year retrospective and prospective study, from January 1, 2017 to December 31, 2019, carried out in the department of general surgery at Somine Hospital DOLO of Mopti. The objective of this study was to determine the frequency and the clinical and paraclinical features of amoebic abscess of the liver in a hospital setting. Subjects were selected based on the results of physical examination, ultrasound, amoebic serology and pus culture. For 7305 admissions, 32 cases of amoebic abscess of the liver were collected, which represents a hospital frequency of 0.4% and an incidence of 10 cases. The average age of subjects was 35 years in adults and 6 years in children. The sex ratio was 3.6. The most common clinical signs were fever (90.6%), hepatomegaly (81.3%) and nausea and/or vomiting (56.3%). The collections objectified by abdominal ultrasound were located in the right lobe in 78.1% of cases and unique in 87.5% of cases. Culture of the collection revealed 6.2% of active liver abscess with the presence of Entamoeba histolytica. The diagnosis of uncomplicated amoebic abscess of the faith was retained in 59.4% of cases. Amoebic abscess complicated by peritonitis, right pleurisy and parietal abscess was reported in 40.6% of cases. Among the complications, peritonitis was the most frequent with 46.1% followed by right pleurisy 23.1% and parietal abscess 15.4%. Medical treatment was exclusive in 12.5% of cases, a evacuating puncture under ultrasound guidance was necessary in 9.4% of cases. Surgery was performed in 78.1% of cases. The post-treatment clinical course was favorable from the outset in 90.6% of our patients with total emptiness on ultrasound and secondarily in 9.4% who progressed favorably after a second drainage plus antibiotic therapy. Multidisciplinary management of amoebic abscesses in the liver involving the infectious disease specialist, visceral surgeon, radiologist and biologist improves diagnosis, therapeutic management and patient follow-up.

Keywords: Amoebic Liver Abscess; Somine DOLO Hospital in Mopti; Type of Treatment; Clinical Course

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Citation

Citation: Bréhima Traoré., et al. “Amoebic Liver Abscess in the Department of General Surgery at Somine Hospital DOLO of Mopti, Mopti, Mali”.Acta Scientific Medical Sciences 6.8 (2022): 36-42.

Copyright

Copyright: © 2022 Bréhima Traoré ., 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.




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