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Hemoperitoneum: Frequency, Management and Prognostic Factors in the General Surgery Department Hospital National Ignace Deen, CHU de Conakry, Guinea

Received: 13 August 2024     Accepted: 4 September 2024     Published: 23 September 2024
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Abstract

Aim: To report our experience in the management of haemoperitoneum in the general surgery department of the Ignace Deen National Hospital. Patients and methods: This was a retrospective descriptive and analytical study, covering a period of 5 years, from January 2017 to December 2021, carried out in the general surgery department of the Ignace Deen National Hospital. All records of patients admitted for hemoperitoneum were included. Results: During the five (5) years, 120 cases of hemoperitoneum were collected, representing 1.1% of all abdominal surgical emergencies. The mean age of the patients was 24 ± 16.83 years. The patients were predominantly male, with a sex ratio M/F: 1,05. The average admission time was 32.1 hours. Haemoperitoneum was traumatic in 58.33% of cases. Road traffic accidents accounted for 35.83% of cases. Treatment was surgical in 81 patients (69.23%). The main anatomopathological lesions found were: rupture of ectopic pregnancy (33.33%), rupture of the spleen (17.5%). The procedures performed were: salpingectomy (61.72%), splenectomy (23.45%). The prognostic factors were: age greater than 30 years, admission time greater than 48 hours, large haemoperitoneum. Post-operative management was straightforward in 92.50% of cases with a death rate of 4.17%. Conclusion: Hemoperitoneum is a frequent occurrence in the department. Treatment was surgical with hemostasis, salpingectomy and splenectomy. Prognostic factors were age, admission time and quantity of hemoperitoneum.

Published in Journal of Surgery (Volume 12, Issue 5)
DOI 10.11648/j.js.20241205.12
Page(s) 110-114
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Hemoperitoneum, Management, Surgery, Ignace Deen

References
[1] Mehrotra R, Kathuria P. Abdominal Catastrophes, Peritoneal Eosinophilia, and Other Unusual Events in Peritoneal Dialysis, Dialysis Therapy Manual. 2017; 4(10): 1-6.
[2] Traoré A, Diakite I, Togo A et coll. Non-operative hemoperitoneum in closed abdominal trauma (CHU Gabriel-Touré). J. Afr. Hépatol. Gastroenterol, 2010. 4(15): 225-9.
[3] Mathlouthi N, Ghodbane 1, Slimani O et coll. Correlation between vital signs and hemoperitoneum during ruptured ectopic pregnancies. Tunisia Medical, 2012; 90 (11): 784-8.
[4] Benissa N, Boufettal R, Kadiri Y et coll. Non-operative treatment of blunt splenic trauma in adults. J Chir Visc. 2008; 145(6): 556-60.
[5] Tchangai BK, Gayito A, Alassani F, Dosseh ED, Attipou K.. Criteria for Non-Operative Treatment of Abdominal Contusions in a Team Setting. European Scientific Journal. ESJ, 2017; 13(21): 358-67.
[6] Vignon KC, Mehinto DK, Amossou FL et coll. Hemoperitoneum in the university clinics of visceral surgery (CUCV) "A" and "B" of the national hospital and university center Hubert Koutoucou Maga (CNHU-HKM) of Cotonou epidemiological and diagnostic aspects. J Afr Chir Digest 2014; 14(2): 1690-5.
[7] Chianakwana GU, Ihegihu CC, Okafor PIS et coll. Adult surgical emergencies in a developing country: the experience of Nnamdi Azikwe University Teaching Hospital, Nnewi, Anambra State, Nigeria. World J Surg. 2005; 29: 804-08.
[8] Chichom-Mefire A, Etoundi GA, Kenfack MA et coll. Hospital-based injury data from level III institution in Cameroon: Retrospective analysis of the present registration system. Injury. 2013; 44(1): 139-43.
[9] Peden M, Scurfield R, Sleet D. World report on road traffic injury prevention. World Health Organization. Geneva 2004.
[10] Diane B, Lebeau R, Kassi ABF et coll. Abdominal trauma at the Bouaké University Hospital. J Afr Chir Digest. 2007; 7(2): 672-8.
[11] Arvieux C. Non-operative treatment of blunt splenic trauma in adults. J Chir. 2008; 145: 531-639.
[12] Haan JM, Bochicchio GV, Kramer N et coll. Non operative management of blunt splenic injury: a 5-year experience. J Trauma. 2005; 58: 492-98.
[13] Harbrecht BG, Zenati MS, Alarcon LH et coll. Is outcome after blunt splenic injury in adults better in high-volume trauma centers? Am Surg. 2005; 71: 942-48.
[14] Fretona L, Pradere B, Fiard G et coll. Renal Trauma. Prog Uro. 2019; 29(15), 936-42.
[15] Arunan S, Elshout PJ, Veskimae E et coll. Is non-operative management the best first-lineoption for high-grade renal trauma? A Systematic Review. EurUrol Focus 2017.
[16] Bukur M, Inaba K, Barmparas G, et coll. Routine follow-upimaging of kidney injuriesmaynot be justified. J Trauma2011; 70: 1229-33.
[17] Bryk DJ, Zhao LC. Guideline of guidelines: a review of urologicaltrauma guidelines. BJU Int 2016; 117(2): 226-34.
[18] Cabar F, Fettback PB, Pereira PP, Zugaib M. Serum markers in the diagnosis of tubal pregnancy. Clinics. 2008; 63(5): 701-8.
[19] Gervaise A, Fernandez H. Prise en charge diagnostique et thérapeutique de la GEU. J GynecolObstetBiolReprod 2010; 39: 14-24.
[20] Gabkika BM, Kolomso D, Saleh A, Tchari A, Wilfried ISR Ectopic pregnancy: Epidemiological aspects and maternal prognosis at the district hospital of N'djamena sud (TChad). Kasangani Med 2015; 6(1): 111-6.
[21] MathlouthiN, SlimaniO, FatnassiA et coll. Ultrasound diagnosis of ectopic pregnancies: Prospective study of 200 cases. Tunisia Medical 2013; 91(4): 254-7.
[22] Randriambololona DMA, Anjaharisoaniaina N T, Harioly J M O et coll. Management of ectopic pregnancy at the University Hospital of Gynecology and Obstetrics of Befelatanana Antananarivo Madagascar. Journal of Anesthesia-Resuscitation and Emergency Medicine 2012; 4(1): 16-9.
[23] Akaba GO, Agida TE, Onafowokan O. Ectopic pregnancy in Nigeria's federal capital territory: a six year review. Niger J Med. 2012; 21(2): 241-5.
[24] Nayama M, Gallais A, Ousmane N et coll. Management of ectopic pregnancy in developing countries: example of a Nigerian reference maternity. Gynecol ObstetFertil. 2006; 34(1): 14-8.
[25] Sy T, Diallo Y, Touré A. Management of ectopic pregnancy in Conakry, Guinea. Med Trop (Mars). 2009; 69(6): 565-8.
[26] Kambire JL, Ouedraogo S, Zida M et coll. Abdominal trauma: epidemiological and lesion aspects at the Ouahigouya Regional University Hospital. Burkina Faso. Rév. Int Sc Méd. 2018; 20 (1): 71–5.
[27] Hsieh TM, TsungCT, Liang JL, Che Lin C. Non-operative management attempted for selective high grade blunt hepatosplenic trauma is a feasible strategy. World J Emerg Surg. 2014; 9(51): 1-8.
Cite This Article
  • APA Style

    Abdoulaye, Y., Ibrahima, O., Saliou, D. M., Lancinet, K., Ansoumane, C., et al. (2024). Hemoperitoneum: Frequency, Management and Prognostic Factors in the General Surgery Department Hospital National Ignace Deen, CHU de Conakry, Guinea. Journal of Surgery, 12(5), 110-114. https://doi.org/10.11648/j.js.20241205.12

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    ACS Style

    Abdoulaye, Y.; Ibrahima, O.; Saliou, D. M.; Lancinet, K.; Ansoumane, C., et al. Hemoperitoneum: Frequency, Management and Prognostic Factors in the General Surgery Department Hospital National Ignace Deen, CHU de Conakry, Guinea. J. Surg. 2024, 12(5), 110-114. doi: 10.11648/j.js.20241205.12

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    AMA Style

    Abdoulaye Y, Ibrahima O, Saliou DM, Lancinet K, Ansoumane C, et al. Hemoperitoneum: Frequency, Management and Prognostic Factors in the General Surgery Department Hospital National Ignace Deen, CHU de Conakry, Guinea. J Surg. 2024;12(5):110-114. doi: 10.11648/j.js.20241205.12

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  • @article{10.11648/j.js.20241205.12,
      author = {Yattara Abdoulaye and Oularé Ibrahima and Diallo Mamadou Saliou and Konaté Lancinet and Condé Ansoumane and Kaba Mohamed and Soumaoro Labilé Togba and Fofana Houssein and Touré Aboubacar},
      title = {Hemoperitoneum: Frequency, Management and Prognostic Factors in the General Surgery Department Hospital National Ignace Deen, CHU de Conakry, Guinea
    },
      journal = {Journal of Surgery},
      volume = {12},
      number = {5},
      pages = {110-114},
      doi = {10.11648/j.js.20241205.12},
      url = {https://doi.org/10.11648/j.js.20241205.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20241205.12},
      abstract = {Aim: To report our experience in the management of haemoperitoneum in the general surgery department of the Ignace Deen National Hospital. Patients and methods: This was a retrospective descriptive and analytical study, covering a period of 5 years, from January 2017 to December 2021, carried out in the general surgery department of the Ignace Deen National Hospital. All records of patients admitted for hemoperitoneum were included. Results: During the five (5) years, 120 cases of hemoperitoneum were collected, representing 1.1% of all abdominal surgical emergencies. The mean age of the patients was 24 ± 16.83 years. The patients were predominantly male, with a sex ratio M/F: 1,05. The average admission time was 32.1 hours. Haemoperitoneum was traumatic in 58.33% of cases. Road traffic accidents accounted for 35.83% of cases. Treatment was surgical in 81 patients (69.23%). The main anatomopathological lesions found were: rupture of ectopic pregnancy (33.33%), rupture of the spleen (17.5%). The procedures performed were: salpingectomy (61.72%), splenectomy (23.45%). The prognostic factors were: age greater than 30 years, admission time greater than 48 hours, large haemoperitoneum. Post-operative management was straightforward in 92.50% of cases with a death rate of 4.17%. Conclusion: Hemoperitoneum is a frequent occurrence in the department. Treatment was surgical with hemostasis, salpingectomy and splenectomy. Prognostic factors were age, admission time and quantity of hemoperitoneum.
    },
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - Hemoperitoneum: Frequency, Management and Prognostic Factors in the General Surgery Department Hospital National Ignace Deen, CHU de Conakry, Guinea
    
    AU  - Yattara Abdoulaye
    AU  - Oularé Ibrahima
    AU  - Diallo Mamadou Saliou
    AU  - Konaté Lancinet
    AU  - Condé Ansoumane
    AU  - Kaba Mohamed
    AU  - Soumaoro Labilé Togba
    AU  - Fofana Houssein
    AU  - Touré Aboubacar
    Y1  - 2024/09/23
    PY  - 2024
    N1  - https://doi.org/10.11648/j.js.20241205.12
    DO  - 10.11648/j.js.20241205.12
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 110
    EP  - 114
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20241205.12
    AB  - Aim: To report our experience in the management of haemoperitoneum in the general surgery department of the Ignace Deen National Hospital. Patients and methods: This was a retrospective descriptive and analytical study, covering a period of 5 years, from January 2017 to December 2021, carried out in the general surgery department of the Ignace Deen National Hospital. All records of patients admitted for hemoperitoneum were included. Results: During the five (5) years, 120 cases of hemoperitoneum were collected, representing 1.1% of all abdominal surgical emergencies. The mean age of the patients was 24 ± 16.83 years. The patients were predominantly male, with a sex ratio M/F: 1,05. The average admission time was 32.1 hours. Haemoperitoneum was traumatic in 58.33% of cases. Road traffic accidents accounted for 35.83% of cases. Treatment was surgical in 81 patients (69.23%). The main anatomopathological lesions found were: rupture of ectopic pregnancy (33.33%), rupture of the spleen (17.5%). The procedures performed were: salpingectomy (61.72%), splenectomy (23.45%). The prognostic factors were: age greater than 30 years, admission time greater than 48 hours, large haemoperitoneum. Post-operative management was straightforward in 92.50% of cases with a death rate of 4.17%. Conclusion: Hemoperitoneum is a frequent occurrence in the department. Treatment was surgical with hemostasis, salpingectomy and splenectomy. Prognostic factors were age, admission time and quantity of hemoperitoneum.
    
    VL  - 12
    IS  - 5
    ER  - 

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Author Information
  • Department of General Surgery, Ignace Deen National Hospital, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

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