TITLE:
Liver Abscesses in General Surgery at CsRef CI in Bamako Mali
AUTHORS:
Cheickna Tounkara, Hamidou Samake, Bambaké Dembele, Modibo Togola, Bakary Tientigui Dembele, Alhassane Traore, Pierre Adégné Togo, Lassana Kante
KEYWORDS:
Liver, Abscess, Guided Ultrasound Puncture, Surgery, Bamako, Mali
JOURNAL NAME:
Surgical Science,
Vol.14 No.9,
September
28,
2023
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.