Management of Cholecystis National Centre Nouakcott – Mauritania

Ahmedou Moulaye IDRISS. Faculty of Medicine Nouakchott University

Aims: The authors report a retrospective descriptive study of 256 patients with cholecystitis. The aim of  study was to assess  care and the profile of cholecystitis in general surgery department at the National Hospital Centre in Nouakchott Mauritania

Patients and Methods: Over a period of 3 years (jan.2011 – dec.2013 )256 files were included. Databases were statistically analyzed by SPSS and the variables studied were: age, gender, ethnicity, history, clinical biology, Imagery, Surgery, length of stay.

Results: There were 219(85.5%) women and 37(14.5%) men. Mean age 47y (14-90). The arab ethnic group dominant (97%). History: Hypertension (5.5%), Diabetics (4%), cardiopathies(2.3%) and others (8%). Clinically RUQ pain was the most frequent symptom. Definite diagnosis was (95%). Severity assessment criteria was mild 80%, moderate (19%) and severe (1%). Laparoscopy cholecystectomy was performed in 166(65%), conversion (12%) and 2(0.8%) cases bile duct injury. Morbidity was 5.2% and mortality was 2(0.8%). The average length of hospital stay was 4.31days (1-23d). The pathology was found for 163 (64%) patients with (49.%) of acute cholecystitis and (51%) 0f chronic cholecystitis

Conclusion: Cholelithiasis is common Mauritania, its early care needed to avoid the occurrence of complications and reduce the percentage of deaths.

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