Peritonitis by non-traumatic intestinal perforation: epidemiology, etiology and management at joseph ravoahangy andrianavalona hospital center

Introduction: The management of non-traumatic intestinal perforations is limited in a low-income country such as Madagascar. Our objective is to evaluate the management of non-traumatic intestinal perforations.
Patients and method: This is a descriptive retrospective study during two years in the University Hospital Center of Antananarivo - Madagascar on patients operated for non-traumatic perforation of the intestine The information obtained was entered into a database on the Excel® software and analyzed with the Epi-info7® software. The results are presented as a mean value ± standard deviation.
Results: A total of 137 cases had a non-traumatic bowel perforation. The mean age of all patients was 43.62 ± 16.70 years. Clinical examination revealed generalized abdominal contracture suggestive of acute generalized peritonitis in 106 patients (77.37%). Intestinal perforation was unique in 125 patients (91.24%). The perforation was localized on the anti-mesenteric rim in 124 cases (90.51%).Early postoperative complications were dominated by septic shock, which was observed in 16 patients (11.68%) (Table VII). 27 patients had died postoperatively (19.71%) of which 22 patients died within the first 72 hours (16.06%).
Conclusion: Spontaneous perforation of the small ball is a pathology rarely observed in adults but which can be fatal in the absence of early and appropriate treatment.