AI Article Synopsis
- The study aimed to describe the diagnosis and treatment of biliary peritonitis through a retrospective review of 10 years' worth of patient data.
- There were 10 cases analyzed, mostly affecting individuals around 38 years old, with symptoms stemming from either traumatic injury or typhoid infections; all patients underwent cholecystectomy.
- The findings indicated a high rate of post-operative complications, with significant morbidity and mortality, particular due to typhoid-related cases.
Article Abstract
Aims: The aim was to describe the diagnostic and therapeutic aspects of biliary peritonitis.
Patients And Methods: This was a descriptive cross-sectional study with retrospective collection over a period of 10 years including patients operated on for biliary peritonitis.
Results: We collected 10 cases of biliary peritonitis with an average age of 38 years with a sex ratio of 2.3. Two patients presented with an abdominal contusion following a road traffic accident. Maximum abdominal pain in the right hypochondrium was present in three patients, signs of peritoneal irritation in all patients, positive Widal and Felix serodiagnosis in eight patients. At midline laparotomy, the gallbladder was perforated in three patients, gangrenous in five, phlegmonous in one, sclero-atrophic in one. Cholecystectomy was performed in all patients. Biliary peritonitis was of traumatic origin in two patients, and typhoid in eight. Postoperatively, there were four cases of sepsis and three cases of parietal suppuration. Three patients died.
Conclusion: Biliary peritonitis discovered during laparotomies for peritonitis, was secondary to typhoid cholecystitis, and had a high morbidity and mortality.
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