DOI: https://doi.org/10.36347/sasjs.2025.v11i11.006

Pages: 1065-1068

Introduction: Appendiceal abscess is a progressive complication of acute appendicitis. It is a common abdominal surgical emergency. The prognosis can be worsened by the occurrence of generalized acute peritonitis. Objectives: To study the epidemiological, clinical, and therapeutic aspects of appendiceal abscesses at CHU Pr Bocar Sidy Sall in Kati. Methodology: This was an analytical descriptive study with retrospective and prospective data collection, covering the period from January 1, 2014, to December 31, 2023, a period of 10 years. Results: During this study period, we collected 76 cases of appendiceal abscesses. This represented 1.27% of consultations, 4.68% of digestive surgical emergencies, and 20.10% of acute appendicitis cases. The average age of the patients was 30.59 years and the sex ratio was 2 in favor of men. The diagnosis was mainly clinical. The average time to admission was 5 days. Clinically, pain in the right iliac fossa and fever were present in all patients upon admission. This pain was associated with vomiting in 90.79% (n=69) of cases. Open surgery was performed in all cases. The surgical approach was a McBurney point incision in 92.10% (n=70), a subumbilical midline incision in 2.6% (n=2), and a right paramedian incision in 4 patients. The most frequently performed surgical procedure was appendectomy without burying, associated with drainage in 78.9% of cases (n=60). The average hospital stay was 4 days. We recorded 7 cases of wound infections. No deaths were reported. Conclusion: this is a relatively common condition in young adults, with a predominance in males. Surgical treatment is the only option, consisting of an appendectomy followed by drainage. Early management of acute appendicitis could reduce the occurrence of appendiceal abscesses.