Diagnostic and therapeutic approach to abdominal masses in a country with limited resources

Diagnostic and therapeutic approach to abdominal masses in a country with limited resources

To report the diagnostic and therapeutic approach for the management of abdominal masses in the General Surgery department of the Niamey General Reference Hospital (HGR). This were a retrospective and preliminary study of 2 years and 3 months on patients operated for abdominal masses in the General...

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Bibliographic Details
Published in:BMC surgery Vol. 24; no. 1; p. 97
Main Authors: Adama, Saïdou, Balaraba, Mohamed Lamine Abani Aichatou, Aliou, Zabeirou Oudou, Daouda, Bako Inoussa, Kadi, Ide, Hama, Younssa, Lassey, James Didier, Rachid, Sani
Format: Journal Article
Language:English
Published: England BioMed Central Ltd 23-03-2024
BioMed Central
BMC
Subjects:
Abdomen
Abdominal Masses
Age groups
Chemotherapy
Complications
Computed tomography
CT imaging
Cysts
Diagnosis
Diagnostic imaging
Diagnostic systems
Etiology
Females
Fibroids
Health aspects
Hysterectomy
Imaging
Laparoscopy
Laparotomy
Medical imaging
Medical research
Medicine, Experimental
Mortality
Niamey
Niger
Ovaries
Pancreas
Patients
Postoperative
Sarcoma
Sex ratio
Surgery
Tumors
Ultrasonic imaging
Niger
Abdominal Masses
Laparoscopy
Niamey
Imaging
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Summary:To report the diagnostic and therapeutic approach for the management of abdominal masses in the General Surgery department of the Niamey General Reference Hospital (HGR). This were a retrospective and preliminary study of 2 years and 3 months on patients operated for abdominal masses in the General Surgery department of the HGR. A palpable mass and/or its size on imaging (40 mm) were the inclusion criteria. Abdominal masses accounted for 6.7% (n = 53) of other pathologies. The average age of the patients was 41.26 years, with a standard deviation of 14.2 and a female predominance of 75.5% (n = 40) with a sex ratio of 0.32. The abdominal mass was clinically palpable in 75.5% (n = 40). Abdominal pelvic ultrasound was performed as a first step in all patients and in 75.5% (n = 40) it specified the origin of the mass. Contrast-enhanced abdomino-pelvic CT scan, performed in 52.8% of patients (n = 28) and in 89.3% (n = 25) specified the preoperative diagnosis. The most frequent etiologies were uterine fibroids, 35.8% (n = 19). In 5.6% (n = 3) the diagnosis was not precise preoperatively despite the two imaging studies, and these patients had underwent exploratory laparotomy. Surgery was the initial therapeutic approach for all patients, and laparoscopy accounted for 22.6% (n = 12). Postoperative complications occurred in 7.5% (n = 11). The death rate was 5.6% of cases (n = 3). Imaging remains important in the etiological research for abdominal masses. Definitive treatment remains surgical; mortality would be linked to the malignant nature and the significant volume of the mass.
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ISSN:1471-2482
1471-2482
DOI:10.1186/s12893-024-02371-w