Radio-Clinical and Surgical Confrontation of Abdominal and Pelvic Emergencies: About 55 Cases at the Fertilia Medical Clinic in Bamako

Background: This study was initiated to compare the diagnostic hypotheses of doctors in the emergency department, ultrasound results and operative reports of patients seen for acute abdominal and/or pelvic pain. Patients and method: This is a prospective descriptive study of 12 months from January to December 2022, involving 55 consenting patients, hospitalized at the Fertilia medical clinic in Bamako and having benefited from at least one imaging examination to abdominal and pelvic emergency. Ultrasounds were performed using General Electric Voluson E8, Logic9 and Vivid3 devices. The x-rays were taken by an Italian Mecall machine. Result: Our study involved a sample of 55 consenting patients with acute abdominal and/or pelvic pain. The average age was 25.5 years. The male sex was the most represented with a sex ratio of 1.5. The most common etiology mentioned was appendicitis, i.e. 38%. The diagnostic hypotheses formulated by the host doctors were confirmed by imaging in 87.2% of cases and those of imaging confirmed by surgery in 60% of cases. Conclusion: Abdominal emergencies are frequent in consultations and mainly affect young people. The approach to the management of emergency patients requires a well-performed clinical examination which guides the choice of the imaging examination which remains most often necessary not only to make the diagnosis but also to guide the therapeutic actions. Imaging helps to correct the clinical suspicion. Despite these good results, progress remains to be made, especially in terms of the prescription of radiological examinations, in this case that concerning information.