PERITONITES TYPHIQUES CHEZ L'ENFANT : Evaluation de la morbimortalité au CHU Gabriel Touré, Bamako. Mortality and morbidity of infant's ileal peritonitis at hospital Gabriel Touré in Bamako.

Aims: To determine related factors of complications of ileal typhoid perforations. Material and method: It was about a retrospective study done from June 1 st , 2005 to June 30 th , 2010 in all children aged from 0 to 14 years treated for peritonitis by ileal perforations in the service of paediatric surgery at the teaching hospital Gabriel Toure. Traumatic perforations and patients with incomplete files were not included in this study. Results: In 5 years time we gathered 105 cases of ilal typhoid perforation. After surgical treatment early outcomes were simple in 70 patients (66.6%), a parietal suppuration has been noted in 15 patients (14.3%) and fistula in 4 (3.9%). Sixteen patients (15.2%) have died. Complications were related to patients age, ASA Score, time limit of care, quantity of peritoneal fluid, number and site of perforation, surgical techniques and duration of surgery P(<0.05). Sex, anaemia, surgeon, and perforation’s diameter have not influenced occurrence of complications. Conclusion: Reduction of morbi'mortality goes through preventi on, earlier diagnosis and appropriate management of typhoid fever. Keys Words: typhoid peritonitis, mortality, children, Bamako, Mali.