Profile of XXXX in a developing country.

@entity1 @entity698 @entity1661 @entity1963 @entity260 @entity72889 @entity6675 @entity547 @entity130
We aim to determine the profile and determinants of outcome of @entity1661 in southeastern Nigeria. We prospectively analyzed 115 @entity1 with @entity1661 managed at the University of Nigeria Teaching Hospital, Enugu, Nigeria, from January 2008 to June 2009. The emergencies were typhoid intestinal perforation (TIP) 22 (19.1%), intussusception 20 (17.4%), obstructed @entity547 17 (14.8%), neonatal intestinal obstruction 11 (9.6%), @entity698 11 (9.6%), @entity130 8 (6.9%), ruptured omphalocele/ @entity6675 8 (6.9%), @entity1963 7 (6.1%), @entity72889 (6.1%), and malrotation 4 (3.5%). The mean time to diagnosis was 3.5 days (range, 4 hours to 12 days). Ninety-three cases had an emergency operation, while 22 were managed nonoperatively. After a mean hospital stay of 10.8 days (range, 2-38 days), 35 (37.6%) of the operated @entity1 had one or more @entity260 . There were 10 (8.7%) deaths. Overall, TIP had a higher postoperative complication rate (P < 0.001), while neonates had a higher mortality (P < 0.001). Delayed presentation and lack of neonatal and pediatric intensive care facilities were daunting challenges. A pediatric abdominal surgical emergency in our setting has high morbidity and mortality. Efforts geared towards improvement in time to diagnosis and perioperative care may result in better outcomes.
