Background: Abdominal emergencies or acute abdomens are abdominal affections which may lead to a fatal risk if any action is undertaken in emergency. The death can occur in few hours or some days after. Aim: This study assessed the management of non-traumatological abdominal surgery emergencies in poor setting conditions. Methods: A prospective cross sectional study was conducted from October 15th, 2013 to April 15th, 2014 in four hospitals (Cliniques Universitaires du Graben, Matanda hospital, GRH of Katwa and Kitatumba) of Butembo, Democratic Republic of Congo. Results: for the management of non[1]traumatological abdominal surgery emergencies in poor setting conditions such as in the area where this study was conducted, physicians had 6-20 minutes for examination in 67.5% of cases and 68% benefited of whole blood count cells. 35% of patients were operated beyond 24 hours. Post-operative infections remain the frequent complications. 84.7% of patients had a good evolution and the rate of mortality due to peritonitis and intestinal occlusions was 7 .9%. Conclusion: The management of non-traumatological abdominal surgery emergencies in poor setting conditions such us in Butembo, Democratic Republic of Congo; should be organised by instalment of emergency unit, use of specific diagnostic tools, qualified employees and the fight against post-operative infections.
