Perforation Peritonitis:A Two Year Experience.
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Date
2010-07
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Abstract
Four hundred patients who presented in the emergency of GMC Jammu as a case of perforation peritonitis
over a period of two years were studied. In most of the cases diagnosis was made by clinical examination
supplemented by investigations in the form of standing X-ray chest PA view with domes of diaphragm,
Ultrasound abdomen and abdominal paracentesis. Contrast enhanced CT scans of abdomen were
conducted on patients where the diagnosis of perforation peritonitis was doubtful. After resuscitation,
Laparotomy was done in all the patients and thorough peritoneal lavage was done. A note of the site,
size, type, number of perforations was made and biopsy was taken from the edge of the perforation
whenever indicated. The most common cause of gastrointestinal perforation in our study was duodenal
ulcer perforation, followed by appendicitis, typhoid perforation, blunt/penetrating trauma, gastric perforation,
obstruction, iatrogenic, malignancy, and recurrent perforation. Primary closure of the perforation was
most commonly done procedure, followed by appendectomy, resection anastomosis of the gut and
exteriorization of the gut. The overall mortality was 6 % and morbidity in the form of wound infection,
fever, respiratory complications, residual abscess, dyselectrolytemia, burst abdomen, jaundice, sepsis,
cardiac complications, anastomotic disruption was present
Description
Keywords
Perforation Peritonitis, Duodenal Perforation
Citation
Gupta Shayam Kumar, Gupta Rajan, Singh Gurdev, Gupta Sunil. Perforation Peritonitis:A Two Year Experience. JK Science Journal of Medical Education and Research. 2010 July-Sept; 12(3): 141-144