A Study To Evaluate Clinico-Etiological Factors Responsible For Small Bowel Perforation

Abstract

Introduction: Perforation peritonitis is the most common surgical emergency encountered all over the world. The objective of the study was to highlight the spectrum of perforation peritonitis as encountered in a tertiary care centre in U.P.

Material and methods: It was observational prospective study of 100 cases of perforation peritonitis treated in the department of surgery, santosh medical college  , U.P from December 2022 to December 2023. The maximum number of patients in the present study were in age group of 21-30 years (26%) with a mean age was 31 years. Male female ratio was 8.09:1.

Results: The most common etiology of perforation peritonitis was peptic ulcer disease (41%) followed by enteric fever (15%) and tuberculosis (13%)The most common site of perforation in this series was gastroduodenal (43%) followed by terminal ileum (30%). Mortality rate was 5% and significantly high in patients coming to the hospital after 24 hours.

Conclusion: Early recognition of symptoms and referral is very important in reducing mortality and morbidity.