DOI: https://dx.doi.org/10.18203/2349-2902.isj20222931
Published: 2022-10-29

Perforation peritonitis: as a spectrum

Aftab H. Shaikh, Amarjeet E. Tandur, Abhishek G. Rathod, Tanay Dhanorkar

Abstract


Background: Peritonitis due to hollow viscus perforation is one of the frequent cause of patient presenting as acute abdomen in clinical practice. The cause of this perforation can be traumatic perforation or an underlying diseased viscus.

Methos:  The study was conducted in Sir J J group of hospitals, Mumbai between January 2021 to June 2021. A total of 50 cases with peritonitis due to gastrointestinal tract perforation were studied. The patient were studied on the basis of clinical presentation, radiological findings, cause and site of perforation, treatment given, postoperative complication and mortality.

Results: Perforated duodenal ulcer (32%) and illeal perforation (24%) were most common in our study which is in contrast to the pattern seen in western part of the world. Perforations due to malignancy were the least commonly seen.

Conclusions: As indicated on our study the spectrum of perforation peritonitis in India continues to be different from its western counterpart with duodenal ulcer perforation, perforating appendicitis, typhoid perforation and tubercular perforation being the major causes of generalized peritonitis.


Keywords


Peroration peritonitis, Peritonitis, Exploratory laparotomy, Emergency surgery, Resection and anastomosis

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References


Bielecki K, Kamiński P, Klukowski M. Large bowel perforation: morbidity and mortality. Tech Coloproctol. 2002;6(3):177-82.

Chakma SM, Singh RL, Parmekar MV. Spectrum of perforation peritonitis. J Clin Diagn Res. 2013;7(11):2518-20.

Adesunkanmi ARK, Badmus TA, Ogundoyin O. Causes and determinants of outcome of intestinal perforations in a semiurban African community. Ann College Surgeons Hong Kong. 2003;7(4):116-23.

Yadav D, Garg PK. Spectrum of perforation peritonitis in Delhi: 77 cases experience. Ind J Surg. 2013;75(2):133-7.

Agarwal N, Saha S, Srivastava A, Chumber S, Dhar A, Garg, S. Peritonitis: 10 years’ experience in a single surgical unit. Trop Gastroenterol. 2008;28(3):117-20.

Malangoni MA, Inui T. Peritonitis-the Western experience. World J Rmergency Surg. 2015;1(1):1-5.

Collado C, Stirnemann J, Ganne N, Trinchet JC, Cruaud P, Barrat C, Fain O. Gastrointestinal tuberculosis: 17 cases collected in 4 hospitals in the northeastern suburb of Paris. Gastroenterol Clin Biolog. 2005;29(4):419-24.

Ramachandran CS, Agarwal S, Dip DG, Arora V. Laproscopic surgical management of perforative peritonitis in enteric fever: a preliminary study. Surg Laprosc Endosc Percutan Tech. 2004;14(3):122-4.

Subramanyam SG, Sunder N, Saleem KM, Kilpadi AB. Peritonitis in patients over the age of 50 years: 98 cases managed surgically. Trop Doctor. 2005;35(4):247-50.