Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Perforation peritonitis is the most common surgical emergency encountered by surgeons all over the world. Clinical presentation varies according to the site of perforation and duration of perforation. Present study was aimed to study clinical features, etiology and management of perforation peritonitis in adults at a tertiary hospital. Present study was single‐center, prospective, observational study, conducted in patients of age 18 years and above, irrespective of sex, presenting with gastrointestinal perforation with peritonitis and undergoing exploratory laparotomy. The annual incidence of gastrointestinal perforation peritonitis in adult patients observed in our study was 26.7%. In present study, out of 50 adult patients. most commonly affected age group was 51‐60 years (38%). Mean age of patients in our study was 47.8 years. Male to female ratio is 3.1:1. Common co‐morbidities were hypertension (14%) and diabetes (8%), Pain in abdomen was most common (100%) presenting symptom in our patients followed by guarding and rigidity (92%). Majority patients presented within 48 hours after onset of symptoms (48%), required less than 6 hours for resuscitation (76%). On plain abdominal radiograph pneumoperitoneum was noticed in 37 (74%) patients. Acid peptic disease (60%) is the most common etiology followed by appendicular perforation (22%) and idiopathic (6%). Duodenum (56%) is the most common site of perforation followed by appendicular perforation (22%) noted in our study. Old age, associated co‐morbid conditions and delayed presentation to hospital from the onset of symptoms leading to delayed treatment were the factors observed in these patients. Mortality rate was 8%. Old age, Delayed presentation to the hospital, shock at the time of admission, associated co‐morbidities, adversely affected the final outcome in these patients.
How to cite this article:
Paritosh P. Kurund and Varsha Kavle. Study of Clinical Features, Etiology and Management of Perforation Peritonitis in Adults at a Tertiary Hospital.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.4.236.241
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.4.236.241