Perforative peritonitis: our experiences

Abstract

Aims and Objective: To study the Perforative peritonitis in relation to its aetiology, clinical presentation, site of perforation, surgical treatment required and post- operative complications and mortality. Methods: The prospective study was conducted in the Department of Surgery, Ashwini Rural Medical College Hospital and Research Centre, Kumbhari, Solapur from October 2017 to June 2021. The study population included 100 patients who presented a surgical emergency of perforation peritonitis. Main Findings: Commonest age group 41 to 50 years, followed by age group 31 to 40 years, common symptoms in peritoneal perforation were abdominal pain, Fever and signs were Tenderness, Pneumoperitoneum, Abdominal distension, Dehydration, Shock. Most common aetiology of perforation Duodenal ulcer, Ileal, typhoid, Appendicular, Traumatic, Gastric ulcer, Tubercular ulcer, Crohn’s disease. Varieties of operative procedures were performed depending on the patient’s general condition, peritoneal contamination, site of perforation, gut viability, and surgeon’s decision. Commonest complications were wound infection, lung infection, reperforation, burst abdomen, pelvic abscess and DIC. Conclusion: Perforation peritonitis is commonest emergency encountered in surgical practice. Most of the patients present with generalized or localized abdominal pain. Most common signs were Tenderness, Pneumoperitoneum, Abdominal distension. Duodenal perforation is most common followed by ileal and typhoid. Common complications were wound infection followed by lung infection.

Keywords

• perforation
• peritonitis
• presentation
• aetiology
• complications