Article Type : Research Article
Volume : 2
Issue : 1
Online ISSN : XXXX
Print ISSN : XXXX
Article First Page : 8
Article End Page : 10
Introduction: Perforation peritonitis is the most common surgical emergency encountered India and all over world. The etiology of perforation peritonitis as seen in India is different from its western counterpart. The objective of the study was to highlight the spectrum of perforation peritonitis as encountered in S N Medical College Agra.
Materials and Methods: It is descriptive, prospective study of perforation peritonitis seen and treated over a period of three years.
Results: Total 136 cases were included in the study. The maximum number of patients in our study was in age group of 41- 50 years (26%) with a mean age was 43.6, years. There were 102 males (%) as compared to 34 females (%). The most common site of perforation in our series was gastro duodenal (57%) followed by small bowel perforation (26%), appendicular perforations (6%), colonic perforation (2%), perforation after obstruction (2%), malignant perforation (3%), traumatic perforation (3%) and rectal perforation (1%). The rate of complication was 26%. Mortality rate was 12% and significantly high in patients coming to the hospital after 48 hours.
Conclusion: In contrast to western literature, where lower gastrointestinal tract perforation, upper gastrointestinal tract perforation constitute the majority of cases in India. The high rates of mortality among these who presented late divert attention to the fact early recognition of symptoms and referral of patients is very important in reducing mortality and morbidity.
Keywords: Peritonitis, Perforation, Gastrointestinal, Traumatic.