DOI: 10.36347/sjams.2018.v06i10.018

Pages: 3760-3762

Non traumatic terminal ileal perforation is still common as a cause for obscure peritonitis in developing and underdeveloped world although in the West, it is quite rare. The terminal ileal perforation presents a diagnostic dilemma to the surgeon. Laparotomy is usually carried out late often suspecting a perforated appendicitis or a duodenal ulcer. The morbidity and mortality from ileal perforation could be reduced by early patient presentation, early diagnosis of perforation, improved patient care and prompt surgical intervention with closure of perforated site after proper intraoperative decision making .