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Scholars Journal of Applied Medical Sciences | Volume-5 | Issue-02
Study of spectrum of perforation peritonitis and it`s management: A cross sectional study at a tertiary care institute
Ajender Singh, Irfan Hussain Khan, S.P. Singh
Published: Feb. 26, 2017 |
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197
DOI: 10.36347/sjams.2017.v05i02.016
Pages: 379-384
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Abstract
Perforation peritonitis is one of the most common surgical emergencies all over the world. The aetiology of
peritonitis in tropical countries differs from western studies and is still a common cause of death, if timely medical or
surgical intervention is not done. This study was done to know the spectrum of peritonitis in our setup at National
Institute of Medical Sciences Medical College And Hospital, Jaipur. The study was a cross sectional hospital based
research comprising fifty cases of perforation peritonitis and was done over a span of one year. It was noted that peptic
ulcer (60%) is the most common cause followed by typhoid ulcers (20%). Abdominal pain (100%) with vomiting (98%)
was the chief complain. Diagnosis is easy with typical clinical features and gas under the diaphragm in abdominal
radiograph (94%). Early surgery is life saving with delay in surgical management leads to increased morbidity and
mortality. Suture site infection and respiratory complications are the most common cause of post-operative morbidity.