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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 | 131 95
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.