Journal of Universal Surgery

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A Clinical Study of the Spectrum of Gastro Intestinal Perforation Peritonitis in Rural Southern East Rajasthan

Biram Chand Mewara,Bheem Kumar Chourashiya,Sanjay Porwal,Varsha Porwal andAyushi Gupta

Background: 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 by us in rural southern east Rajasthan.

Methods: It is descriptive, retro-prospective study of 100 (hundred) cases of perforation peritonitis seen and treated over a period of two years.

Results: The maximum number of patients in our study was in age group of 31- 40 years (23%) with a mean age was 40.29, years. There were 89 males (89%) as compared to 11 females (11%). The most common site of perforation in our series was gastroduodenal (81%) followed by small bowel perforation (13%), appendicular perforations (4%), colonic perforation (1%) and rectal perforation (1%). The rate of complication was 21%. Mortality rate was 7% and significantly high (100%) in patients coming to the hospital after 24 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.