Background: Peptic ulcer is a common disease. It gives rise to so many complications. But with advent of current peptic ulcer treament they are not common. Peptic perforation is one of the dreaded complication. In  this study we attempt to find out which etiological factors are commonly associated with perforation.

Material and method: we studied 50 patients of peptic perforation in Bardhaman Medical College of Westbengal between Feb 2017 To Jan 2018. Detailed clinical history was taken and examination was done to find the etiological factor associated. Rapid urease test done per operatively to find presence of H Pylori.

Reasuts and conclusion : peptic perforation was found to be more common in middle age group, among poor socioeconomic group of people with poor nutrition. Males are affected (>90%). More than 65 Percent patients  tested positive for H pylori. Smoking alchol and NSAID has definite role in peptic perforation.