A Retrospective Study of 100 Cases Perforative Peritonitis At Coimbatore Medical College & Hospital -July 19 to December 2019

Dr.T.Srinivasan; Dr. Jacob Leo Sunny

Volume : IX, Issue : I, January - 2020

A Retrospective Study of 100 Cases Perforative Peritonitis At Coimbatore Medical College & Hospital -July 19 to December 2019

Dr. T. Srinivasan, Dr. Jacob Leo Sunny

Abstract :

Perforative peritonitis is the most common surgical emergency in India. The spectrum of aetiology in Asian countries is different from Western countries. The aim of the study was to highlight the spectrum of perforative peritonitis as encountered by us at Coimbatore medical college and hospital, which is important primary referral government hospital in Coimbatore. In this retrospective study, a total of 100 cases of perforative peritonitis were included, which constituted 25% of surgical abdominal emergency admissions. Duodenal perforation (45%) was the most common cause of perforative peritonitis. Abdominal pain was the commonest presenting symptom and free gas under diaphragm in chest radiogram was commonest important diagnostic finding especially in duodenal perforations. Appendicular perforation was the second most common condition which affects all the ages. Morbidity and mortality was directly related to time interval between occurrence and surgical intervention and amount of contamination in peritoneal cavity. Other predictors were co–morbid conditions, site of perforation, post operative complications and increasing age of the patient. Mortality overall was 15%, highest in duodenal perforation. This article presents a spectrum of aetiology, clinical presentations and outcomes in perforative peritonitis in 100 patients.