A. Sai Datta, M. Sundara Rao, R. Sai Krishna, D. Anvesh, Y. Anil Reddy, G. Sreeram, G. Vamsi, M. Rohith
Perforation peritonitis is the one of the common abdominal surgical emergency. The spectrum of etiology of perforation in Tropical countries continues to be different from its Western counterpart. The objective of the study was to highlight the spectrum of perforation peritonitis as encountered at Katuri Medical College and Hospital, Guntur. A.P. Hundred consecutive cases of perforation peritonitis over a period of 26 months. (June 2010-July 2012) were reviewed in terms of clinical presentation, operative findings and postoperative course retrospectively. The most common type of perforation in our series was perforated duodenal ulcer (56 cases) followed by Appendicular (16 cases), Ileal (12 cases), Colonic (6 cases), Gastric (4 cases), Jejunal (2 cases), Gall bladder (2 cases), Anastomotic ulcer (2 cases) were reported. Despite delay in seeking medical treatment (32%), the overall mortality (11%), favorably comparable with other published series though the overall morbidity (29%) was favorable. In contrast to western literature, where lower gastrointestinal tract perforations predominate, upper gastrointestinal tract perforations constitute the majority of cases in India. Mostly males and elderly people are affected due to injudicious usage of NSAIDS, alcohol, smoking. (11) Withdrawal from these habits and using of proton pump inhibitors and H-Pylori eradication which warrant early recognition and prompt treatment to avoid serious complications and death. KEYWORDS: Perforation, Hollow viscus, Peritonitis, Laparotomy.
