G. Srihari1, D. Sudheer2
BACKGROUND
Ileal perforations are a common occurrence in our hospital setup with a majority of cases having an aetiology of typhoid. The aim of this study is to assess the presentation and management of ileal perforation with special reference to typhoid, nonspecific and traumatic perforations. The study also aims to assess the outcomes in these patients and the factors affecting prognosis.
MATERIALS AND METHODS
Fifty cases of ileal perforation were included in this study from the period between August 2013 to February 2015. Factors were tabulated and statistically analysed to study their contribution.
RESULTS
Typhoid was the most common cause of ileal perforation in this study followed by nonspecific perforations. Patients presented primarily in the second and third decades of life with a male preponderance. Patients had a 68% complication rate with wound infection and dehiscence and faecal fistula. Mortality was 14% with fistula and septicaemia being the commonest causes.
CONCLUSION
We found typhoid fever as the most common aetiology for ileal perforation. Ileal perforations have a significant morbidity and mortality despite adequate operative intervention and postoperative care. Age, lag period, typhoid perforations and hypoalbuminaemia were found to be significantly contributing to morbidity. Mortality was influenced by age and shock on presentation.
