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Generalized peritonitis in India--the tropical spectrum
1Department of Surgery, All India Institute of Medical Sciences, New Delhi.
The Japanese Journal of Surgery
|May 1, 1991
Summary
Generalized peritonitis in India presents a unique tropical spectrum. Peptic ulcer perforation was the leading cause, with typhoid perforation also common, highlighting distinct etiological patterns in this surgical emergency.
Area of Science:
- General Surgery
- Tropical Medicine
- Gastroenterology
Background:
- Generalized peritonitis is a frequent surgical emergency in India.
- The 'Tropical Spectrum' of peritonitis differs from Western presentations.
- Understanding these differences is crucial for effective management.
Purpose of the Study:
- To analyze the causes and outcomes of generalized peritonitis in India.
- To compare the Indian spectrum with Western data.
- To evaluate surgical management strategies.
Main Methods:
- A retrospective review of 155 surgically treated cases of generalized peritonitis.
- Data collected between 1981 and 1987 at the All India Institute of Medical Sciences.
- Diagnosis primarily clinical, confirmed by operative findings and retrospective investigations.
Main Results:
- Peptic ulcer perforation was the most common cause (2% mortality with simple closure).
- Typhoid perforation was the second most frequent cause.
- Appendicular and tubercular perforations, and ruptured amebic liver abscesses were also significant causes.
Conclusions:
- The etiological profile of generalized peritonitis in India shows distinct differences from the West.
- Prompt surgical intervention, including peritoneal toilet and drainage, is essential.
- Specific causes like typhoid and amebic liver abscess require targeted management approaches.