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Spectrum of perforation peritonitis
Sujit M Chakma1, Rahul L Singh1, Mahadev V Parmekar1
1Final year PGT, Surgery, Regional Institute of Medical Sciences (RIMS) , Imphal, India .
Journal of Clinical and Diagnostic Research : JCDR
|January 7, 2014
Summary
This study investigated perforation peritonitis, finding delayed presentation impacts morbidity and mortality. Early diagnosis and surgical intervention are crucial for better outcomes in perforation peritonitis patients.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Abdominal Surgery
Background:
- Perforation peritonitis commonly arises from diseased viscus perforation, but trauma, foreign bodies, and iatrogenic causes also contribute.
- Diagnosis relies on clinical findings, with imaging like X-rays, ultrasound, and CT scans aiding detection (up to 82% for CT).
Purpose of the Study:
- To investigate etiological factors of perforation peritonitis.
- To analyze clinical presentation, morbidity, and mortality patterns in perforation peritonitis cases.
Main Methods:
- A study of 490 perforation peritonitis cases treated between September 2010 and August 2012.
- Initial diagnosis based on clinical history, examination, and erect abdominal X-ray for pneumoperitoneum.
Main Results:
- The study included 490 patients with a mean age of 48.28 years; 54.29% were male.
- A significant portion (38.57%) presented over 72 hours after symptom onset, with a mean presentation time of 54.7 hours.
- Overall morbidity was 52.24% and mortality was 10%, with 469 patients treated surgically.
Conclusions:
- Delayed presentation is a significant factor in perforation peritonitis.
- High morbidity and mortality rates underscore the need for timely diagnosis and intervention in perforation peritonitis.
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