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Non-traumatic spontaneous ileal perforation: experience with 125 cases
Journal of Ayub Medical College, Abbottabad : JAMC
|February 13, 2015
Summary
Non-traumatic ileal perforations, often caused by enteric fever and tuberculosis, are frequent in developing nations. Early diagnosis and surgical intervention are crucial for managing this condition and reducing mortality.
Area of Science:
- Gastroenterology
- Surgical Emergencies
- Public Health
Background:
- Non-traumatic ileal perforation is a significant cause of peritonitis, particularly in developing regions.
- Preoperative diagnosis of ileal perforation can be challenging.
- This study addresses the rising incidence and management of non-traumatic ileal perforations.
Purpose of the Study:
- To determine the increasing frequency of non-traumatic ileal perforations.
- To analyze the subsequent management strategies for these cases.
Main Methods:
- A descriptive case-series of 125 patients was conducted.
- Data was collected from surgical emergency admissions at Lahore General Hospital over a one-year period.
- All patients underwent resuscitation and emergency exploratory laparotomy.
Main Results:
- Enteric fever (65.6%) and tuberculosis (30.4%) were the primary causes of ileal perforation.
- Common symptoms included severe abdominal pain, fever, and distension.
- Surgical management varied, including primary repair, anastomosis, and ileostomy, based on patient condition and contamination.
Conclusions:
- High incidence of ileal perforations from typhoid and tuberculosis is noted.
- Delayed presentations are associated with significant mortality and morbidity.
- Public health awareness regarding food handling, sanitation, and hygiene is essential.
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