Volume : 6, Issue : 1, January - 2017

A CLINICOETIOLOGICAL STUDY AND DIAGNOSTIC EVALUATION OF PERITONITIS PRESENTING AS ACUTE ABDOMEN

Dr D. Lokanadham, Dr Ch. Surendra Babu, Dr Shirin Palli, Dr Naga Manvi . P

Abstract :

<p>&nbsp;Peritonitis is a common emergency encountered by surgeons the world over. This paper aims to provide an overview of the spectrum of peritonitis encountered in asram medical college, eluru over a period of august 2014 to 2016.&nbsp; Studies dealing with the overall spectrum of secondary peritonitis were analyzed for the site and cause of perforation. AIM:&nbsp; &nbsp;&nbsp;&nbsp; 1. To analyse various causes of acute peritonitis and including &nbsp;trauma . &nbsp;&nbsp;&nbsp; 2. To analyse the incidence of complications and its relation to cause. MATERIAL AND METHODS: &nbsp; 100 cases of acute peritonitis due to trauma and non-traumatic causes admitted in ASRAM Hospital were included in the study. &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; RESULTS: In this series duodenal perforation was the most common cause of acute peritonitis followed by appendicular perforation (16%), ileal (8%), intestinal gangrene&nbsp;&nbsp; (8%), jejunal perforation (6%), gastric perforation (4%) and colonic perforation (2%). &nbsp; Wound infection was most common complication (10%) seen in the post operative period. This was followed by feacal fistula (6%) and pelvic&nbsp; abscess (4%). In general complications septicemia (12%) was the most common. &nbsp; CONCLUSION: It was observed that perforation of duodenal ulcers was the most commonly encountered perforations. These are followed by appendicular and small bowel perforations. Colonic perforations were uncommon. Wound infection encountered in 10% cases was the most common complication encountered in post operative period.</p>