Peritonitis Due To Hollow Viscus Perforation, A Clinical Retrospective Study in A Tertiary Health Care

Authors

  • Ashisbala Mohapatra
  • Abinasha Mohapatra
  • Pragyan Paramita Bairisal

Keywords:

Peritonitis, Bowel Perforation, Peptic Ulcer.

Abstract

Background - Peritonitis is defined as inflammation of the serosal membrane that lines the abdominal cavity and the organs contained in it. The introduction of infection into the sterile peritoneal environment through a bowel perforation and introduction of a chemically irritating material like gastric acid from a perforated ulcer causes peritonitis.

Aim and Objective - To study the frequency of peritonitis secondary to hollow viscus perforation in relation to age, sex, anatomical location, symptoms and signs,  reliability of investigation like Erect x-ray abdomen.

Material and Method - This is a retrospective study based on the analysis of 50 cases of hollow viscous perforation admitted to General Surgery Department, F.M.Medical College and Hospital, Balasore, Odisha  from December 2023 to November 2024.

Results - Most of the patients with hollow viscous perforation were above the age of 50 years, followed by the age group of 30-39 years.  Maximum number of patients were found to be males (82%). Females constituted about 18% of the study group.  Most common presenting symptom was abdominal pain.

Conclusion - Laparotomy with the closure of the perforation with an omental patch (66%) is the commonest operative management for perforated peptic ulcer.

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References

Rajender Singh Jhobta, A shok Kumar A ttri, Robin Kaushik, Rajeev Sharma, A nupam Jhobta. Spectrum of perforation peritonitis in India – review of 504 consecutive cases. W orld J Emerg Surg 2006;1:26.

MC Dandapat, LM Mukherjee, SB Mishra,PC Howlader Gastro-intestinal perforations Indian J of Surgery 1991;53(5),189-93.

Thomas Genuit “Peritonitis and Abdominal Sepsis” eMedicine Sep.2004;www.emedicine.com.

Neil R Borley. Peritoneum and peritoneal cavity. 14th ed. Chapter 64. In: Gray's Anatomy. A natomy of clinical practice, Susan Standring, ed. Philadelphia: Churchill Livingstone Elsevier; 2008. pp. 1099-110.

Hiyama DT, Roberst S Bennion, Peritonitis and Intraperitoneal Abscess: Maingot's Abdominal Operation Micheal J., Zinner, Seymour I., Schwartz., Harold Ellis. (ed) vol 1 McGraw Hill 1997;10ed 634-53.

Maddaus MA, Ahrenholz D, Simmons RL. The biology of peritonitis and implications for treatment. Surg Clin North A m 1988 ; 68 : 431.

Fowler GR Diffuse septic peritonitis, with special reference to a new method of treatment, namely, the elevated head and trunk posture, to facilitate drainage into the pelvis : with a report of nine consecutive cases of recovery Med Rec. 1900 ; 57 : 617.

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Published

2025-07-01

How to Cite

1.
Mohapatra A, Mohapatra A, Bairisal PP. Peritonitis Due To Hollow Viscus Perforation, A Clinical Retrospective Study in A Tertiary Health Care. J Neonatal Surg [Internet]. 2025Jul.1 [cited 2025Jul.19];14(32S):2988-92. Available from: https://jneonatalsurg.com/index.php/jns/article/view/7863

Issue

Vol. 14 No. 32S (2025): Journal of Neonatal Surgery

Section

Original Article

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