Clinical study of 104 cases of hollow viscus perforation with peritonititis in gastric and duodenal perforation at rural tertiary centre

Abstract

Acute abdomen with peptic ulcer perforation is a common cause of emergency admission and surgery. This is the study that documents the presentation and outcome of perforation management in DBVPRMC, Loni.This is a prospective study of patients operated upon for perforation peritonitis between March 1, 2021, and March 23, 2023. A structured recorded after questionnaire containing patients demographics, operative findings, and outcome was discharge or death.There were 104 patients. 81 males and 23 females (M : F = 3.5 : 1). The age range was between 18 years and 95 years. The mean age was 48.99 years ± SD 16.1 years. The ratio of gastric to duodenal perforation was 1.88 : 1. Perforation was the first sign of peptic ulcer disease in 62 (59.6%). Pneumoperitoneum was detectable with plain radiographs in 95 (91%) patients. 72 (69.2%) had Graham’s Omentopexy. Death rate was 17.3%.We note that gastric perforation is a more commoner disease in our environment. Perforation is often the first sign of peptic ulcer disease. We identify spicy food, alcoholism and NSAIDs intake amongst patient as a risk factor for perforation. Early presentation is associated with good prognosis.