Abstract

Abdul Majid Wagay, *Hanief Mohamed Dar, Tawseef Altaf Mir, Ayaz Ahmad Bhat and Zainub Nabi Anto

ABSTRACT

Background: Perforation peritonitis is one of the most common general surgical emergencies encountered by surgeons all over the world as well as in India. Spectrum, etiology, clinical presentation and management varies. Methods: This prospective study was done in the department of general Surgery in Government Medical College Srinagar over a period of one year from March 2019 to March 2020 and included all patients who had peritonitis except primary bacterial peritonitis and peritonitis following anastomotic leak. Results: Most patients were in the age group of 21 – 30 years, with male to female ratio of 16.5:1. Pain abdomen was present in 100% patients followed by vomiting (72.86%), fever (44.29%), shock due to septicemia (7.14%). Pneumoperitoneum was observed in majority of patients (80%) on X-ray abdomen. Site of perforation was duodenum (35.71%) in most of the patients, followed by ileal (21.43%), stomach (18.57%), appendix (12.86%) and jejunum (11.43%). Omentopexy (57.14%) was the major surgical procedure done in the study, followed by primary closure of perforation (17.14%), appendectomy (12.86%), stoma (10%) and resection with anastomosis (2.86%). A total of 2 (2.86%) patients expired in this study. Conclusion: Perforation peritonitis is the surgical emergency seen in active age groups with lot of morbidity and mortality.