Spectrum of perforation peritonitis in Pakistan: 300 cases Eastern experience
Perforation peritonitis is the most common surgical emergency encountered by the surgeons all over the world as well in Pakistan. The spectrum of etiology of perforation peritonitis in tropical countries continues to differ from its western counter part.
This study was conducted at Dow University of health sciences Civil Hospital Karachi (DUHS CHK) Pakistan, designed to highlight the spectrum of perforation peritonitis in the East and to improve its outcome.
Methods: This was a prospective study includes three hundred consecutive patients of perforation peritonitis studied in terms of clinical presentations, Causes, site of perforation, surgical treatment, post operative complications and mortality. Conducted at (DUHS CHK) Pakistan over a period of two and half years.
All patients were resuscitated underwent emergency exploratory laparotomy, on laparotomy cause of perforation peritonitis was found and controlled.
Results: The most common cause of perforation peritonitis noticed in our series was perforated duodenal ulcer (43.6%) due to acid peptic disease followed by small bowel perforation, tuberculosis (21%), typhoid (17%) appendicitis (5%), and malignant perforations (2.6%). Overall mortality was (10.6%).
Conclusion: The spectrum of perforation peritonitis continuously differs from western country. Highest number of perforations noticed in the upper part of the gastrointestinal tract as compared to the western countries where the perforations seen mostly in the distal part.
Most common cause of perforation peritonitis was perforated duodenal ulcer, followed by small bowel tuberculosis, typhoid perforation and perforated appendix. Malignant perforation was less common in our setup.
Author: Shahida P Afridi, Phyza Malik, Shafiq Ur-Rahman, Shahid Shamim and Kuhrsheed A Samo
Credits/Source: World Journal of Emergency Surgery 2008, 3:31
Published on: 2008-11-08
Copyright by the authors listed above - made available via BioMedCentral (Open Access). Please
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