CLINICOPATHOLOGICAL STUDY OF PERFORATION PERITONITIS IN PAEDIATRIC AGE GROUP IN MY HOSPITAL, INDORE- A PROSPECTIVE AND RETROSPECTIVE STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 19
Abstract
BACKGROUND In acute abdomen, the difference between the best and worst surgery is infinitely less than between early and late surgery and the greatest sacrifice of all is sacrifice of time. The aim of the present work is to find out the epidemiology of the gastrointestinal perforation in children and incidence of aetiology in such perforations and the result of different surgical procedure and management performed. MATERIALS AND METHODS A prospective and retrospective study was conducted in Mahatma Gandhi Memorial Medical College and MY Hospital over a period of 5 years from Jan. 2013 to Oct. 2017. A total of 106 patients presented in this period with hollow viscus perforation and out of these 59 patients were retrospective and 47 were prospective. In our study, the main diagnostic tools were history, clinical examination, scout film abdomen and operative findings. The different GI perforations were labelled under the aetiologies as enteric, idiopathic, unknown, appendicular, tubercular and miscellaneous perforation. RESULTS A total of 106 patients with gastrointestinal perforation were included in the study. The causes for perforation were traumatic (19.23%), idiopathic (15.38%) and enteric (15.38%). CONCLUSION The common pathology of gastrointestinal perforation is traumatic, idiopathic and enteric fever. N. mortality is 29%. Hence, the need of the day is correct recognition at the earliest opportunity of the case of perforation peritonitis, an extensive medical management and timely judgement for surgical intervention.
Authors and Affiliations
Sunil Narang, Sumit Shukla, Pradeep Shivsharan
Keywords
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- EP ID EP418256
- DOI 10.14260/jemds/2018/539
- Views 72
- Downloads 0
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