Study of risk factors and clinical manifestations of peptic perforations and peritonitis
Journal Title: Medpulse International Journal of Surgery - Year 2017, Vol 4, Issue 3
Abstract
Background: Peptic ulcer perforation and secondary peritonitis forms one of the commonest and most important causes of acute abdominal emergency, which the general surgeon has to deal with. Knowledge of risk factors and clinical manifestations helps in avoiding and early identification, timely treatment of peptic perforations. So, we were prompted to study the aetiology and clinical manifestations of peptic ulcer perforation. Material and Methods: The present study consisted of 50 consecutive cases of perforated peptic ulcers admitted over a period of two years. All the cases were studied with respect to risk factors such as nonsteroidal anti-inflammatory drugs (NSAIDs) intake, addictions, comorbid conditions, clinical features at the time of presentation, radiological investigations and operative findings. Results: The commonest age group affected was adult population between 30-50 years. A total of 44 cases (88%) of perforated peptic ulcer gave history of eating spicy and chilly food and 60% had history of alcohol consumption and smoking. 16% were the patients using inadvertent analgesics for long time. All patients had pain in abdomen, diffuse tenderness are over abdomen, guarding and obliterated liver dullness. Discussion: Peptic perforation and peritonitis has a wide geographical variation. The widespread use and self-medication of NSAIDs and thehabits of eating chilly and spicy food along with smoking and alcohol habits increased the risk of developing peptic ulcer perforation. This can be prevented by patient education.
Authors and Affiliations
Sangeeta Nimbalkar, Vijay Kassa
Keywords
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