Abdul Ghani, Waqar Ahmed, Baqai F U.
Current Pattern of Acute Peritonitis in Adult.
Baqai J Health Sci Jan ;14(1):5-8.

The studies were undertaken to evaluate the current pattern of Acute Peritonitis in adult. This study included consecutive pattern of peritonitis studied in term of clinical assessment, causes, site of perforation and surgical treatment. All patients were resuscitated and underwent emergency laparotomy. On laparotomy cause of peritonitis was found and treated. A total of 80 surgically treated cases of Acute peritonitis were included. Out of total, all patients presented with acute peritonitis, The age was from 15 to 75 years, with male to female patients ratio of 7:1. In our study, gastric perforation was found in one (1.25%) patient and duodenal perforation in 26 (32.5%) patients. The typhoid perforation was found in 38(47.5%) patients and TB perforation in terminal ileum was found in 4 (5%) patients. In one patient (1.25%) small intestinal perforation due to foreign body (stones) was managed. There were 8(10%) cases of peforated appendix in our study and 2 (2.5%) patient had caecal perforation. Highest numbers of perforation have seen in ileum, duodenum, appendix, caecum and stomach. The most common cause of peritonitis was found to be ileal perforation and followed by perforation. The pattern of peritonitis is variable, depending upon eating habits and socioeconomical conditions.

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