Publiée 2021-09-21
Mots-clés
- Perforation,
- Malignant,
- Volvulus
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Résumé
Background Gastrointestinal perforation is one of the most common cause of acute abdomen and important surgical emergency. Methods A total 120 cases of gastrointestinal perforation were studied from December, 2017 to May, 2018 in Department of Surgery, Sher-E-Bangla medical college hospital, Barishal. it is a cross sectional observational study. Patients were selected randomly. Collected data were analyzed by SPSS and result was compared with previous similar studies. Result Abdominal pain was seen in all the cases. 38.33% of patients had vomiting, 48.33% complained of distension of abdomen and 64.17% with fever. Tenderness was seen in all the cases with localized tendernes in appendicular perforation. 80% of cases had guarding/rigidity with 48.33% patients presented with distension of abdomen. 72% of cases had gas under the Diaphragm with majority of them in peptic ulcer perforation and least in appendicular, volvulus, strangulated hernia and malignant cause of perforation. Conclusion Mortality in our study was 5.83% and was due to septicemia with older age group, delayed presentation to hospital and other
associated co-morbidities being the additive factors.
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