Clinical Evaluation and Management of Ileal Perforation

Introduction: Perforation in the ileum is a common surgical emergency noted in the Indian subcontinent. The most common etiology is salmonella infection. In western countries, the most common etiology is neoplastic, traumatic, and mechanical in the decreasing order of incidence (1, 2, 3). The availability of modern facilities and advances in treatment regimens have not led to a decrease in the high mortality and morbidity associated with ileal perforation. Materials and Methods: All consecutive patients presenting the hospital with signs of hollow viscous perforation at GSL Medical College and General Hospital during the period of September 2017 to August 2019 will constitute the material for the study. All patients operated for Ileal perforation who satisfy both inclusion and exclusion criteria during the above time period will be included after taking consent. All statistical analyses will be performed using SPSS 20.0 version and MS EXCEL-2007. All descriptive values will be presented as Mean ? Standard deviation and percentages. A chi-square test will be performed to find association categorical variables. For all statistical analyses, p less than0.05 is considered statistically significant. Results: Thirty-one patients who were diagnosed to have Ileal Perforation have been admitted between September 2017 to August 2019 were included in this study. Patients have been grouped into etiological categories. Namely, typhoid, non-specific, tuberculosis, blunt trauma, stab injury, roundworms, and Meckel's diverticulum. Conclusion: Etiology, presentation, management and outcome of patients with ileal perforations were studied with emphasis on typhoid, non-specific, TB, round worms, meckels, stab injury and traumatic perforations and the factors that influenced the prognosis. The type of surgical procedure did not influence outcome, either morbidity or mortality.