A Retrospective Analysis on Etiopathogenesis and Clinical Outcomes of Atraumatic Perforation Admitted Over a Period of 3 Years

Introduction -Gastro intestinal perforation is the most common surgical emergency presenting as an acute abdomen. Diagnosing a gastrointesinal perforation is not a herculean task except cases complicated with a small sealed perforation and overlapped with a picture of ileus or obstruction. The current paper states the changes with time with regards to its etiology from gastric to duodenal and in management from colostomies to primary closure. We present a case study of 100 patients to know most common cause of gastro intestinal perforation, their symptomology and recent techniques of management with management of their complications studied from May2004-Aug 2006. Method- the study includes 100 patients admitted in a major tertiary institution in rural India between 2004 and 2006 and studied with respect to incidence, modes of clinical presentation, management and outcome. Results - Maximum patients reported were between 21 to 30 years of age. Males are predominantly affected. The study concludes that peptic ulcer disease (duodenal) is still the most commonest cause of Gi perforations All patients present with acute abdominal pain and vomiting as the second symptom The presentation is delayed most patients presenting within 24 hours after onset of symptoms The most common mode of diagnosis remains the erect abdominal Xray and the time of presentation relates with the patients time of recovery. Most common surgery used is still primary repair /closure followed by resection anastomosis and with a noted decline in the number of colostomies operated