Among abdominal emergencies, perforations of peptic ulcer are third most common in frequency, after acute appendicitis and acute intestinal obstruction. The prevalence of peptic ulcer disease ranges from 5 to 15% in the western population. Perforation being the most dreaded complication, occurring in about 2-10% of peptic ulcer cases. Inspite of better understanding of the disease, effective resuscitation and prompt surgery under modern anaesthesia techniques, there is still high mortality and morbidity in perforated peptic ulcer with mortality rate ranging from 5% to 15%. Prompt recognition of the condition and early surgery are very important to reduce the mortality. In our study, we stratified the patients with perforated peptic ulcer peritonitis according to Boey score and found a significant relationship between increasing Boey score with higher rates of post-operative morbidity and mortality. The study also demonstrated that using a simple clinical scoring system in surgical emergency room proves critical to reduce the chances of morbidity and mortality among patients with perforated peptic ulcer peritonitis.

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Hydatid cyst is a zoonotic disease caused by tapeworm of the genus Echinococcus. Humans act as accidental or dead-end host. It commonly affects liver, lungs and kidneys. A pelvic hydatid cyst is usually secondary to hydatid cyst involving other organs. Isolated primary pelvic hydatid cyst is a rare entity, occurring in 0.2-2% cases. The present case is a 46 years old male with primary pelvic hydatid cyst who was managed by surgical evacuation of cyst along with albendazole therapy.