Epidemiological Study of Ileal Perforation in Patients Presenting to Tertiary Care Centre in North-West Rajasthan

Abstract

Objective: We organized an investigation to study epidemiology and various factors affecting morbidity and mortality of ileal perforation. Methods: This study is a hospital-based prospective and descriptive study of patients admitted from November 2020 to October 2021. Fifty patients of ileal perforation who were admitted in P.B.M. Hospital during this period have been included in the study. Results: Typhoid fever accounting for 34% of total cases, 42% were treated by ileostomy, 34 had complications. Out of 50 cases, 34 had complications around half cases had wound dehiscence. Ileostomy was the most common (n=21, 42%) surgical procedure done in cases of ileal perforation. Wound dehiscence was the most common (n=19, 55.88%) post-operative complication observed among study subjects. Conclusion: Early diagnosis is essential since a proper diagnosis and its therapy are essential to the prognosis. Traumatic perforations have a positive outcome since the lag time is usually short. The kind of surgery performed has no effect on the death rate; however, stoma development is linked to less problems.

Ileal perforation-etiopathology and outcome – An observational study

“…1 Typhoid Ileal perforation is the most common cause of ileal perforation followed by tubercular perforation. 2 Among the other causes ileal perforation due to abdominal trauma, intestinal obstruction followed by ileal perforation (e.g., intussusception, adhesion, bands, worm, and diverticulosis), and malignant perforation (e.g., lymphoma) needs to be mentioned. The patients usually present with a history of acute abdominal pain, vomiting, and fever and clinical findings of tachycardia, tachypnea, abdominal tenderness with guarding, rigidity, etc.…”

“…The patients usually present with a history of acute abdominal pain, vomiting, and fever and clinical findings of tachycardia, tachypnea, abdominal tenderness with guarding, rigidity, etc. 2 Emergency exploratory laparotomy and closure of perforation is the mainstay of treatment when a hollow viscus perforation is diagnosed on an erect X-ray abdomen. 2 Although the mortality rates due to ileal perforation have largely come down owing to an early diagnosis and treatment, the morbidity resulting from the condition and concomitant surgery still remains high.…”

“…2 Emergency exploratory laparotomy and closure of perforation is the mainstay of treatment when a hollow viscus perforation is diagnosed on an erect X-ray abdomen. 2 Although the mortality rates due to ileal perforation have largely come down owing to an early diagnosis and treatment, the morbidity resulting from the condition and concomitant surgery still remains high. 3 The optimal surgical treatment of ileal perforation is carried out using different procedures with variable post-operative outcomes as reported by different surgeons.…”