Causes of Acute Peritonitis and its Outcome in Tertiary Medical Centre
OBJECTIVE: To determine the factors causing peritonitis and deaths at Jinnah Hospital Karachi. METHODOLOGY: The study included 216 patients with acute peritonitis who underwent exploratory laparotomy from 2016 to 2018. Surgical treatment according to cause and post-operative treatment of disease ca...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Liaquat University of Medical and Health Sciences
2019-09-01
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| Series: | JLUMHS |
| Subjects: | |
| Online Access: | https://www.lumhs.edu.pk/jlumhs/Vol18No03/pdfs/01.pdf |
| Summary: | OBJECTIVE: To determine the factors causing peritonitis and deaths at Jinnah Hospital Karachi.
METHODOLOGY: The study included 216 patients with acute peritonitis who underwent exploratory laparotomy from 2016 to 2018. Surgical treatment according to cause and post-operative treatment of disease carried out. Histopathological report and other diagnostic test like typhoid dot test and blood culture results were recorded and resultwas analyzed by SPSS version 24.
RESULTS: Frequent causes of acute peritonitis were typhoid intestinal perforation 62(28.70%),Peptic ulcer perforation 54 (25%), rupture appendix 38 (17.59%), tuberculous intestine perforation 26 (12.05%), gangrene gut 14 (6.48%), large gut tumor perforation 10 (4.62%), ruptured liver abscess 4 (1.85%), ruptured gall balder 4 (1.85%) and acute pancreatitis 4 (1.85%). Complications were septic shock 30 (13.88%), paralytic ileus 16 (7.40%), burst abdomen 12 (5.5%) and mortality was 8 (3.70%.) CONCLUSION: Infectious diseases like typhoid, H-pylori PUD, ruptured appendix, ruptured liver abscess, and TB intestine are common causes of peritonitis. |
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| ISSN: | 1729-0341 2309-8627 |