Author(s): Thulasi A1, Thomas Karunaharan2, Arunan3
BACKGROUND & OBJECTIVES
Ileal perforation is one of the commonest occurrence in our hospital setup, with the majority of cases having an aetiology of trauma. The aim is to study the various causes of ileal perforation and its presentation and various surgical procedure and its complications and factors affecting the outcome.
Seventy cases of ileal perforation were included in this study. Factors were tabulated and statistically analysed to study their contribution.
Trauma was the most common cause of ileal perforation in this study followed by nonspecific perforations. Patients presented primarily in the third and fourth decades of life with a male preponderance. Many patients had air under diaphragm in x-rays and underwent surgery within 24 hrs. of onset. 70% of patients underwent 2-layer closure with complication rate of 67% and mortality rate of 5.7%.
We found trauma as the most common aetiology for ileal perforation. Incidence of typhoid induced perforations seems to have significantly reduced. Faecal peritonitis, age, shock, lag period were found to be significant in contributing to mortality and morbidity.