Abstract :
Background: Perforation peritonitis is one of the commonest emergencies encountered in surgical patients in India. The
etiology of this condition in tropical countries is different than those from the western countries. Presents study highlights
the spectrum of perforation peritonitis seen in the department of general surgery in Index medical college, Indore (M.P.).
Methods: A prospective cum retrospective study was performed on 227 patients of perforation peritonitis over a period of
3 years in the department of general surgery in Index medical college, Indore (M.P.). Cases were reviewed in terms of
clinical presentation, operative findings and post-operative course. Results: The commonest cause of perforation
peritonitis in our series was acid peptic disease, followed by appendicular, enteric, traumatic and tubercular perforations.
The overall mortality rate 8% was comparable to the mortality rates of other published series. Conclusion: Upper
gastrointestinal perforation continues to be the commonest cause of perforation peritonitis, which is in contrast to the
western world where lower gastrointestinal perforations are more common. Besides, a significant number of traumatic
perforations are due to increase in the number of high speed motor vehicle accident cases in last few decades.
Keyword :
Perforation peritonitis, Appendicular perforation, Enteric, Tubercular, Acid peptic disease.