Outcome of Acute Peritonitis Related To Cause and Duration Of Presentation

Objective: To determine the outcome of acute cause-related peritonitis correlated with duration inflammation within 24, 24-48, and after 48 hours hospital admission. Methodology: This quasi experimental study was conducted at Surgical Ward #3, Jinnah Postgraduate Medical Centre from September 2019 to March 2021. Patients over 12 years old were included in this study. The duration, cause, outcomes noted. All complications recorded treated accordingly. Results: 136 patients between ages 13 80 included, 104 males (76.8%) 32 females (23.18%). 37 (28.2%) aged 13–20 years, 61 (44.2%) 21–40, 33 (23.91%) 41–60, 5 (3.6%) 60 years. Mortality showed 2 (1.47%) expired 24–48 hours, 6 (4.4%) hours. cause typhoid ileal perforation (41%), duodenal (33%), ruptured appendix (28%), intestinal tuberculous (14%), gangrenous gut (7%), tumour (6%), liver abscess (3%), gastric rectal tear (1%). Notably, 2.4% peritonitis, 3.0% perforation, 3.5% appendix, 14.2% intestine, 33.3% 100% passed. Paralytic ileus (8%) burst abdomen (8%), most common complications. Conclusion: Typhoid major paralytic contributing mortality rate.