A Prospective Study on Clinicopathological Correlation of Perforative Peritonitis in a Rural Based Tertiary Care Hospital

Perforative peritonitis is the most common surgical emergency in India. The aim of the study was to highlight the presentation of perforative peritonitis as encountered by us at Bankura Sammilani Medical College and Hospital. In this study, a total of 174 cases of perforative peritonitis were included. Duodenal perforation (63.8%) was the most common cause of perforative peritonitis. Appendicular perforation was the second most common condition. Morbidity and mortality was related to time interval between occurrence and surgical intervention and amount of peritoneal contamination. Other predictors were co-morbid conditions, site of perforation, post operative complications and increasing age of the patient. Mortality overall was 3.4%. Our aim of study is also to know the demographic pattern of patients presenting with perforative peritonitis , to find out the relative frequency of anatomical site of perforation , relative frequency of causes resulting in hollow viscus perforation and to study the outcome of different surgical management.