- ISSN: 1999-7086
- E-ISSN: 1999-7094
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oa Clinico-pathologic characteristics of gastrointestinal perforations from a tertiary care hospital in Pakistan
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المؤلفون:
Aroosa Zia1, Chaudhary Abdul Fatir1, Haseeb Mehmood Qadri1
, Amjid ul Haq1, Aqsa Khalid1 and Fahad Hussain1
- Source: Journal of Emergency Medicine, Trauma and Acute Care, Volume 2024, Issue 4, أكتوبر ٢٠٢٤, 13
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- ٢١ ديسمبر ٢٠٢٣
- ٢٤ فبراير ٢٠٢٤
- ٢٠ أغسطس ٢٠٢٤
ملخص
Background: Hollow viscus perforation is one of Pakistan’s most commonly encountered surgical emergencies. Gastroduodenal perforations account for the most common site of perforations worldwide. However, the Pakistani population has a different pattern.
Objective: The aim of this study was to determine the clinico-pathologic features of patients and the effectiveness of surgical options in the emergency management of bowel perforation.
Materials and Methods: This retrospective, observational study was conducted at the Department of General Surgery, Unit-III, Lahore General Hospital, Lahore from January 1, 2021 to December 31, 2021. Data on demographic profiles, clinical presentation, risk factors, site of perforation, and surgical details of 73 patients with gastrointestinal perforation admitted via emergency were collected and analyzed using the Microsoft Excel (Microsoft Corp., Redmond, WA) spreadsheet.
Results: There were 74% females out of the 73 included cases. Perforation was most common among the age group of 21–25 years. Abdominal pain was present in all patients, followed by vomiting in 46.6% of cases. Guarding was observed as the most common sign in 78.1% of patients. The ileum was the most common site of perforation in 41.1% of cases, while typhoid was the most common cause of bowel perforation in 20.5% of patients. In 42.5% of cases, stoma was made, followed by primary closure in 16.4% of patients.
Conclusion: This study shows an increased incidence of perforation in the ileum in the Pakistani population, different from the rest of the world and common in youth. An increased incidence of perforation due to typhoid highlights the prevalence and inadequate treatment of this disease.
