Evaluation of Outcome of Various Operative Procedures for Non Traumatic Ileal Perforation

Dr. Dinesh Prasad, Dr. Milan Bhingaradiya

Abstract: Background: Ileal perforation is a common cause of acute abdomen in patients admitted for surgical emergencies. It is vital to diagnose early as the prognosis depends on accurate diagnosis and its management. Method: An observational study was done from January 2018 to June 2019 to study aetiology, clinical profile and morbidity of various surgical procedures for non-traumatic ileal perforation. Total 42 patient fulfilling inclusion criteria were operated during this period. Results: In our study, most common presenting complain is abdominal pain (100 %) followed by abdominal distension (72 %), fever (70 %), nausea and vomiting (45 %). Most common performed surgery is exploratory laparotomy with primary repair of perforation (41 %) followed by resection and anastomosis with proximal ileostomy (28 %), ileo-transverse anastomosis with proximal ileostomy (20 %), resection and anastomosis (7 %), primary repair with proximal ileostomy (4 %). Exploratory laparotomy with primary repair of perforation has least complication with re-exploration rate with least mortality.

Keywords: Non-trumatic ileal perforation, typhoid fever, management