Clinical Study

Perforation Peritonitis and the Developing World

Table 2

Etiology and site of perforations.

Parameterā€‰

Causes of perforation Acid peptic disease179 [44.75%]
Appendicitis74 [18.5%]
Typhoid48 [12%]
Tuberculosis40 [10%]
Trauma31 [7.75%]
Malignancy13 [3.25%]
Bowel strangulation8 [2%]
Band obstruction perforation4 [1%]
Amoebic caecal perforation3 [0.75%]

Site of perforation Duodenum150 [37.5%]
Ileum90 [22.5%]
Appendix74 [18/5%]
Jejunum38 [9.5%]
Stomach29 [7.25%]
Sigmoid colon8 [2%]
Caecum5 [1.25%]
Transverse colon3 [0.75%]
Descending colon3 [0.75%]

Surgical procedureOmental patch 175 [43.75%]
(With feeding jejunostomy)(4)
Stoma90 [22.5%]
Appendectomy68 [17%]
Primary repair27 [6.75%]
Resection-anastomosis25 [6.25%]
Limited resection with Ileo-ascending anastomosis6 [1.5%]
Right hemicolectomy5 [1.25%]