Nontraumatic Small Bowel Perforation: A Review of Demographics, Aetiological Factors, Clinical Presentation, Radiological Findings Along with Hematological and Histopathological Evaluation

Siddharth Singh1, Amitabh Satsangi2, Sai Divya Yadavalli3, Biswajit Singh3* and Gajanan Patil1

1Department of General Surgery, G.S.V.M Medical College and Associated Hospital, Kanpur, India
2Department of CTVS, AIIMS, New Delhi, India
3Department of Surgical Disciplines, AIIMS, New Delhi, India

^*Correspondance to: Biswajit Singh, 

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Abstract:

Introduction: Small bowel perforation stands out as a significant entity in an emergency setting.
Despite improvement in diagnosis, antibiotics, surgical treatment and intensive care treatment,
it remains an important cause of mortality in surgical patients and thus warrants robust and
meticulous management by the treating surgeon.
Material and Methods: Study was conducted on patients of different types of non-traumatic small
bowel perforation, admitted in surgical emergency, LLR Hospital Kanpur. A total 90 patients of
non-traumatic perforations of the small intestine operated in emergency surgery from December
2014 to July 2016 were studied.
Observation: Most patients were of the ages 31 to 40 years (39 cases, 43.33%). Most common
histopathological finding is non-specific ileitis (44%). In present study most common site of small
bowel perforation is ileum (62.22%), followed by duodenum (27.66%) and jejunum (10.00%).
Conclusion: Non-traumatic bowel perforations in third world countries are attributable to infective
pathology and are a major burden, especially in emergency settings. They inflict a younger population
in eastern world and result in immense morbidity. If meticulously and robustly managed, both
mortality and morbidity can be decreased.

Keywords:

Cite the Article:

Singh S, Satsangi A, Yadavalli SD, Singh B, Patil G. Nontraumatic Small Bowel Perforation: A Review of Demographics, Aetiological Factors, Clinical Presentation, Radiological Findings Along with Hematological and Histopathological Evaluation. World J Surg Surgical Res. 2020; 3: 1244..