Nontraumatic terminal ileal perforation

被引：34

作者：

Wani R.A. ^{[1
]}

Parray F.Q. ^{[1
]}

Bhat N.A. ^{[1
]}

Wani M.A. ^{[1
]}

Bhat T.H. ^{[2
]}

Farzana F. ^{[3
]}

机构：

[1] Department of General Surgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashmir

[2] Department of Accident and Emergency, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashmir

[3] Department of Social and Preventive Medicine, Govt. Medical College, Srinagar, Kashmir

来源：

World Journal of Emergency Surgery | / 1卷 / 1期

关键词：

Terminal Ileum; Typhoid Fever; Operative Finding; Ascariasis; Widal Test;

D O I：

10.1186/1749-7922-1-7

中图分类号：

学科分类号：

摘要：

Background. There is still confusion and controversy over the diagnosis and optimal surgical treatment of non traumatic terminal ileal perforation-a cause of obscure peritonitis. Methods. This study was a prospective study aimed at evaluating the clinical profile, etiology and optimal surgical management of patients with nontraumatic terminal ileal perforation. Results. There were 79 cases of nontraumatic terminal ileal perforation; the causes for perforation were enteric fever(62%), nonspecific inflammation(26%), obstruction(6%), tuberculosis(4%) and radiation enteritis (1%). Simple closure of the perforation (49%) and end to side ileotransverse anastomosis(42%) were the mainstay of the surgical management. Conclusion. Terminal ileal perforation should be suspected in all cases of peritonitis especially in developing countries and surgical treatment should be optimized taking various accounts like etiology, delay in surgery and operative findings into consideration to reduce the incidence of deadly complications like fecal fistula. © 2006 Wani et al; licensee BioMed Central Ltd.

引用

共 10 条

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