Vol. 4, Issue 3, Part F (2020)

Materials and Methods: It was a prospective study conducted on cases of non traumatic hollow viscous perforation admitted in surgical ward durning the period of October 2018 to October 2020. The patients admitted with non traumatic hollow viscous perforation were taken up for study and analyzed. Among the 50 patients taken up for study, they were prospectively analyzed and followed up. Patients satisfying the inclusion criteria and who gave consent were taken up for study. A clinical history, examination and appropriate investigation were done. After clinical assessment and basic investigation, patient were first actively resuscitated after nasogastric aspiration with intravenous fluid, antibiotics and analgesics. Urine output and vitals monitored. In laparotomy the site and size of perforation and various associated pathologies regarding the intra operative findings were elicited and worked up for the extent of disease and assessment of morbidity and mortality.

Result: A maximum number of perforation was found in age group of 61-70. Male predominance with male to female ratio of 9:1. Perforation was most common in patients with “O” blood group.

Conclusion: Non traumatic hollow viscous perforation is due to multiple cause like acid peptic disease, infection, injudicious use of non steroidal anti inflammatory drugs, tumour. Male have higher incidence due to smoking and alcoholism so lifestyle modification may reduce the incidence of perforation in men.