CLINICAL PRESENTATION OF PATIENTS OF PERITONITES AND ITS EMERGENCY TREATMENT.

Abstract

Introduction: Peritonitis is a condition in which patients presented with severe abdominal pain. Pain can develop any region of abdomen according to anatomical division of abdomen, peritonitis can developed localized or generalizeintroduction. Objective: To determine the clinical presentation of patients of peritonitis and its emergency treatment Study Design; Prospective observational study. Place & Duration: Two years study from May 2017 to April 2019 was conducted at Liaquat University of Medical and Health Sciences / Jamshoro. Patients & Method The study comprises 100 patients. All were admitted from Emergency department. All patients were evaluated fully after history & examinations and specific investigations of ultra sound of abdomen, x ray abdomen supine ad erect posture and x ray chest PA view. Complete blood picture (CBC) Blood urea, sugar, serum electrolyte, HBSAG, HCV, & HIV, LFT, PT, APTT, INR and ECG. Typhi dot, Tuberculin test, Biopsy perforated site and general assessment. Results: In these study 100 patients of peritonitis, the maximum numbers of patients were in age group between 15 to 80 years. Out of 100 patients .50 patients were presented with age group between 15 to 45 year, 25 patients were presented with age group between 46 to 64 years. 25 patients were presented with age groups between 65 -80 years. Out of 100 patient, 35 patients were presented with localized peritonitis Out of 100 patient 65 patients were presented with Generalized peritonitis in which 30 patients were presented with bilateral gas under diaphragm .18 patients were presented with multiple air fluid levels, 7 patients were presented with road traffic accident with collection, 5 patients were presented with gun shot injury 5 patients were presented with stab injury . Out of 100 patient .65 patients were needs laparotomy they were operated through mid line incisions, operative findings 12 patient with gastric perforation, 9 patient with ileal perforation, 9 patients with duodenal perforation , 15 patients with adhesions, 3 patients with ischemic gut, 8 patient with intestinal traumatic injury, 5 patients with splenic injury and 4 patients with liver injury 25 patients were operated through gridiron incision , 10 patients were treated conservatively . Conclusion Patients of peritonitis present in emergency department it is critical condition if not diagnosed and managed early stage patients can die systemic complications.