This report is an analysis and review of 104 cases of small bowel perforation treated at the Department of Surgery, Chosun University Hospital during 6 years from January 1977 to December 1982.
The following results were obtained.
1) The main etiologic causes were blunt abdominal trauma(46.1%) and typhoid ulcer perforation (29. 8%).
2) The most prevalent age group was 21 to 30 years(31.7%).
3) Among 104 cases, there were 80 males(77%) and 24 females(23%), and male to female ratio was 3.3 : 1.
4) The common clinical symptoms and signs were abdominal pain(94.2%), abdominal tenderness (87.5%), rebound tenderness (60.0%), abdominal rigidity(51.9%) and abdominal distension (50.0%).
5) In abdominal simple X-ray finding, subphrenic free air was found in 56.6%, peritoneal irritation sign and paralytic ileus in 84.7%.
6) In hematologic finding, 61 cases(58.6%) showed leukocytic change, 16 cases(15.4%) showed leukopenic change.
7) 75 cases(72.1%) visited our hospital with in 24 hours after perforation but 15 cases (14.4%) over 48 hours.
8) The site of perforation due to typhoid ulcer was noted within 100 cm proximal to ileo-cecal junction in 100%, site of perforation due to blunt abdominal trauma over 200cm pro-ximal to ileocecal junction in 54.2%.
9) In the size of perforation, 75 cases(72.1%) showed below 1.0 cm in diameter.
10) In the number pf perforation, single number of perforation was 68 cases(65.4%).
11) As for the operative procedure, 62 cases(59.6%) were treated by primary closure with
debridment, 42 cases(40.4%) by segmental resection & end to end anastomosis.
12) The incidence of postoperative complication was 34.6% and wound infection & disorption was the most common complication (27.9%).
13) The overall mortality rate was 14.4% and sepsis was the most common cause of death (53.3%).
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