Clinical Profile of patients with duodenal perforation

Abstract

Peptic ulcers are chronic; often single that occurs in any level of the gastrointestinal tract exposed to aggressive action of acid peptic juices. About 98% of ulcers occur either in the duodenum or the stomach in the ratio of about 4:1. Gross appearance is quite characteristic. In about 80% of cases, they are solitary lesions. 90% of duodenal ulcers occur in the first part of duodenum, the anterior wall being more affected than the posterior wall. Gastric ulcers are predominantly located along the lesser curvature. They are generally small; only 10% of benign ulcers are >3cm. These ulcers are round to oval, sharply punched out defect with relatively straight walls. Each patient was examined thoroughly, after taking a detailed history. The diagnosis and examination was made with history, clinical features and X-ray abdomen erect posture to support the diagnosis each case was studied at per the proforma. All patients with Duodenum Perforation presented with abdominal pain while 26 (96.3%) and 19 (70.4%) patients presented with rigidity and distension respectively. 3 (11.1%) patients presented with blood in stool. The plain X-ray abdomen of 23 (85.2%) patients with Duodenum Perforation showed gas under diaphragm.