To study incidence of caecal perforation relation to age, sex & etiologies

Abstract

Background: The study was conducted in the Department of General Surgery, Maharaja Yashwant Rao Holkar Hospital and Mahatma Gandhi Memorial Medical College, Indore, Fifty patients admitted to surgical emergency with acute abdomen were selected for the study. Result: Fifty patients with caecal perforation were studied. Caecal perforation was commonly observed in 20-30 years with mean age 30.46 years of life with slightly Male prepondrance with M:F ratio 4:1. The common etiologies in descending order were Traumatic 23 cases (68%) which include multiple stab injury 13 cases (58.82%), blunt trauma abdomen 6 cases (17.65%), iatrogenic 5 cases (14.71%), blast injury 2 case (5.88%) and caecal perforation secondary to arrow injury 1 case (2.94%). Conclusion: Mean age 30.46 years and Mean period of hospitalization 13.76 days. Multiple stab injury (58.82%) being most common traumatic preceding cause.A high diagnostic accuracy was not associated with an increased rate of perforation. In young children and the middle age group the perforation rate high. Patients with perforation had a significantly longer duration of symptoms as well as in-hospital observation time than did patients with nonperforated.