ABSTRACT
Throughout the evolution of surgery, peritonitis has been a continuous diagnostic and therapeutic challenge. Even in some centers, due to lack of armament surgeons has to depend more on the clinical risk factors for diagnosis and early management. The aim of this study was to risk factors affecting the mortaliity in Acute Diffuse Peritonitis. Materials and methods: This was a prospective evaluation of 120 patients high risked emergency patients of acute diffuse peritonitis who were selected randomly from a single center. Results: The overall mortality in the study group was 11%. Significant risk factors in the analysis included advanced age >50 years (p=0.02),delayed duration of presenting symptoms >24 hours (p=0.002). All the patients were high risked emergency patients and immediate intervention with proper evaluation had been managed to change the fate of these patients.