RESUMEN
Background: Bowel perforation is an important cause of acute abdomen. It carries high morbidity and mortality. Materials and methods: The present descriptive study included 48 patients with ileal perforation admitted at the department of surgery. Data regarding clinical features, management and complications was noted. Results: Mean age of the patients was 34.4 ± 8.8 years with male preponderance. Abdominal pain and distension (100%) and constipation (87.5%) were the common symptoms seen. Single perforation was commoner (64.6%) than multiple perforations. It was caused by typhoid in 39.6% cases, due to tuberculosis in 16.7%, due to injury in 10.4% and other causes in 33.3% cases. Surgical site infection was the commonest complication. Conclusion: Ileal perforation is caused by typhoid or tuberculosis in majority of the cases and presents with pain abdomen and distension. Rates of infection are high in these cases.
RESUMEN
Background: Acute appendicitis is the commonest abdominal emergency. It can be managed as emergency or the surgery can be delayed for some time. Materials and methods: The present comparative study included 128 patients with acute appendicitis admitted at the department of surgery. Data regarding clinical features, management and complications was noted and compared between the two groups. Results: Mean age of patients, sex, BMI, initial total leucocyte count and associated comorbidities were similar in the two groups. Incidence of wound infection in the two groups did not differ as well as the chances of complications. Conclusion: Appendicectomy can be delayed in the selected patients without the risk of increased morbidity