Abstract

The body's response to other types of harm, such as trauma or surgery, is mirrored by the systemic response to peritoneal infection. A key aspect of the systemic reaction is the onset of hypovolemia, which most likely follows the peritoneal cavity's fluid influx. Informed, written consent was taken from the participants in the local language. Each patient presenting with peritonitis was examine thoroughly after taking a detailed history. The diagnosis was confirmed by history, clinical features and erect abdominal X-ray. Absence of bowel sounds were noted in around 78% of cases making it the most common sign in the subjects presenting with peritonitis, present in 78% of cases, followed by guarding and rigidity noted in 61% of cases. About 55% of the patient had obliteration of liver dullness. Patients with suspected perforated peritonitis underwent two different types of x-rays, chest x-ray and erect x-ray abdomen. Majority of cases, had air under diaphragm in 67% of cases and was not noted in the rest of the cases. Many of these cases had sealed off perforation intraoperatively, the other reason can be due to presence of minimal air.

Description