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Paper Information

Journal:   RESEARCHER BULLETIN OF MEDICAL SCIENCES (PEJOUHANDEH)   2003 , Volume 8 , Number 2 (32); Page(s) 133 To 136.
 
Paper: 

SMALL INTESTINE PERFORATION DURING A 13-YEAR PERIOD IN TALEGHANI HOSPITAL

 
 
Author(s):  MOFID J., MOHRAZ M., HOSSEINZADEH MALEK M.
 
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Abstract: 

Background: Small intestine perforation is common problem with unspecific presenting signs and symptoms. With respect to the lack of informative data in Iran, the present study was conducted in Taleghani Hospital to determine the prevalence of small intestine perforation during a 13-year period, 1988-2001.
Materials and methods: For this existing data type study all patients with the definite diagnosis of small intestine perforation were included. Then patients" clinical manifestations, diagnostic modalities, and site of perforation were recorded.
Results: Of 1329 cases of laparotomy, 58 (4.4%) had small intestine perforation. There were 48 males and 10 females, their ages ranged 19-75 years. Site of perforation was ileum in 37.9%, duodenum in 32.8%, and jejunum in 29.3% of the cases. In 15 cases of 19 duodenal perforation, free air under diaphragm was visible in CXR or plain abdominal X-Ray.
Conclusion: In patients with typical manifestations of acute abdomen, the most important factors for laparotomy are generalized tenderness with garding or rebound tenderness, however, in case of nondiagnostic manifestations, DPL sonography and CT scan should be kept in mind, since CBC count and plain X-ray are not helpful. Totally, laparotomy may be indicated in case of progressive symptoms & physical examination.

 
Keyword(s): SMALL INTESTINE, PERFORATION
 
References: 
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