Nontraumatic Perforation of the Small Intestine

Authors

  • Taweewong Chulakamontri Department of Surgery, Bangkok Metropolis Medical College Vajira Hospital, Bangkok, Thailand.

Abstract

Nontraumatic perforation of the small intestine is rarely encountered in acute surgical abdomen. A series of 16 patients admitted to Department of Surgery, Vajira Hospital from January 1989 to December 1998 was reviewed. Underlying conditions were typhoid ulcers. adhesions, radiation enteritis, SLE, neoplasia, tuberculosis, metastasis, and diverticula. Surgical resection and end-to-end anastomosis was the preferred procedure in order to gain histologic examination of the perforated bowel segment. One anastomosis leakage with spontaneous closure was observed, Two patients in this series died (12.5 %), one from tumor metastasis and the other from complication of radiation enteritis.

References

1. Huttunen R, Kairaluoma ML, Mokka REM, Larmi TKI. Nontraunatic perforations of the small intestine. Surgery 1977:81:184-8.

2. Farooki MA, Spontaneous perforation and rupture of the abdominal viscera. Int/ Surg 1972; 57:957-60.

3. Nadkarni KM, Shetty SD, Kagzi RS, Pinto AC, Bhalerao RA. Small-bowel perforations. Arch Surg 1981: 116;53-7.

4. Badejo OA, Arigbabu AO. Operative treatment of typhoid perforation with peritoneal irrigation: A comparative study. Gut 1980; 21:141-5.

5. Asraf SM, Mital RN, Prakash A. Tuberculous bowel perforations. Am J Proctol 1976; 26:47-51.

6. Ihekwaba FN. Ascaris lumbricoides and perforation of the ileum: A critical review. Br J Surg 1979; 66:132-4.

7. Markowitz AM. The less common perforations of the small bowel. Ann Surg 1960; 152:240-57.

8. Hell K, Bachmann B, Erne P, Wegmann w. Dunndarmper-forarionen bei Systemerkrankungen. Helv Chir Acta 1976; 43:569-72.

9. Rajagopalan AE, Pickleman J. Free perforation of the small intestine. Ann Surg 1982: 196:576-9.

10. Lofgren RP, Rothe PR, Carlson GJ. Jejunal perforaton associated with slow-release potassium chloride therapy. South Med J 1982; 75:1154-5.

11. Treasure T. Ulceration of small intestine and slow-release potassium tablets. Br Med J 1975; 3:302.

12. Makey DA. Why prescribe enteric - coated potassium? Lancet 1977:1:704.

13. Ingoldby CJH. Perforated jejunal diverticulum due to local iron toxicity. Br Med J 1977: 2:943-50.

14. Battle WM, Mclean GK, Brooks JJ, Herlinger H, Trotman BW. Spontaneous perforation of the small intestine due to scleroderma. Dig Dis Sci 1979; 24ะ80-4.

15. Smith HJ, Krupski WC. Spontaneous intestinal perforation in Schoenlein-Henoch purpura. South Med J 1980; 73:603.

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Published

1999-06-30

How to Cite

1.
Chulakamontri T. Nontraumatic Perforation of the Small Intestine. Thai J Surg [Internet]. 1999 Jun. 30 [cited 2024 Dec. 23];20(2):45-8. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/247866

Issue

Vol. 20 No. 2 (1999): April - June

Section

Original Articles

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.