Nontraumatic Perforation of the Small Intestine
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.
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