A perforation of the GI endothelium extending through the visceral wall into the peritoneal cavity, allowing GI contents to enter the peritoneum. Leakage can result in bacterial and/...
A ruptured bowel with peritonitis is a surgical emergency.
Abdominal pain: often sudden onset or after a sp...
Admit to hospital.
Crystalloid fluid resuscitation to achieve early goal-directed therapy if the patient is in septic shock
Mean arterial pressure: >65 mm Hg
Urine ou...
Peptic ulcer disease
Acid-reducing medications
Eradication of H. pylori
Follow-up endoscopy after surgery to rule out malignancy (5)
Diverticulitis
High-fiber diet...
Bertleff MJ, Lange JF. Perforated peptic ulcer disease: a review of history and treatment. Dig Surg. 2010;27(3):161–169. [View Abstract on OvidMedline]
Kloss BT, Broton CE, Sul...
K63.1 Perforation of intestine (nontraumatic)
K26.5 Chronic or unspecified duodenal ulcer with perforation
K35.2 Acute appendicitis with generalized peritonitis
K57.20 Diverticulitis of large ...
Bowel perforation is often a clinical diagnosis.
Maintain a high index of suspicion in patients at the extremes of age and patients with multiple comorbidities to avoid delay in diagnos...
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