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.
Do not delay treatment for pending workup if peritonitis is suspected.
Abdominal pain: often sudden onset or after a spe...
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 outp...
Peptic ulcer disease
Acid-reducing medications
Eradication of H. pylori
Follow-up endoscopy after surgery to rule out malignancy (5)
Diverticulitis
High-fiber diet; a...
Rogart J. Foregut and colonic perforations: practical measures to prevent and assess them. Gastrointest Endosc Clin N Am. 2015;25(1):9–27. [View Ab...
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. Quick recognition and early operative intervention are essential.
Maintain a high index of suspicion in patients at the extremes of age ...
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