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Intestinal perforation in children
Author(s) -
WARDHAN H.,
GANGOPADHAYAY A. N.,
SINGHAL G. D.
Publication year - 1989
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/j.1440-1754.1989.tb01426.x
Subject(s) - medicine , perforation , typhoid fever , peptostreptococcus , bacteroides thetaiotaomicron , pneumoperitoneum , bacteroides fragilis , peritonitis , surgery , appendicitis , gastroenterology , general surgery , microbiology and biotechnology , bacteroides , antibiotics , pathology , laparoscopy , materials science , genetics , biology , bacteria , punching , metallurgy
There were 102 cases of intestinal perforation seen in children at the Department of Paediatric Surgery at S.S. Hospital, Varanasi during a 3 year period. Enteric (typhoid) perforation (29%), intussusception (15%) Ascaris Iumbricoides infestation (9%) and appendicitis (9%), which are rarities in the reported literature, were the major causes of intestinal perforation. Radiological evidence of pneumoperitoneum was seen in 88% of patients. The majority of cases in this study were older than 5 years of age (48%). Peritoneal fluid culture revealed Escherichia coli and Klebsiella to be the most common aerobic micro‐organisms, while Bacteroides fragilis, Clostridia and Peptostreptococcus were the most frequent anaerobes. The overall mortality rate was high (19%).