Online ISSN: 2515-8260

Keywords : Perforation peritonitis


Evaluation of prognosis in patient’s with perforation peritonitis using Mannheim’s peritonitis index

Tushar Dani, Mohit Kumar Patel, Manish Sahu, Dipak Purohit

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 1092-1099

Background: Peritonitis is one of the most common infections, and an important problem that a surgeon has to face. Objectives: To evaluate the prognosis of patients with perforation peritonitis using Mannheim Peritonitis Index. Materials and Methods: This study was conducted from cases attending our institute in which diagnosis of peritonitis is established by operative findings or surgical interventions during management.
Results: 87 patients had MPI score of less than 21,70 patients had MPI score between 21 to 29 while 43 patients the MPI score was more than 29.There was no mortality in the patient’s with MPI score of less than<21. The mortality was 4.3% in patients with MPI scores between 21-29.The mortality was 67.4 % in the patients with MPI score more than 29.
Conclusion: MPI is accurate to be used with patients with peritonitis and should be considered reliable and simple reference for estimating their risk of death.

Comparative analysis of clinical, radiological and operative findings in Acute Abdomen Cases

Dr.Sumitoj Singh, Dr. Ashok Kumar, Dr.Nandu unnikrishnan, Dr.Narinder Pal Singh, Dr Vandana Sidhu

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 3393-3401

AIM: The present study was carried out as an attempt to correlate and emphasize the
salient approaches to the diagnosis and treatment of the various acute abdominal
conditions.
Material and methods: This study was a prospective observational study consisted of 50
patients with non‑traumatic acute abdomen presenting to the ED that were clinically
diagnosed acute abdomen. Detailed history was taken followed by clinical examination
and radiological investigations for all the patients. Comparative analysis of all
investigations and clinical features were made and a provisional diagnosis was derived.
Results: The results showed that mean age of the patient is 38± 13.6 years with M: F ratio
of 1:3.5. Acute cholecystitis was the most common cause of acute abdomen, accounting
for 36% of total cases followed by perforation peritonitis (24%) which included peptic
perforation and intestinal perforation. The accuracies was recorded for clinical features,
ultrasonography andXray for acute abdomen cases.
Conclusion: We concluded that Plain X rays and ultrasonography can be used for
diagnosing acute abdominal emergencies; they are the cheaper, non-invasive, quick,
reliable and highly accurate modality in diagnosing the exact cause of pain and its origin
in a patient presenting with an acute abdomen and thus helps the physician or surgeon to
plan the timely management