Intestinal Perforation
Causes, Symptoms & Emergency Surgical Treatment
Advanced Emergency Abdominal Surgery in Thane – By Dr. Ankur Bhanushali
What Is Intestinal Perforation?
Intestinal perforation is a critical medical emergency where a hole develops in the wall of the intestine, allowing intestinal contents to leak into the abdominal cavity. This leads to severe infection and requires immediate surgical intervention.
Delay can be fatal.
Why Intestinal Integrity Is Vital
The intestinal wall acts as:
✔ A barrier against bacteria
✔ A channel for digestion and absorption
✔ Protection for abdominal organs
Perforation breaks this protective barrier.
Common Causes of Intestinal Perforation
Causes include:
✔ Peptic ulcer disease
✔ Typhoid and tuberculosis
✔ Intestinal obstruction
✔ Trauma to the abdomen
✔ Cancer of the intestine
Identifying the cause guides surgery.
Risk Factors for Intestinal Perforation
Higher risk occurs in:
✔ Elderly patients
✔ Chronic steroid users
✔ NSAID overuse
✔ Severe infections
✔ Previous abdominal surgery
Early diagnosis improves survival.
Symptoms of Intestinal Perforation
Typical symptoms include:
✔ Sudden severe abdominal pain
✔ Abdominal rigidity
✔ Fever
✔ Vomiting
✔ Absent bowel movements
Symptoms progress rapidly.
Why Intestinal Perforation Is Life-Threatening
Perforation can lead to:
✔ Peritonitis
✔ Septic shock
✔ Multi-organ failure
✔ Death if untreated
Immediate surgery is mandatory.
Diagnostic Evaluation
Diagnosis includes:
✔ Clinical examination
✔ X-ray abdomen (air under diaphragm)
✔ CT scan of abdomen
✔ Blood tests
CT scan confirms the diagnosis.
Initial Emergency Management
Immediate steps include:
✔ IV fluids
✔ Broad-spectrum antibiotics
✔ Nasogastric tube insertion
✔ Pain management
✔ ICU monitoring
Stabilization before surgery is crucial.
Surgical Management of Intestinal Perforation
Surgery involves:
✔ Closing the perforation
✔ Resection of diseased bowel
✔ Thorough abdominal lavage
✔ Temporary or permanent stoma creation
Procedure depends on contamination level.
Open vs Laparoscopic Surgery
Surgical approach depends on:
✔ Patient stability
✔ Extent of infection
✔ Surgeon expertise
Laparoscopy offers faster recovery in select cases.
Post-Operative Recovery
Post-surgery care includes:
✔ ICU monitoring
✔ Infection control
✔ Nutritional support
✔ Gradual mobilization
Recovery is closely supervised.
Possible Complications After Surgery
Complications may include:
✔ Wound infection
✔ Anastomotic leak
✔ Sepsis
✔ Incisional hernia
Early detection improves outcomes.
Prevention of Intestinal Perforation
Preventive measures include:
✔ Early treatment of ulcers
✔ Timely management of infections
✔ Avoiding unnecessary painkillers
✔ Regular medical follow-up
Prevention reduces emergency surgery.
Emergency Care at Aayush Multispeciality Hospital
Hospital services include:
✔ 24×7 emergency OT
✔ Advanced imaging
✔ ICU and ventilator support
✔ Skilled surgical team
Rapid response saves lives.
Why Choose Dr. Ankur Bhanushali?
✔ Extensive experience in emergency abdominal surgery
✔ Quick decision-making
✔ Ethical and patient-focused care
✔ Modern surgical techniques
Trusted emergency surgeon in Thane.
Aayush Multispeciality Hospital – Full Address
📍 1st Floor, Marigold Apartment
Almeda Road, Panch Pakhdi,
Thane West – 400602,
Maharashtra, India
📞 +91 86910 33033
🌐 https://drankurbhanushali.com
📍 Google Maps: https://maps.app.goo.gl/3Msc7YZqVkV9mQMQ7
Dr. Ankur Surgical Clinic – Full Address
📍 Shop No. 4, Laxmi Krupa Building
Edulji Road, Charai,
Thane West – 400602,
Maharashtra, India
📞 +91 86910 33066
🌐 https://bestsurgeoninthane.com
📍 Google Maps: https://maps.app.goo.gl/XmmGNbgFyhGcqfvV6
