Gastrointestinal Perforation

Gastrointestinal Perforation

What is Gastrointestinal Perforation?

The GI tract includes the stomach, small intestine, and large intestine. A perforation in any of these areas disrupts the normal containment of digestive materials, leading to contamination of the abdominal cavity.
Causes

  1. Medical Conditions:
    • Peptic Ulcers: Erosion of the stomach lining due to excess acid or infection (e.g., H. pylori).
    • Diverticulitis: Inflamed or infected pouches in the colon.
    • Appendicitis: Inflammation of the appendix, which can rupture.
    • Inflammatory Bowel Diseases: Conditions like Crohn’s disease or ulcerative colitis.
    • Cancer: Tumors in the GI tract can weaken the intestinal wall.
  2. Trauma:
    • Blunt abdominal injuries (e.g., car accidents).
    • Penetrating wounds (e.g., knife or gunshot injuries).
  3. Medical Procedures:
    • Rare complications from endoscopy, colonoscopy, or surgeries.
  4. Medical Procedures:
    • Ingestion of corrosive substances or foreign objects.
    • Severe bowel obstruction causing pressure buildup.

Symptoms

  • Abdominal Pain: Sudden, severe, and often localized.
  • Fever and Chills: Indicative of infection.
  • Nausea and Vomiting: Sometimes with bile or blood.
  • Abdominal Swelling: Due to fluid or gas accumulation.
  • Rapid Heart Rate: A sign of systemic infection or shock.
  • Difficulty Passing Gas or Stool: Suggestive of bowel obstruction.

Complications

  • Peritonitis: Inflammation of the abdominal lining.
  • Sepsis: A life-threatening systemic infection.
  • Organ Failure: Due to prolonged infection or shock.
  • Adhesions: Scar tissue formation leading to future bowel obstructions.

Prevention

  • Manage underlying conditions like ulcers or inflammatory bowel diseases.
  • Avoid ingestion of harmful substances.
  • Seek prompt medical care for persistent abdominal pain or trauma.

This condition is a medical emergency requiring immediate attention. Early diagnosis and treatment significantly improve outcomes.

Gastrointestinal Perforation
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