intestinal perforation


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intestinal perforation

Gastrointestinal perforation Surgery The loss of integrity of the bowel wall which may be due to trauma–eg, shotgun blast to abdomen or ischemic breakdown of intestinal wall. See Fecal peritonitis.

perforation

(per?fo-ra'shon) [L. perforatio, a boring through]
1. The act or process of making a hole, such as that caused by ulceration.
2. A hole made through a structure or part.

Bezold perforation

See: Bezold, Friedrich

glove perforation

A tear or puncture through the protective membrane of a glove. It exposes both the surgeon and the patient to potentially transmissible infectious diseases. Loss of glove integrity occurs most often on the thumb of the dominant surgical hand and on either index finger. It is often unrecognized. Its frequency increases with the duration of the operation.

intestinal perforation

Perforation of stomach or intestine.

nasal septal perforation

A hole through the nasal septum, usually the result of chronic inflammation caused by infection or repeated cocaine inhalation.

perforation of stomach or intestine

An abdominal crisis in which a hole forms in a wall of the gastrointestinal tract, resulting in the release of intestinal fluids into the peritoneum. The leakage may produce a localized abscess, phlegmon, or diffuse peritonitis. Synonym: intestinal perforation See: peritonitis

Symptoms

The onset is accompanied by acute pain, beginning over the perforated area and spreading all over the abdomen. Nausea and vomiting, tachycardia, hypotension, fevers, chills, sweats, confusion, and decreased urinary output are common.

Treatment

Surgical treatment is necessary. Pending operation, the patient is given no oral fluids; parenteral fluids, antibiotics, and other medications are administered.

tooth perforation

Pulp exposure.
References in periodicals archive ?
Deshpande, "Peritoneal drainage versus laparotomy as initial surgical treatment for perforated necrotizing enterocolitis or spontaneous intestinal perforation in preterm low birth weight infants," Cochrane Database of Systematic Reviews, 2011.
Even in Japan, colorectal ESD is considered to be a difficult method, and intestinal perforations range between 1 to 10% in experienced hands [12-14].
Yildiz et al., "Multiple intestinal perforation in a patient with Wegener's granulomatosis: a case report and review of the literature," Gastroenterologie Clinique et Biologique, vol.
Ascaris lumbricoides and intestinal perforation. Br J Surg 1987;74:643-4.
Intestinal perforation by a foreign body: diagnostic usefulness of ultrasonography.
On the sixth postoperative day, patient underwent abdominal surgery via median laparotomy due to massive dilatation of intestinal structure and radiological findings of intestinal perforation with more than six gas-fluid levels all over the abdomen (Fig.
In the case illustrated here the presentation clinically mimicked an intestinal perforation. The etiology was diagnosed only intraoperatively.
Laparotomy showed multiple lesions and intestinal perforation at the ascending and first part of the transverse colon, with a large amount of purulent fluid in the peritoneal cavity.
Among HD group, 4 (7.4%) patients suffered intestinal perforation (3 caecal and 1 ileal), 2 (3.9%) came with imperforate anus and 2 (3.9%) with anal stenosis, 2 (3.9%) were diagnosed as Down's synd- rome and one (2%) had mental motor delay.
Tumors may result in intestinal perforation and fever, lethargy, and anorexia due to septic peritonitis [21].
Tumour of the bowel may present with intestinal perforation or obstruction.
A provisional diagnosis of intestinal perforation was made and an urgent laparotomy was performed.

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