Singla Komal, Mahajan Garima, Agarwal Sarla, Sharma Sonal
Department of Pathology, University College of Medical Sciences, New Delhi, India.
Trop Gastroenterol. 2012 Oct-Dec;33(4):265-9. doi: 10.7869/tg.2012.68.
Nontraumatic perforation of colon is an uncommon cause of peritonitis requiring early surgical intervention. This study was carried out to determine the prevalence patterns of the different etiologies of nontraumatic perforation of colon.
A total of 35 patients with segments of colon or perforation margins removed for perforation were included. Most of the perforations occurred in the caecum, of which two were seen at the ileocaecal junction. The commonest cause was infection (amoebiasis: 13 cases and tuberculosis: 5 cases) followed by ulcers of non specific ulcers (12 cases). There were three cases of adenocarcinoma causing secondary perforation and one case of idiopathic intestinal gangrene and volvulus each.
In tropics, non traumatic perforations of colon most often involves caecal and ileocaecal segment and the most common etiology is amoebiasis.
非创伤性结肠穿孔是腹膜炎的一种罕见病因，需要早期手术干预。本研究旨在确定非创伤性结肠穿孔不同病因的流行模式。
共纳入35例因穿孔而切除结肠段或穿孔边缘的患者。大多数穿孔发生在盲肠，其中2例发生在回盲部交界处。最常见的病因是感染（阿米巴病：13例，结核病：5例），其次是非特异性溃疡（12例）。有3例腺癌导致继发性穿孔，各有1例特发性肠坏疽和肠扭转。
在热带地区，非创伤性结肠穿孔最常累及盲肠和回盲部，最常见的病因是阿米巴病。
