Abstract

Background:To assess the clinico-demographic profile of patients with ileal perforations.
Materials & methods: A total 50 patients were enrolled for the present study. Complete demographic and clinical details were obtained. A Performa was made and complete medical history was recorded separately. Clinical examination of all the patients was carried out. Ultrasonographic examination of all the patients was done afterwards. Based on the clinical history, etiologic spectrum of all the patients was established. Detailed description of the ileal perforation was recorded separately
Results: Mean age of the patients with ileal perforation was 41.3 years. Out of 50 patients with ileal perforation, 76 percent of the patients were males while the remaining were females. Among the 50 patients with ileal perforation, most common presenting complaint was abdominal pain and distension found to be present in 100 percent of the patients. Constipation, fever and vomiting was seen in 92 percent, 70 percent and 40 percent of the patients respectively. Typhoid was the chief etiologic factor responsible for ileal perforation, found to be present in 50 percent of the patients. Tuberculosis and traumatic cause of ileal perforation was seen in 20 percent and 16 percent of the patients respectively. In 14 percent of the patients, the cause was non-specific/unknown. 
Conclusion: Typhoid is the most common cause of ileal perforation with abdominal distension and abdominal pain being the most common clinical manifestations.