Clinical study of perforative peritonitis and the role of mannheim peritonitis index in predicting its mortality


  • Purushothaman Rangaswamy Department of General Surgery, ESIC Medical College and Hospital, Varatharajapuram, Coimbatore-641015, Tamil Nadu, India
  • Shaikh Afzal Rubby Department of General Surgery, ESIC Medical College and Hospital, Varatharajapuram, Coimbatore-641015, Tamil Nadu, India
  • Prasanna C. M. Department of General Surgery, ESIC Medical College and Hospital, Varatharajapuram, Coimbatore-641015, Tamil Nadu, India



Multi organ failure, MPI scoring system, Peritoneum, Perforation peritonitis


Background: A scoring system which can compare patient populations and severity of illness, objectively predict mortality, morbidity and can help to evaluate the treatment strategy is the dire need for evaluative research of intensive care.

Methods: The study is done after obtaining a detailed history, complete general physical examination and systemic examination. The patients are subjected to relevant investigations like X-ray erect abdomen, CXR, USG and routine investigations like Hb, TC, urea, creatinine, serum electrolytes.

Results: The study was conducted in a population of 50 patients who had been diagnosed as having peritonitis secondary to hollow viscous perforation. It was observed that perforated appendix was most common cause of peritonitis in our study accounting for 26 percent of the cases.

Conclusions: Despite advancements in the realm of medical science, the management of patients with peritonitis continues to be demanding. In our study it was found that appendicular perforation was the most common cause followed by gastro duodenal perforation.


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Original Research Articles