CLINICOPATHOLOGICAL CORRELATION OF COLONIC PERFORATION IN SURGICAL PATHOLOGY SPECIMEN - A RETROSPECTIVE STUDY
DOI:
https://doi.org/10.70284.15(2)Keywords:
Diverticulitis, Colonic perforationAbstract
Background: During World War I, the mortality following isolated injuries of the small intestine and colon was approximately 66% and 59%, respectively due to lack of knowledge, clinical skill & maneuvers which was similar in word war II. According to Ogilvie, colostomy apparently failed to improve the mortality rate in World War II because primary repairs were used to treat less-severe injuries during World War I. So, this study was undertaken for correlation of colonic perforation in surgical pathology Material and Methods: Case details are obtained from the case record forms in the surgical pathology section for the previous 5 years approximately 60 cases from January 2012 to December 2016. The history, clinical features, any other lab investigations available of the cases will be analysed. The outcome of clinicopathological features will be tabulated as percentage. Hematoxylin and eosin, special stains & immune-histochemistry will be performed whenever necessary. Result: During this study the total number of colectomy specimens received 1080, and biopsy specimens were 2413 in surgical pathology department. Out of these 47 cases were of colonic perforation.
Conclusion: Most common age group for large bowel perforation is 41-50yrs (25.53%). Colonic perforations are most commonly found in males (70.21%) than females (29.78%). Most common presentation for colon perforation is pain in abdomen fallowed by distension of abdomen and vomiting. Most common site of colon perforation is caecum (34.04%), followed by sigmoid colon (23.40%), followed by ascending colon (10.63%) and rectum (10.63%).
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