Acute Large Bowel Perforation

  • Skill Level
  • Lectures
    2 Videos
  • Enrolled
    67 students

What you'll learn

Acute colonic perforations are very common surgical emergencies encountered by the general surgeons in the emergency department. Colonic cancer, diverticular diseases, and inflammatory bowel diseases are common causes. A detailed description has been given about clinical presentation and how to arrive at a diagnosis. read more »»

However, colonoscopic perforations are also important causes. When a patient presents with peritonitis features such as guarding and rigidity, they may be in shock also. Few scoring systems have been given which will detect the severity of peritonitis and can predict mortality and morbidity also. Diagnosis should be made early based on clinical symptoms and signs. A chest x-ray is enough to make a diagnosis of perforation detected by pneumoperitoneum. CECT scans can be done in selected patients. Timely resuscitation, operative intervention in the form of closure of perforation, and drainage of the peritoneal cavity reduce mortality rates and morbidity. Resection and anastomosis and Exteriorization – Hartmann’s operation and other details are discussed.

Who Should Attend?

  • Postgraduates
  • Surgeons
  • teachers from medical college and universities

Key concepts covered include:

By the end of this course, you will be able to understand:

  • Common causes of colonic perforations, pathogenesis, diagnosis, and management issues-including non-operative and operative.


Dr. K. Rajgopal Shenoy

Professor, Department of General Surgery, Kasturba Medical College, Manipal


Dr. Rajgopal Shenoy Kallya joined the department of Surgery, Kasturba Medical College, Manipal as a junior lecturer in 1986 and is working as a professor since 2001. He has been adjudged as the best teacher at KMC for 5 years. He is the author of many textbooks related to surgery and medicine. He is also the president of the Udupi District Chess Association and was selected unanimously as Vice President of the United Karnataka Chess Association in September 2011.

For: experts

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