CLINICORADIOLOGICAL CORRELATION IN DIAGNOSING HOLLOW VISCUS PERFORATION: A RETROSPECTIVE OBSERVATIONAL STUDY
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Keywords
Hollow viscus perforation, clinicoradiological correlation, erect abdominal X-ray, CECT abdomen, peritonitis, Gujarat, SIMSR
Abstract
Background:Hollow viscus perforation (HVP) constitutes a surgical emergency with significant morbidity and mortality. Accurate early diagnosis is pivotal. The correlation between clinical and radiological findings remains underexplored in semi-urban tertiary-care settings in Gujarat.
Objectives:To evaluate the clinicoradiological correlation in diagnosing hollow viscus perforation and assess the diagnostic accuracy of individual and combined investigations at SIMSR, Kalol, Gandhinagar.
Methodology:A retrospective observational study was conducted at SIMSR, Kalol, Gandhinagar, Gujarat from March 2025 to September 2025. Records of 115 confirmed HVP cases were analysed. Data included clinical presentation, erect abdominal X-ray, ultrasonography (USG), and CECT findings, correlated with intraoperative findings.
Results:Of 115 patients, 78 (67.8%) were male and 37 (32.2%) female (M:F=2.1:1). Mean age was 42.3±14.7 years. The most common site was duodenum (45.2%), followed by ileum (24.3%). CECT had the highest sensitivity (94.8%) and specificity (96.5%). Clinicoradiological correlation with operative findings was statistically significant (p<0.001). Early surgical intervention (<6 hours) was associated with significantly better outcomes (p=0.004).
Conclusion:CECT abdomen remains the gold standard in HVP diagnosis. Combined clinicoradiological evaluation substantially enhances diagnostic accuracy, reducing time to intervention and improving outcomes. Erect X-ray retains a primary triage role in resource-limited settings.
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Dr. Rajendra Nayak
Associate Professor, Department of General Surgery, Swaminarayan Institute of Medical Sciences & Research (SIMSR), Kalol, Gandhinagar, Gujarat.
Dr. Hit Jivani
Assistant Professor, Department of Radio-Diagnosis, Swaminarayan Institute of Medical Sciences & Research (SIMSR), Kalol, Gandhinagar, Gujarat.
