Gastrointestinal perforation is a hole that develops through the whole wall of the esophagus, stomach, small intestine, large bowel, rectum, or gallbladder. This condition is a medical emergency.
Intestinal perforation; Perforation of the intestines
Causes, incidence, and risk factors
Gastrointestinal perforation can be caused by a variety of illnesses. These include:
Crohn’s disease Diverticulitis
- Gallbladder disease
- Peptic ulcer disease
It may also be caused by abdominal surgery.
Perforation of the intestine causes the contents of the intestines to leak into the abdominal cavity. This causes a serious infection called
Symptoms may include:
Abdominal pain – severe
Signs and tests
X-rays of the chest or abdomen may show air in the abdominal cavity, called free air. This is a sign of a tear (perforation).
Treatment usually involves surgery to repair the hole (perforation). Sometimes, a small part of the intestine must be removed. A temporary
In rare cases, antibiotics alone can be used to treat patients whose perforations have closed. This can be confirmed by a physical examination, blood tests, CT scan, and x-rays.
Surgery is usually successful. However, the success of surgery depends on how severe the perforation is, and for how long it was present before treatment.
The most common serious complication of perforation, even with surgery, is infection. Infections can be either inside the abdomen (abdominal abscess), or throughout the whole body. Body-wide infection is called
Calling your health care provider
Call your health care provider if you have:
- Blood in your stool
- Changes in bowel habits
- Severe abdominal pain
Often people will have a few days of pain before the intestinal perforation occurs. If you have pain in the abdomen, see your health care provider immediately. Treatment is much simpler and safer when it is given before the perforation occurs.