Articles Vol. 67 No. 10 25/10/2026

KHẢO SÁT ĐẶC ĐIỂM LÂM SÀNG, HÌNH ẢNH HỌC CỦA BỆNH NHÂN VIÊM PHÚC MẠC DO THỦNG ĐẠI TRÀNG TẠI BỆNH VIỆN ĐA KHOA THÁI BÌNH

To Hoang Dung, Vu Ngoc Bac, Nguyen Van Quan, Pham Tat Thanh, Nguyen Trong Nghia, Ngo Tuan Minh
DOI: 10.52163/yhc.v67i10.6873
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Abstract

Objective: To investigate the clinical and paraclinical characteristics of patients with peritonitis due to colonic perforation who underwent surgery at Thai Binh General Hospital. Subjects and Methods: A retrospective, descriptive, cross‑sectional study on 58 patients with peritonitis caused by colonic perforation, confirmed intraoperatively at Thai Binh General Hospital from January 2022 to December 2024. Results: Only 56.9% of patients were admitted within the first 24 hours. A total of 6.9% presented in shock, and generalized peritonitis accounted for 51.7%. Subdiaphragmatic free air on X‑ray was observed in 53.3% of cases. On computed tomography, intra‑abdominal free air was detected in 84,5% and intra-abdominal free fluid in 100% of patients. The sigmoid colon was the most common perforation site (48.3%), and diverticulitis was the leading cause of perforation (34.5%). Conclusion: The proportion of patients presenting late, after 72 hours, was relatively high. Clinical symptoms were diverse. Computed tomography can effectively identify both the perforation site and its underlying cause.

Keywords
clinical characteristics; imaging characteristics; Peritonitis, Colonic perforation.
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