This video shows Intestinal perforation.
Bowel perforation is an acute surgical emergency where there is a release of gastric or intestinal contents into the peritoneal space.
Perforation of the small intestine or the large intestine is a serious and potentially fatal complication of inflammatory bowel disease (IBD). A perforated bowel is a surgical emergency and needs immediate treatment to prevent further complications such as infection or even death.
The primary symptoms of gastrointestinal perforation are severe abdominal pain and tenderness. The abdomen may also protrude or feel hard to the touch. If the hole is in a person's stomach or small intestine, the onset of pain is usually sudden, but if the hole is in the large bowel, the pain may come on gradually.
Perforated hollow viscus is characterized by loss of gastrointestinal wall integrity with subsequent leakage of enteric contents. Direct trauma or tissue ischemia and necrosis lead to full-thickness disruption of the gastrointestinal wall and perforation.
A perforated bowel happens when a medical condition, such as diverticulitis, causes a hole or tear in your bowel. An injury or blockage may also perforate your bowel. Bowel contents can leak into your abdomen through the hole. This may cause a life-threatening infection.
What is sealed perforation?
Perforations are the second most common complication of peptic ulcer disease. They very often occur on the anterior wall of the duodenum or stomach. Posterior perforations are rare and are sometimes revealed by sub-phrenic abscesses]. They are exceptionally sealed at the moment of the abscess diagnosis.
Symptoms of a perforated ulcer may include:
Sudden, severe pain in the belly (abdomen)
Pain spreading to the back or shoulder.
Upset stomach (nausea) or vomiting.
Lack of appetite.
Swollen belly.
Typically, you will take antibiotics along with acid-suppressing medicine for two weeks. Then you may take acid-suppressing medication for another four to eight weeks. Gastric ulcers tend to heal more slowly than duodenal ulcers. Uncomplicated gastric ulcers take up to two or three months to heal completely.

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