Small intestine perforation

High urgency
-Moderately severe

This is the rupture of the intestinal wall located between the mouth of the stomach and the start of the colon.

It is generally a result of a complication of duodenal ulcer, appendicitis, diverticulitis, inflammatory bowel disease or cancer, but may also be due to surgery or a diagnostic test.

It mainly manifests as severe abdominal pain, which may be accompanied by nausea, vomits, blood in stool, fever and chills.

Diagnosis is reached through clinical history and physical examination. It will be confirmed by means of an abdominal X-ray and/or CT-scan.

Treatment is surgical in most cases.

Bibliographic references
  1. Nassour I, Fang SH. Gastrointestinal perforation. JAMA Surg 2015; 150:177.
  2. El-Banna M, Abdel-Atty M, El-Meteini M, Aly S. Management of laparoscopic-related bowel injuries. Surg Endosc 2000; 14:779.
  3. Michael J Cahalane. Overview of gastrointestinal tract perforation. UpToDate, Mar 01, 2016.
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Abdomen is rigid as a board


    Localized abdominal pain


    Abdominal pain so acute that you have to stay still and lie down


    Generalised abdominal pain


    Increase in abdominal size