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SIGNIFICANCE OF ILEUS IN PERFORATED VISCUS

EUGENE J. KEEFFE M.D. and RAYMOND A. GAGLIARDI M.D.

1. Fifty-eight cases of ruptured viscus are reviewed and analyzed for the presence of free air and small bowel ileus.

2. Eighty-three pen cent of these cases showed evidence of free air.

3. The findings would indicate that the presence of free air in the absence of ileus is almost always on the basis of a ruptured duodenal ulcer. The absence of free air and the absence of ileus with good clinical findings should increase the probability of a ruptured ulcer. The presence of free air with ileus indicates that the source of perforation is usually not a ruptured duodenal ulcer, but some other abdominal hollow viscus. If the source of perforation is a duodenal ulcer, the presence of ileus indicates a complication of the perforation.


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