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Surgery General c18e57ac

Which of the following is not a commoner cause of intestinal perforation: March 2007

A
Gastric ulcer
B
Gastrointestinal cancer
C
Typhoid
D
Crohn's disease
High-Yield Explanation
Ans. D: Crohn's diseasePerforation of the intestines results in the potential for bacterial contamination of the abdominal cavity (a condition known as peritonitis).Perforation of the stomach can lead to a chemical peritonitis due to leaked gastric acid.CausesUnderlying causes include:Gastric ulcerAppendicitisGastrointestinal cancerDiveiculitisSuperior Mesenteric Aery SyndromeTraumaAscariasisTyphoidOn X-rays, free gas may be visible in the abdominal cavity. The perforation can often be visualised using CT. White blood cells are often elevated.

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