Spectrum of Non-Traumatic Hollow Viscus Perforation in a Himalayan Population: A 3-Year Retrospective Study

Abstract

Non-traumatic hollow viscus perforation (NT-HVP) is a common surgical emergency, often resulting in high morbidity and mortality rates. This study examines the epidemiology, aetiology, clinical presentations, and outcomes of NT-HVP among patients in the Himalayan region, by reviewing data from the Indira Gandhi Medical College (IGMC) Surgery Department, Shimla, between 2015 and 2018. A total of 274 cases were analysed. The most common cause of the problem was peptic ulcer disease and the study area had challenges like difficult terrain and limited access to healthcare. The findings aim to improve the understanding of NT-HVP in resource-limited settings and provide insights for better management strategies.