International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 5, Issue 8 | Research Article | Open Access DOI
Suruchi Kumari*
Kamlesh Kr Sahu, Neeraj Kr Rajak, Shiva Nand, Suruchi Kumari*
Department of General Surgery, DMCH
*Correspondence to: Suruchi Kumari
Fulltext PDFBackground: Peritonitis refers to the inflammation of the peritoneum and peritoneal cavity. Causes of peritonitis can be bacterial (gastrointestinal or non-gastrointestinal), chemical, traumatic, or ischemic. Peritonitis can be localized or diffuse, acute or chronic. Peritonitis can be primary, secondary, or tertiary, according to the pathogenesis. Peritonitis developed secondary to hollow viscus perforation is a life-threatening condition and a common cause of emergency surgery in India. The Mannheim peritonitis index (MPI) is a simple scoring system that can accurately predict the outcome of peritonitis.
Aim: This study aimed to evaluate validation and analysis of Mannheim Peritonitis Index Scoring in predicting outcome in patients with perforation peritonitis.
Materials and methods: This observational cross-sectional study at a tertiary care centre involved 222 patients with peritonitis due to hollow viscus perforation from December 2025 to March 2026. Detailed history, clinical examination, relevant blood tests, and radiological investigations established a diagnosis of perforation peritonitis, followed by a score assessment. Data were analyzed using SPSS software (IBM Corp., Armonk, NY, USA).
Results :Patients >50 years had higher mortality (i.e., 36/86) than patients <50 years (i.e., 26/136). Overall mortality was 62, which included one in low risk, 24 in intermediate risk, and 36 in the high-risk group. Mortality was lowest in the low-risk group (i.e., 2/60), highest in the high-risk group (i.e., 36/40), and 24/82 in the intermediate-risk group; the p-value was <0.05, which was highly significant. Mortality was higher in patients presenting after 24 hours, having organ failure, and non-colonic sepsis.
Conclusion: The MPI scoring system is simple, easy to calculate, cost-effective, precise, and effective in assessing mortality and morbidity risk in patients with peritonitis due to hollow viscus perforation. It can also guide further management strategies.
Ranchi, tertiary care hospital, Mortality and morbidity, Organ failure, Purulent, Sepsis, Peritonitis, Perforation, Mannheim peritonitis index
Kamlesh Kr Sahu, Neeraj Kr Rajak, Shiva Nand, Suruchi Kumari. Validation and Analysis of Mannheim Peritonitis Index Scoring in Patients with Perforation Peritonitis. Int Clinc Med Case Rep Jour. 2026;5(8):1-3.