SIRS, independent of University etiology, has University same pathophysiology with minor differencesEtiologies consist of: actute diverticulitis cancer inflammatory bowel ailment ischemic bowel stomach trauma Presentation Symptoms belly pain and pressure Physical exam stomach pressure and rebound tenderness may demonstrate “peritoneal signs” extremeFree Intraperitoneal Air Pneumoperitoneum Etiology Disruption of wall of hollow viscus Blunt or penetrating trauma Perforating international body eg, thermometer injury examination rectum Iatrogenic perforation Laparoscopy / laparotomy 58% Absorbed in 1 24 daysEtiology Causes of Gastrointestinal Perforation may encompass University following: Injury or trauma exam University abdomen Ulcerative colitis and Crohns disease; both are inflammatory situations of University intestine Appendicitis Congenital abnormality of University intestineThe aim of this monograph is examination summarise University presently available data concerning epidemiology, pathogenesis, and ideal control of septic shock, with quizzes specific emphasis on University role of source control in sepsis. Systematic review of University epidemiology of complicated peptic ulcer ailment: prevalence, recurrence, risk elements and mortality. Digestion 2011; 84:102 113. 4. Williams N, Bullstrode C, Connell RO. World J Surg 35: 2650 2659.