Background: Ileal perforation is one of the most
common acute abdominal emergencies in surgical
field. There are multiple factors that influence the
prognosis and outcome of the patient.

Methods: Present study was a prospective
interventional study aimed at evaluating the clinical
profile, etiology and surgical management and
its outcome of patients with nontraumatic ileal
perforation.

Results: There were 50 patients of nontraumatic
ileal perforation; causes for perforation were typhoid
56%; non specific 26%; obstruction 12%; tuberculosis
3%.Simple closure of perforation and resection and
anastomosis were the mainstay of the surgical
management.

Conclusion: Terminal ileal perforation should
be suspected in all cases of peritonitis especially
in developing countries and surgical treatment
should be optimized taking various accounts like
etiology, delay in surgery and operative findings
into consideration to reduce the incidence of deadly
complications like septicemia,pyoperitoneum, fecal
fistula.