Introduction: A high index of suspicion is essential to diagnose visceral perforation early as significant morbidity and mortality results from diagnostic delay. Methodology: Each patient was examined thoroughly, after taking a detailed history. Clinical diagnosis of hollow viscus perforation is made based on history and physical examination which will be confirmed by investigations and laparotomy. Results: Patients with duodenal ulcer perforation were treated with omental patch (5), two layer closure (5) and truncalvagotomy with pyloropasty (1). 16 patients had appendicular perforation treated by appendicectomy. Gastric perforation closed by omental patch in one patient. Ileal perforation was closed in two layers. Conclusion: Most patients with appendicular tip perforation treated surgically by appendicectomy.

Keywords: Viscus Perforation; Management; Appendicectomy.