Background and Objectives: Bowel perforation is most common cause of surgical emergency. Perforation of the small intestine causing peritonitis is the most common abdominal surgical emergency encountered. The objective of the study was to analyse the ClinicoPathological Relations of Small bowel perforations to better understand the condition.

Materials and Methods: This study was prospective clinico­pathological study starting from September 2015 to September 2017 carried out in Dhiraj General Hospital, Vadodara in General Surgery Department. 30 patients presenting with features of small bowel perforation were studied.

Conclusion: Perforation commonly occurs in young males. Pain, abdominal distension along with Generalised tenderness was commonly found in all. Non­specific inflammation was most common nontraumatic cause of illeal perforation after blunt abdominal trauma. Stress, smoking and NSAIDS were common risk factors involved in causation of bowel perforation

Keywords: Small Bowel; Perforation; Tuberculosis.