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Treatment usually involves surgery. The patient undergoes general anesthesia, and an incision is made in the abdomen. The abdominal cavity is washed out, and the perforation in the intestine or stomach is repaired.
Occasionally, a temporary colostomy or ileostomy may be required. In rare cases, antibiotic therapy alone can treat perforations. This is the case in patients whose perforations have sealed off, because they are not systemically ill. This is evident from physical exam, laboratory tests, and x-rays.
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