What causes bowel sounds in gastric perforation?

Oct 11, 2022 Source: Cainiu Health
Disease description:

My sister has a gastric perforation, but recently she has developed bowel sounds. I can't figure out the reason—what could cause bowel sounds in the context of gastric perforation?

Doctor's answer (1)
Dr. Zhou Chao
Bowel sounds in gastric perforation occur because gastric perforation can lead to generalized peritonitis in patients. If generalized peritonitis develops, it may result in paralytic ileus, during which bowel sounds become absent. Therefore, if no bowel sounds are heard in a patient with gastric perforation, it indicates a more severe condition. It is recommended that patients with gastric perforation maintain good dietary habits and consume warm, easily digestible foods.