MedDRA preferred term

Intestinal perforation: adverse event reports recording this term

11,062 reports to FDA record it, 2004–2026; 0.1% of the database.

Read first · FDA's statement on these data

Adverse event reports submitted to FDA do not undergo extensive validation or verification. Therefore, a causal relationship cannot be established between product and reactions listed in a report. While a suspected relationship may exist, it is not medically validated and should not be the sole source of information for clinical decision making or other assumptions about the safety or efficacy of a product. Additionally, it is important to remember that adverse event reports represent a small percentage of total usage numbers of a product. Common products may have a higher number of adverse events due to the higher total number of people using the product. openFDA, FDA

FDA adds: "There is no certainty that the reported event (adverse event or medication error) was actually due to the product. FDA does not require that a causal relationship between a product and event be proven, and reports do not always contain enough detail to properly evaluate an event." The information in these reports "cannot be used to estimate the incidence of these events."

Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated.

Not medical advice. This site counts what was reported to FDA. Questions about a medicine or device belong with a pharmacist or clinician.

11,062
reports recording the term: 0.1% of all reports; 667
reports, 12 months to June 2026: 691 in the 12 months before; 99.4%
marked serious by the reporter: 57.4% across all reports; 28.3%
record death among outcomes, as reported: 9.1% across all reports

"Intestinal perforation" is a MedDRA preferred term recorded in 11,062 adverse event reports received by FDA, 0.1% of the database, from January 2004 to June 2026. The term is chosen by whoever codes the report to match what the reporter described.

667 reports recorded it in the 12 months to June 2026, close to the 691 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Of reports recording this term, 99.4% are marked serious, 28.3% include death among the outcomes and 62.1% include hospitalisation, as reported.

The drugs listed most often as suspect products in those reports are Humira, Bevacizumab and Avastin. That order mostly follows how many reports each drug has overall; the table also gives the term's share within each drug's own reports. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

Drugs listed as suspect products in these reports

Drug	Class	Reports with this term	Share of the drug's own reports
Humira	—	1,149	0.2%
Bevacizumab	Vascular endothelial growth factor inhibitor	480	0.9%
Avastin	Vascular endothelial growth factor inhibitor	465	0.8%
Prednisone	Corticosteroid	341	0.2%
Rituximab	CD20-directed cytolytic antibody	321	0.2%
Cyclophosphamide	Alkylating drug	314	0.2%
Remicade	Tumor necrosis factor blocker	256	0.2%
Oxaliplatin	Platinum-based drug	253	0.4%
Carboplatin	Platinum-based drug	232	0.2%
Fluorouracil	Nucleoside metabolic inhibitor	210	0.3%
Methotrexate	Folate analog metabolic inhibitor	203	0.1%
Dexamethasone	Corticosteroid	199	0.2%
Actemra	Interleukin-6 receptor antagonist	197	0.2%
Prednisolone	Corticosteroid	186	0.2%
Paclitaxel	Microtubule inhibitor	182	0.3%
Vincristine	—	179	0.3%
Doxorubicin	Anthracycline topoisomerase inhibitor	177	0.3%
Rinvoq	Janus kinase inhibitor	171	0.2%
Capecitabine	Nucleoside metabolic inhibitor	166	0.3%
Keytruda	Programmed death Receptor-1 blocking antibody	164	0.3%
Lenvima	Kinase inhibitor	160	0.7%
Enbrel	Tumor necrosis factor blocker	154	0%
Vedolizumab	Integrin receptor antagonist	131	0.2%
Cisplatin	Platinum-based drug	124	0.2%
Etoposide	Topoisomerase inhibitor	124	0.2%

Drugs with a page on this site, ordered by the number of their reports recording this term. The last column is the term's share within that drug's own reports, against 0.1% across the whole database. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

By pharmacologic class

Class	Reports with this term	Share of class reports	Median drug in class
Vascular endothelial growth factor inhibitor	989	0.6%	0.4%
Corticosteroid	961	0.1%	0%
Kinase inhibitor	787	0.1%	0%
Tumor necrosis factor blocker	765	0.1%	0%
Nucleoside metabolic inhibitor	626	0.2%	0%
Platinum-based drug	609	0.3%	0.2%
Programmed death Receptor-1 blocking antibody	462	0.2%	0.2%
Alkylating drug	432	0.2%	0%
CD20-directed cytolytic antibody	392	0.1%	0%
Microtubule inhibitor	305	0.2%	0.2%

Classes ordered by count. Class shares follow the class's overall report volume as much as anything else.

Patients in these reports

Patient age

Under 21.4%153

2 to 111%110

12 to 171%116

18 to 4410.8%1,198

45 to 6423.9%2,647

65 to 7415.4%1,705

75 and over9.5%1,049

Age not given36.9%4,084

Patient sex

Female47.9%5,299

Male39.9%4,418

Not given12.2%1,345

Grey bar: all 20,646,523 reports in the database. 42.2% of these reports give the United States as the country.

Questions about "Intestinal perforation"

What does "Intestinal perforation" mean in an adverse event report?

It is a MedDRA preferred term, the dictionary FDA uses to code what a reporter described. The report's own description is not published by openFDA and is not shown here.

How many reports record intestinal perforation?

11,062 reports through June 2026 (0.1% of all reports), 667 of them in the latest 12 months.

Which drugs appear most often in these reports?

Humira (1,149), Bevacizumab (480), Avastin (465), Prednisone (341) and Rituximab (321). Drugs with many reports overall lead almost every term's list. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Does a drug appearing here mean it was responsible for this reaction?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

I have this symptom. What should I do?

This site cannot assess anyone. A pharmacist or clinician can; for an emergency, call the local emergency number. Nothing on this page is medical advice.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. Terms are pooled across spelling and capitalisation variants of one MedDRA preferred term. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.