Caecal typhoid perforation: case report
DOI:
https://doi.org/10.18203/2349-2902.isj20162861Keywords:
Typhoid fever, Caecal perforationAbstract
Typhoid fever leading to only caecal perforation is a rare cause of acute abdomen in children. We present a case of a 15 year male child with typhoid fever admitted with perforation and peritonitis. At laparotomy a large perforation was noted in the caecum which was histologically consistent with typhoid. The ileum was spared. Very few cases have been reported in literature where only the caecum was involved in typhoid, sparing the terminal ileum which is the most common part to be affected.
References
Chalya P, Mabula J, Koy M, Kataraihya J, Jaka H, Mshana S et al. Typhoid intestinal perforations at a University teaching hospital in Northwestern Tanzania: A surgical experience of 104 cases in a resource-limited setting. World J Emerg Surg. 2012;7(1):4.
Na’aya H, Eni U, Chama C. typhoid perforation in Maiduguri, Nigeria. Annals African Medicine. 2004;3(2):69-72.
Ahmed HN, Niaz MP, Amin MA, Khan MH, Parhar AB. Typhoid perforation still a common problem: situation in Pakistan in comparison to other countries of low human development. J Pak Med Assoc. 2006;56(5):230-2.
Sharma A, Sharma R, Sharma S, Sharma A, Soni D. Typhoid intestinal perforation: 24 perforations in one patient. Annals Medical Health Sci Res. 2013;3(5):41.
Bonatti H. Typhoid intestinal perforations: twenty-six year experience. Yearbook Surg. 2008;2008:140.
Ugochukwu A, Amu O, Nzegwu M. Ileal perforation due to typhoid fever review of operative management and outcome in an urban centre in Nigeria. Int J Surg. 2013;11(3):218-22.
Chang Y, Lin J, Huang Y. Typhoid colonic perforation in childhood:a ten-year experience. World J Surg. 2006;30(2):242-7.
Anupama PK, Ashok AC, Rudresh HK, Srikantaiah HC, Girish KS, Suhas KR. Mortality in typhoid intestinal perforation-a declining trend. J Clinical Diag Res. J Clinical Diag Res. 2013;7(9):1946-8.
Edino ST, Yakubu AA, Mohammed AZ, Abubakar IS. Prognostic factors in typhoid ileal perforation: a prospective study of 53 cases. J Am Med Asso. 2007;99:1043-5.
Jhobta RS, Attri AK, Kaushik R. Spectrum of perforation peritonitis in India-review of 504 consecutive cases. World J Emergency Surg. 2006;1:26.
Edino ST, Mohammed AZ, Uba AF, Sheshe AA, Anumah M, Ochicha O. Typhoid enteric perforation in North Western Nigeria. Nig J Med. 2004;13:345-9.
Elesha SO. Pathology and pathogenesis of typhoid fever. Nig P Med J. 1994;1:38-40.
Saxe J, Cropsey R. Is operative management effective in treatment of perforated typhoid? Am J Surg. 2005;189(3):342-4.
Nuhu A, Dahwa S, Hamza A. Operative management of typhoid ileal perforation in children. Afr J Paediatr Surg. 2010;7:9-13.
Malik MA, Laghari AA, Mallah Q. Different surgical options and ileostomy in typhoid perforation. World J Med Sci. 2006;1(2):112-6.
Ukwenya AY, Ahmed A. Progress in management of typhoid perforation. Annals African Medicine. 2011;10(4):259-65.
Ansari AG, Syed QHN, Ali AG, Abdul HJ, Altaf AT. Management of typhoid ileal perforations: a surgical experience of 44cases. Gomal J Med Sci. 2009;7(1):27-30.
