Figure-2 - uploaded by Sevgi Büyükbeşe Sarsu
Content may be subject to copyright.
Source publication
Context in source publication
Context 1
... typhi did not grow on preoperatively prepared blood culture media. Laparotomy performed through midline incision with the indication of IP revealed a perforated area 1 cm in diameter localized on the antimesenteric side nearly 20 cm proximal to the ileocecal valve ( Figure-2). Besides, patchy areas of fibrosis, and adhesions were observed on the jejunum, and ileum. Peritoneal lavage was performed using isotonic saline. ...
Similar publications
Citations
... This may eventually leads to intestinal perforation. [4] Ileal perforation is the most deadly complication of typhoid fever. It is of great public health concern especially in endemic regions such as developing countries with low socio-economic status where the morbidity and mortality is high. ...
... [8] The laboratory diagnosis of typhoid fever is previous studies. [1][2][3][4][5][6][7][8][9][10] A probable differential in this case, especially in our environment is ileocecal tuberculosis. [11] at the ileocaecal junction. ...
... A healed scar at the lower midline abdomen of the same patient about four weeks after the surgeryDiscussionTyphoid fever is a serious infection associated with many complications when not diagnosed and treated early. One of the most important complications is ileal perforation, and this was found in this case.This finding was similar to that which obtain in other poor resource countries where presentations are often late and might contributes to the associated with increased morbidity and mortality.[1][2][3][4][5][6][7][8][9][10] The favourable outcome in this case despite the late presentation was due to high index of suspicion and good clinical skills rehydration, as well as early administration of broad-spectrum parenteral antibiotics. ...
... Third week witnesses the ulceration in Payer's patches with intestinal bleeding and perforation. 4 The incidence of perforation ranges between 0.8% to 18%. Though intestinal bleeding is the common complication, enteric perforation is the common cause of high morbidity and mortality that ranges between 5% and 62%. ...
Typhoid ileal perforation is the common complication of typhoid fever in third week of its phase of progression. It is the most common cause of mortality in developing countries. Small perforations are dealt with primary repair and the more complicated disease is treated by multiple other options. Prognosis is good with primary repair with least postoperative complications. Objectives: To detect the outcome of typhoid ileal perforation treated by primary repair at tertiary care hospital. Study Design: Cross sectional study. Setting: Surgical Department of PMC Hospital Nawabshah. Period: From August 2017 to December 2018. Material & Methods: This study included total 70 patients. All patients were admitted from surgical OPD and emergency department of PMCH Nawabshah. Out of 70, 45 (64.28%) were females and 25 (35.71%) were male patients. Age ranged from 27 to 52 and 24 to 47 in females and males respectively. The common presentation was pain in whole abdomen along with distention and fever, vomiting. Plain X ray chest/ Abdomen and ultra sonography showed gas under diaphragm. Primary repair was done and also other surgical options but our study included only the postoperative outcomes of primary repair of typhoid ileal perforation. A few complications were detected after primary repair of the gut perforation. Results: Total 70 patients were included in this study. 45 (64.28%) were females and 25 (35.71%) were male patients. In females, 25 (55%) were found single perforations of less than 1cm whereas 7 (15.5%) had size of perforation less than 1.5 cm. In 25 males, 11 (44%) had single perforations of less than 1cm in size. 2 (8%) had < 1.5 cm size perforations and 12 (48%). Over all complication rate in this study was 26%. Conclusion: Primary repair is the best surgical option to treat typhoid ileal perforation in selected patients with least postoperative complications.
... This complication is reported to be rare; a study by Pitsinis et al. revealed that the incidence rate of this complication was 0.5% in adults (5). Patients with this complication can remain without typical symptoms for a long time, and several cases with long asymptomatic periods have been reported (6,7). Therefore, awareness is helpful to avoid this complication, and a high index of suspicion can ensure an early diagnosis. ...
