Rare Diseases Symptoms Automatic Extraction
Home
A random Abstract
Our Project
Our Team
Non-traumatic ileal perforation: a retrospective study.
[typhoid]
To
determine
clinical
features
,
operative
findings
and
post-operative
complications
in
patients
operated
for
non-traumatic
ileal
perforation
and
to
discuss
the
role
of
typhoid
vaccination
.
A
retrospective
study
was
carried
out
from
2009
-
2010
.
Seven
patients
were
admitted
through
casualty
as
cases
of
acute
abdomen
.
Underlying
conditions
were
typhoid
ulcers
(
4
patients
)
and
non-
specific
etiology
(
3
patients
)
.
Diagnosis
was
made
on
clinical
grounds
,
laboratory
investigations
,
radiology
and
operative
findings
.
Exploratory
laporotomy
was
done
.
Different
variables
studied
post-operatively
were
wound
infection
,
residual
abscess
,
recurrence
and
delayed
post-operative
complications
.
Tenderness
,
distension
and
rigidity
were
found
in
maximum
patients
.
Gases
under
diaphragm
and
air
fluid
levels
were
common
radiological
findings
.
However
,
widal
test
and
blood
culture
for
S
.
typhi
was
positive
in
four
patients
.
Six
patients
had
single
perforation
and
one
patient
had
two
perforations
,
all
being
on
antimesentric
border
of
ileum
.
Maximum
patients
had
peritoneal
collection
of
less
than
1000
ml
.
In
five
patients
simple
closure
of
perforation
was
done
and
in
remaining
two
resection
with
end
to
side
ileotransverse
anatomosis
was
required
.
Wound
infection
and
residual
intraabdominal
abscess
were
found
in
one
patient
each
.
Management
criteria
remain
same
in
typhoid
and
non-
specific
perforations
.
Commonest
cause
of
ileal
perforation
is
typhoid
fever
in
our
country
,
so
immunization
against
typhoid
beyond
18
years
of
age
is
recommended
.