Multiple ileal perforations and concomitant cholecystitis with gall bladder gangrene as complication of typhoid fever.

[typhoid]

Surgical complications of typhoid fever usually involve the small gut , but infrequently typhoid fever also involves the gallbladder . Complications range from acalculous cholecystitis , gangrene to perforation . Here , we present a case of enteric fever with concomitant complication of multiple ileal perforations at its terminal part with acalculous cholecystistis with gangrenous gall bladder . The primary closure of the perforations and cholecystectomy was performed . Post-operatively patient developed low -output faecal fistula that was managed conservatively .