World Journal of Surgery

, Volume 5, Issue 2, pp 295–296 | Cite as

Treatment of bleeding typhoid ulcer of the terminal ileum and cecum

  • F. C. Eggleston
  • B. Santoshi
Case Report

Abstract

Over a 16-year period, 12 patients were operated upon for bleeding typhoid ulcers of the terminal ileum or cecum with a mortality rate of 17%. Bleeding typhoid ulcer occurred in 0.8% of patients hospitalized for typhoid fever. Males predominated and 1/2 of the patients were in the third decade of life. If bleeding is massive or persistent, early surgery is advocated.

Résumé.

Nous avons opéré en 16 ans 12 malades atteints d'ulceration typhique de l'iléon terminal ou du caecum compliquée d'hémorragie. La mortalité a été de 17%. Cette complication est survenue chez 0.8% des malades hospitalisés pour fièvre typhoïde, surtout chez l'homme; la moitié des malades avaient entre 20 et 30 ans. Si l'hémorragie est massive ou persistante, la chirurgie est indiquée.

References

  1. 1.
    Strate, R.W., Bannayan, G.A.: Typhoid fever causing massive lower gastrointestinal hemorrhage. J.A.M.A.236:1979, 1976Google Scholar
  2. 2.
    Rowland, H.A.K.: The complications of typhoid fever. J. Trop. Med. Hyg.64:143, 1961Google Scholar
  3. 3.
    McCrae, T., quoted by Stuart, B.M., Pullen, R.L.: Typhoid. Arch. Intern. Med.78:629, 1946Google Scholar
  4. 4.
    Stuart, B.M., Pullen, R.L.: Typhoid. Arch. Intern. Med.78:629, 1946Google Scholar
  5. 5.
    El Ramli, A.H.: Chloramphenicol in typhoid fever. Lancet1:618, 1950Google Scholar
  6. 6.
    White, A., Hashimi, H., Dudley, H.A.F.: Acute surgical problems in non-temperate zones and developing countries. In Hamilton Bailey's Emergency Surgery, 10th edition, Dudley, H.A.F., editor, Bombay, K.M. Varghese & Co., 1977, p. 919Google Scholar
  7. 7.
    Huckstep, R.L.: Recent advances in the surgery of typhoid fever. Ann. R. Coll. Surg. Engl.26:207, 1960Google Scholar
  8. 8.
    Collins, W.J., Ball, R.E., Dorsey, T.J.: Typhoid ileitis with hemorrhage-a case report with new therapy. Dig. Dis. Sci.20:94, 1975Google Scholar
  9. 9.
    Wong, S.H.: The emergency surgical management of massive and persistent intestinal haemorrhage due to typhoid fever: a report of 3 cases. Br. J. Surg.65:74, 1978Google Scholar

Copyright information

© Société Internationale de Chirurgie 1981

Authors and Affiliations

  • F. C. Eggleston
    • 1
  • B. Santoshi
    • 1
  1. 1.Department of SurgeryChristian Medical College and Brown Memorial HospitalLudhiana-141008 PunjabIndia

Personalised recommendations