Abstract
A 20-year experience at the AUBMC with six consecutive children suffering from acute acalculous Salmonella cholecystitis and four children with typhoid ileal perforation is presented. All patients were managed surgically without mortality. Early operative intervention and prompt parenteral fluid and antibiotic administration are advised. Cholecystectomy for acute cholecystitis and suture closure of impending perforations were the procedures of choice. Other modalities of therapy are discussed. In patients with ileal perforation, delayed primary closure of the abdominal wound is recommended in order to promote adequate drainage and reduce septic complications.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Badejo OA, Arigbabu AO (1980) Operative treatment of typhoid perforation with peritoneal irrigation. Gut 21: 141–145
Eggleston FC, Santochi B, Singh CM (1979) Typhoid perforation of the bowel. Ann Surg 190: 31–35
Fox MS, Wilk PJ, Weissman HS, Freeman LM, Gliedman ML (1984) Acute acalculous cholecystits. Surg Gynecol Obstet 159: 13–16
Kaul BK (1975) Operative management of typhoid perforation in children. Int J Surg 60: 407–410
Kuruvilla MJ (1978) Role of resection in typhoid perforation. Ann R Coll Surg Engl 60: 408–411
Lizarralde E (1981) Typhoid perforation of the ileum in children. J Pediatr Surg 16: 1012–1016
Maloney CT (1971) Surgical treatment of typhoid perforation of ileum. NY State J Med 71: 663–664
Mulligan TO (1971) Typhoid fever in young children. Br Med J 4: 665–667
Olurin EO, Ajayi OO, Bohrer SP (1972) Typhoid perforations. JR Coll Surg Edinb 17: 353–363
Rowland HAK (1961) The complications of typhoid fever. J Trop Med Hyg 64: 143–152
Uthman SM (1972) Acalculous acute typhoid cholecystitis. Leb Med J 25: 503–505
Vargas M, Pena A (1975) perforated viscera in typhoid fever: a better prognosis for children. J Pediatr Surg 10: 531–532
Welch TP, Martin NC (1975) Surgical treatment of typhoid perforation. Lancet I: 1078–1080
Woodward TE, Smadel JE (1964) Management of typhoid fever and its complications. Ann Int Med 60: 144–157
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Slim, M.S., Fakhri, S., Bitar, J. et al. Acute abdomen in Salmonella infection. Pediatr Surg Int 3, 47–50 (1988). https://doi.org/10.1007/BF00177080
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00177080