Operative management of typhoid ileal perforation in children

African Journal of Paediatric Surgery : AJPS
Ali NuhuAbdulkarim Hamza

Abstract

Intestinal perforation resulting from complicated typhoid fever still causes high morbidity and mortality. The purpose of the present study is to evaluate the outcome of its surgical management in Nigerian children. Emergency laparotomy and repair of the ileum was performed on 46 children with typhoid ileal perforation at the Federal Medical Centre (FMC), Azare, Nigeria, between January 2004-December 2008. This was followed by copious peritoneal lavage with warm normal saline and mass closure of the abdomen. There were 28 (60.86%) boys and 18 (39.13%) girls, with a mean age of 9.5 +/- 3.22 (range, 15 months-15 years). Abdominal pain (45), fever (44), and abdominal distention (36) were the most common presenting symptoms and majority of the patients (36) perforated within 14 days of illness. Solitary ileal perforations were the most common pathology, found in 31 (67.4%) cases. Simple closure of the perforations after debridement of the edges was the most frequent operative procedure performed. A total of 21 patients had one or more complications which included wound infection (21), postoperative fever (16), and wound dehiscence (6). Postoperative anaemia was a problem in 23 (50%) patients. The mortality rate was (13) 28.3%. The ...Continue Reading

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Citations

Oct 5, 2014·Pediatric Surgery International·Ademola Olusegun TalabiOlusanya Adejuyigbe
Apr 12, 2011·African Journal of Paediatric Surgery : AJPS·Rajendra K GhritlahareyDhirendra K Shrivastava
Apr 6, 2012·Seminars in Pediatric Surgery·Emmanuel A AmehDoreen Birabwa-Male
Feb 14, 2012·Journal of Pediatric Surgery·Abdulrasheed A NasirJames O Adeniran
Apr 14, 2016·World Journal of Emergency Surgery : WJES·Alain Chichom-MefireMarcelin Ngowe-Ngowe
May 27, 2020·Surgical Infections·Justina Onyioza Seyi-OlajideEmmanuel Adoyi Ameh
Nov 5, 2020·The Journal of Infection·Christian S MarchelloJohn A Crump
Oct 16, 2021·Pediatric Surgery International·Samuel WabadaRikin Uruku Christopher

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