Typhoid ileal perforation: a 13-year experience

  • Poras Chaudhary | drporaschaudhary@yahoo.com Lady Hardinge Medical College and associated Dr Ram Manohar Lohia Hospital, New Dehli, India.
  • Rajeev Kumar Lady Hardinge Medical College and associated Dr Ram Manohar Lohia Hospital, New Dehli, India.
  • Chandrakant Munjewar Lady Hardinge Medical College and associated Dr Ram Manohar Lohia Hospital, New Dehli, India.
  • Utsav Bhadana Lady Hardinge Medical College and associated Dr Ram Manohar Lohia Hospital, New Dehli, India.
  • Gyan Ranjan Lady Hardinge Medical College and associated Dr Ram Manohar Lohia Hospital, New Dehli, India.
  • Shailesh Gupta Lady Hardinge Medical College and associated Dr Ram Manohar Lohia Hospital, New Dehli, India.
  • Sanjay Kumar Lady Hardinge Medical College and associated Dr Ram Manohar Lohia Hospital, New Dehli, India.
  • Mohinder P. Arora Lady Hardinge Medical College and associated Dr Ram Manohar Lohia Hospital, New Dehli, India.

Abstract

Typhoid fever is endemic in many developing countries with a high rate of complications. Aim of this study is to analyse epidemiological features, clinical presentations, complications and therapeutic outcomes of enteric perforation peritonitis diagnosed and treated in our hospital. Records of total number of 646 patients, who presented with perforation peritonitis due to enteric fever in the surgical emergency unit of Dr Ram Manohar Lohia hospital, New Delhi between January 2001 and December 2013, were reviewed retrospectively. Descriptive statistics was used to analyze the data. Out of 646 patients, 62 (9.59%) presented in shock. Stomal, peristomal, local and systemic complications were high in these patients. Primary closure was done in 212 (33.12) patients, primary ileostomy was created in 410 (64.06) patients, and resection and anastomosis was done in 24 (3.75) patients. Thirteen patients (2.01%) died of typhoid intestinal perforation. To prevent complications of typhoid fever, in addition to control sanitation, it is also important to control quackery and malpractices. Awareness and education about the disease, its nature and complications will also be of great help.

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Published
2015-07-08
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Original Articles
Keywords:
Typhoid fever, Intestinal perforation, High morbidity, Awareness and education
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How to Cite
Chaudhary, P., Kumar, R., Munjewar, C., Bhadana, U., Ranjan, G., Gupta, S., Kumar, S., & Arora, M. (2015). Typhoid ileal perforation: a 13-year experience. Healthcare in Low-Resource Settings, 3(1). https://doi.org/10.4081/hls.2015.4677