Typhoid ileal perforation

25 cases of perforated typhoid ulcers of the ileum are reported. 12 cases were diagnosed preoperatively as perforated typhoid ulcers, either being referred by physicians or from hospitals. The remaining cases were diagnosed as peritonitis with perforated typhoid as differential diagnosis in 5 cases. A case of peritonitis after mild closed abdominal trauma proved to have 2 perforated typhoid ulcers. A technique of serosal patch using a loop of jejunum to reinforce the suture line and to protect incipient ulcers was practiced in 10 cases with favorable results