Typhoid ileal perforation in children: does clinical diagnosis alone justify laparotomy?
South Sudan med. j
;
12(1): 9-11, 2019. ilus
Artigo
em Inglês
| AIM
| ID: biblio-1272106
ABSTRACT
Introduction:
Typhoid ileal perforation is one of the most common surgical complications of typhoid fever, with high morbidity and mortality in resource poor tropical areas in Africa and other developing countries.Objective:
The aim of this study was to evaluate clinical diagnosis of typhoid ileal perforation as justification for laparotomy.Method:
A retrospective study from January 2008 to December 2011 in the Paediatric Surgery Division of the University of Abuja Teaching Hospital.Results:
The age group most commonly affected was aged 6-9 years (43.5%); there were 20 (43.5%) males and 26 (56.5%) females. The commonest clinical features were fever, vomiting, abdominal pain, tenderness and distension (52.3%). Thirty one (67.4%) of the patients did not have any diagnostic radiological investigations. Fifteen (32.6%) patients had superficial wound infection, ten (21.7%) died, eleven (23.9%) had no complications.Conclusion:
We advocate that under circumstances where urgent diagnostic radiological and laboratory investigations are not available promptly, clinical diagnosis of typhoid ileal perforation, especially signs of peritonitis should justify an emergency laparotomy
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Índice:
AIM (África)
Assunto principal:
Peritonite
/
Febre Tifoide
/
Criança
/
Laparotomia
/
Nigéria
Tipo de estudo:
Estudo observacional
/
Fatores de risco
País/Região como assunto:
África
Idioma:
Inglês
Revista:
South Sudan med. j
Ano de publicação:
2019
Tipo de documento:
Artigo
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