Caecal and Colon Rupture Due to Thyphoid Fever in A 22 Years Old Male, A Rare Complication: A Case Report
Ahmad Reza Shahraki
ABSTRACT
Typhoid fever is an acute infection caused by Salmonella typhi, especially when it is waterborne or foodborne. The most common laboratory diagnosis of typhoid/enteric fever comprises clinical specimens such as blood, stool, urine, and bone marrow; the polymerase chain reaction; and the Widal test. The primary clinical symptoms of typhoid/enteric fever are high-grade fever, chills, stomach discomfort, tachycardia, generalized body pain, back pain, and headaches. Intestinal perforation is one of the most dangerous complications of typhoid fever and demands urgent hospitalization, diagnosis, and surgical management to reduce morbidity and prevent mortality. The mechanism whereby infection results in perforation is due to bacterial attachment and invasion, causing subsequent hyperplasia and necrosis of the immune sentinel microfold cells, anatomically visible in Peyer’s patches. The usual site of perforation is at the anti-mesenteric border of the ileum; however, other sites can also be affected such as the cecum, jejunum,colon. Ciprofloxacillin is a fluoroquinolone antibiotic that is the preferred treatment for typhoid fever.
Our case was a 22 years old male with fever for 10 days and referred to surgery part with acute abdominal presentation and positive Widal test.In laparotomy Caecal and Colon rupture was found and right hemicolectomy did for him and we did treatment of thyphoid fever and we save his life.
A right hemicolectomy is recommended for caecal typhoid perforations especially when it is associated with extensive inflammation, necrosis and peritoneal soilage. This case report was submitted in accordance with the SCARE criteria7.
