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Abstract :
Typhoid is a systemic disease caused by S. Typhi and S. Paratyphi, and its specific clinical features include fever, abdominal pain, diarrhea and nausea. Typhoid is still a major problem in developing countries, mostly caused due to poor sanitation and improper drainage system.
This study is conducted in descriptive form, and all the patients admitted to the General Surgery Department of Nangarhar Regional Hospital had intestinal perforation due to typhoid. The number of patients was 30, who were included in this research. To diagnose the disease, radiological and laboratory tests were done.
The results of the research showed that the incidence of intestinal perforation due to typhoid was (3.3%) in less than 10 years old, 26.6% in the group age 11-20 years old, 23.3% were 21-30 years old, 13.3% in 31-40 years old, 13.3% in 41-50 years old, 13.3% in 51-60 years old and 6.9% were the patients had more than 60 years of age. The occurrence of incidence was based on sex, 18 cases (60%) were male, and 12 cases (40%) were female patients. After the analysis and interpretation of the data, it was found that the ratio of cases in males was higher than in females. According to the clinical record, 100% of the patients had abdominal pain and fever, 80% had abdominal distension, 36.6% had vomiting, 16.6% had diarrhea, and 13.3% had constipation. The results of diagnosis of typhoid-based examination, the cases by abdominal x-ray were 90% and ultrasound 83.4%. Based on the results, it is clear that the abdominal x-ray gave better results than the ultrasound. It is worth mentioning that the incidence of intestinal perforation was 96.6% in the distal ileum and 3.4% in the jejunum.
In conclusion, stomach pain, fever, and abdominal distension were more common than all other symptoms in cases of intestinal perforation due to typhoid. The most important method for diagnosis is an abdominal X-ray, and most cases occur in the terminal part of the ileum.
Keywords :
Intestinal Perforation, Prevalence, Typhoid Disease.References :
- Abro, A. H., Siddiqui, F. G., & Ahmad, S. (2012). Demographic and surgical evaluation of typhoid ileal perforation. Journal of Ayub Medical College Abbottabad, 24(3-4), 87-89.
- Bailey, H., Bulstrode, C. J., Love, R. J. M., & O’Connell, P. R. (2008). Bailey & Love’s short practice of surgery: Crc Press.
- Chalya, P. L., Mabula, J. B., Koy, M., Kataraihya, J. B., Jaka, H., Mshana, S. E., . . . Gilyoma, J. M. (2012). Typhoid intestinal perforations at a University teaching hospital in Northwestern Tanzania: A surgical experience of 104 cases in a resource-limited setting. World journal of emergency surgery, 7(1), 1-11.
- Cohen, M. L. (2000). Changing patterns of infectious disease. Nature, 406(6797), 762-767.
- Courtney, M., Townsend, J., Beauchamp, R., Evers, B., & Mattox, K. L. (2007). Sabiston textbook of surgery: the biological basis of modern surgical practice: Elsevier Inc Amsterdam.
- Eggleston, F., Santoshi, B., & Singh, C. (1979). Typhoid perforation of the bowel. Experiences in 78 cases. Annals of Surgery, 190(1), 31.
- Jain, S., Meena, L., & Ram, P. (2017). Surgical management and prognosis of perforation secondary to typhoid fever. Tropical Gastroenterology, 37(2), 123-128.
- KHAN, M. D. (2020). Comparison of Outcomes between Primary Repair and Ileostomy in Children with Typhoid Perforation. Age (Yrs), 8, 2.58.
- Krstic, R. V. (2012). Illustrated encyclopedia of human histology: Springer Science & Business Media.
- Kuubiere, C. B., Mogre, V., Majeed, S. F., & Alhassan, A. (2014). Typhoid intestinal perforations in Northern Ghana. Al Ameen JM Edical C Ience, 7, 251-256.
- Na’aya, H., Eni, U., & Chama, C. (2004). typhoid perforation in Maiduguri, Nigeria. Annals of African Medicine, 3(2), 69-72.
- Shrivastava, D., Kumar, J., Pankaj, G., Bala, S., & Sewak, V. (2014). Typhoid intestinal perforation in Central India-a surgical experience of 155 cases in resource limited setting. IJBAR, 5(12), 600-604.
- Snell, R. S. (2011). Clinical anatomy by regions: Lippincott Williams & Wilkins.
- Tierney, L. M., McPhee, S. J., & Papadakis, M. A. (2005). Current medical diagnosis & treatment Current medical diagnosis & treatment (pp. 1887-1887).
- Ugwu, B., Yiltok, S., Kidmas, A., & Opaluwa, A. (2005). Typhoid intestinal perforation in north central Nigeria. West African journal of medicine, 24(1), 1-6.
