Bowel Resection and Ileotransverse Anastomosis as Preferred Therapy for 15 Typhoid Ileal Perforations and Severe Peritoneal Contamination in a Very Elderly Patient

Typhoid ileal perforation (TIP) is the most lethal complication of typhoid fever. Although TIP is a surgical emergency by consensus, there is still much controversy regarding the most appropriate surgical approach to be used. Bowel exteriorization and secondary closure are usually recommended for pa...

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Main Authors: Benjamin Momo Kadia, Desmond Aroke, Martin Hongieh Abanda, Tsi Njim, Christian Akem Dimala
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2017/9424237
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author Benjamin Momo Kadia
Desmond Aroke
Martin Hongieh Abanda
Tsi Njim
Christian Akem Dimala
author_facet Benjamin Momo Kadia
Desmond Aroke
Martin Hongieh Abanda
Tsi Njim
Christian Akem Dimala
author_sort Benjamin Momo Kadia
collection DOAJ
description Typhoid ileal perforation (TIP) is the most lethal complication of typhoid fever. Although TIP is a surgical emergency by consensus, there is still much controversy regarding the most appropriate surgical approach to be used. Bowel exteriorization and secondary closure are usually recommended for patients presenting late with multiple TIPs and heavy peritoneal soiling. We, however, discuss a unique case of an 86-year-old patient with 15 typhoid ileal perforations successfully treated with one-step surgery comprising bowel resection and ileotransverse anastomosis in a resource-constrained setting of Cameroon.
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institution Kabale University
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language English
publishDate 2017-01-01
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series Case Reports in Surgery
spelling doaj-art-8ad9d51109d04e688c5bc1907cb5fe572025-02-03T06:01:45ZengWileyCase Reports in Surgery2090-69002090-69192017-01-01201710.1155/2017/94242379424237Bowel Resection and Ileotransverse Anastomosis as Preferred Therapy for 15 Typhoid Ileal Perforations and Severe Peritoneal Contamination in a Very Elderly PatientBenjamin Momo Kadia0Desmond Aroke1Martin Hongieh Abanda2Tsi Njim3Christian Akem Dimala4Foumbot District Hospital, Foumbot, CameroonHealth and Human Development (2HD) Research Network, Douala, CameroonGrace Community Health and Development Association, Kumba, CameroonHealth and Human Development (2HD) Research Network, Douala, CameroonHealth and Human Development (2HD) Research Network, Douala, CameroonTyphoid ileal perforation (TIP) is the most lethal complication of typhoid fever. Although TIP is a surgical emergency by consensus, there is still much controversy regarding the most appropriate surgical approach to be used. Bowel exteriorization and secondary closure are usually recommended for patients presenting late with multiple TIPs and heavy peritoneal soiling. We, however, discuss a unique case of an 86-year-old patient with 15 typhoid ileal perforations successfully treated with one-step surgery comprising bowel resection and ileotransverse anastomosis in a resource-constrained setting of Cameroon.http://dx.doi.org/10.1155/2017/9424237
spellingShingle Benjamin Momo Kadia
Desmond Aroke
Martin Hongieh Abanda
Tsi Njim
Christian Akem Dimala
Bowel Resection and Ileotransverse Anastomosis as Preferred Therapy for 15 Typhoid Ileal Perforations and Severe Peritoneal Contamination in a Very Elderly Patient
Case Reports in Surgery
title Bowel Resection and Ileotransverse Anastomosis as Preferred Therapy for 15 Typhoid Ileal Perforations and Severe Peritoneal Contamination in a Very Elderly Patient
title_full Bowel Resection and Ileotransverse Anastomosis as Preferred Therapy for 15 Typhoid Ileal Perforations and Severe Peritoneal Contamination in a Very Elderly Patient
title_fullStr Bowel Resection and Ileotransverse Anastomosis as Preferred Therapy for 15 Typhoid Ileal Perforations and Severe Peritoneal Contamination in a Very Elderly Patient
title_full_unstemmed Bowel Resection and Ileotransverse Anastomosis as Preferred Therapy for 15 Typhoid Ileal Perforations and Severe Peritoneal Contamination in a Very Elderly Patient
title_short Bowel Resection and Ileotransverse Anastomosis as Preferred Therapy for 15 Typhoid Ileal Perforations and Severe Peritoneal Contamination in a Very Elderly Patient
title_sort bowel resection and ileotransverse anastomosis as preferred therapy for 15 typhoid ileal perforations and severe peritoneal contamination in a very elderly patient
url http://dx.doi.org/10.1155/2017/9424237
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