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Chronic Salmonella Infection Induced Intestinal Fibrosis
Published on: September 22, 2019
Intestinal intussusception as a complication of typhoid fever
H Altun1, O Banli, R Karakoyun
1Department of General Surgery, Etlik Ihtisas Hospital, Ankara, Turkey. haltun@hotmail.com.tr
Acta Chirurgica Belgica
|July 26, 2011
Summary
Typhoid fever, a Salmonella typhi infection, can rarely cause intestinal intussusception. Segmental bowel resection is recommended for this rare complication due to underlying ulcerous lesions.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Surgical Pathology
Background:
- Typhoid fever, caused by Salmonella typhi, is a serious systemic infection.
- While intestinal perforation and hemorrhage are common complications, intussusception is exceptionally rare.
Observation:
- A male patient presented with abdominal distension and pain.
- Computed tomography confirmed ileal intussusception.
- Laparotomy revealed the intussusception, necessitating segmental ileal resection.
Findings:
- Histopathological examination of the resected ileum showed multiple ulcerous lesions.
- These lesions were identified as the cause of the intussusception.
- The patient experienced an uneventful postoperative recovery.
Implications:
- Intestinal intussusception is a rare but significant complication of typhoid fever.
- Segmental bowel resection is a recommended surgical approach for typhoid-induced intussusception.
- Further evidence is needed to definitively establish optimal surgical management strategies.
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