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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

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Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
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Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
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Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
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Peptic Ulcer Disease IV: Management01:26

Peptic Ulcer Disease IV: Management

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Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
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Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

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Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
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Chinese Herbal Retention Enema for the Treatment of Ulcerative Colitis
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Typhoid fever with caecal ulcer bleed: managed conservatively.

Vinoth Boopathy1, Sivakumar Periyasamy, Thomas Alexander

  • 1Department of Gastroenterology, Pondicherry Institute of Medical Sciences, Pondicherry, India.

BMJ Case Reports
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Typhoid fever, caused by Salmonella typhi, can lead to intestinal bleeding. This case highlights successful conservative management of severe rectal bleeding from a typhoid-related caecal ulcer, even in the antibiotic era.

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Area of Science:

  • Medicine
  • Infectious Diseases
  • Gastroenterology

Background:

  • Typhoid fever is a serious systemic infection caused by Salmonella enterica serovar Typhi.
  • Intestinal hemorrhage and perforation are known, though declining, complications of typhoid fever, particularly in the antibiotic era.

Observation:

  • A patient with confirmed typhoid fever presented with significant hematochezia (rectal bleeding) during hospitalization.
  • Colonoscopy revealed a cecal ulcer with an adherent clot as the source of bleeding.

Findings:

  • The patient's typhoid-related gastrointestinal bleeding was successfully managed conservatively.
  • No endoscopic intervention or further bleeding occurred after initial conservative treatment.

Implications:

  • This case demonstrates that severe gastrointestinal bleeding from typhoid fever can be managed effectively without endoscopic therapy.
  • Conservative management remains a viable option for typhoid-associated intestinal hemorrhage, even with complications like cecal ulcers.