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[Massive lower digestive hemorrhage caused by typhoid fever]
Revista Espanola De Las Enfermedades Del Aparato Digestivo
|November 1, 1989
Summary
Typhoid fever can cause severe lower intestinal bleeding requiring emergency surgery. This case highlights surgical intervention for uncontrollable hemorrhage, detailing the characteristic histological findings.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Surgical Pathology
Background:
- Typhoid fever, a systemic infection caused by *Salmonella Typhi*, can lead to severe gastrointestinal complications.
- Massive lower intestinal bleeding is a rare but life-threatening manifestation of typhoid fever.
Observation:
- A patient presented with massive lower intestinal bleeding attributed to typhoid fever.
- Diagnostic procedures including endoscopy and arteriography were performed but yielded negative results for the bleeding source.
Findings:
- Emergency surgical intervention, specifically a right hemicolectomy and resection of the distal ileum, was necessary due to uncontrollable bleeding.
- Histopathological examination of the resected tissue revealed lesions characteristic of typhoid fever.
Implications:
- This case underscores the importance of considering typhoid fever in the differential diagnosis of severe lower GI bleeding, even with negative initial investigations.
- Prompt surgical management may be life-saving in cases of intractable hemorrhage from typhoid enteritis.
- Understanding the histological features is crucial for confirming the diagnosis and guiding patient management.