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Dry Gangrene in Children with Typhoid Intestinal Perforation: A Report of Two Cases

Lofty-John C Anyanwu1, Aminu M Mohammad1, Lawal B Abdullahi1

  • 1Paediatric Surgery Unit, Department of Surgery, Aminu Kano Teaching Hospital, Bayero University Kano, Nigeria.

Case Reports in Surgery
|November 8, 2018
PubMed

Insights

Typhoid fever can cause intestinal perforation, a severe issue in developing nations. This report details rare cases of gangrene complicating this condition in children, emphasizing management difficulties.

Area of Science:

  • Pediatric Surgery
  • Infectious Diseases
  • Gastroenterology

Background:

  • Typhoid fever, caused by Salmonella Typhi, frequently leads to intestinal perforation, particularly in resource-limited settings.
  • While intestinal perforation is a known complication, extraintestinal manifestations are less commonly documented.

Observation:

  • This report presents two pediatric cases of gangrene occurring secondary to typhoid intestinal perforation.
  • The cases highlight the diagnostic and therapeutic challenges associated with managing such severe extraintestinal complications.

Findings:

  • Gangrene represents a rare but critical extraintestinal complication of typhoid intestinal perforation in children.
  • Successful management requires prompt recognition and aggressive surgical and medical intervention.

Implications:

  • Increased awareness of rare extraintestinal complications like gangrene is crucial for clinicians managing typhoid fever.
  • Further research into the pathophysiology and optimal management strategies for these severe cases is warranted.

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