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Typhoid Caecal Perforation in a Two-Year Old Child: A Case Report
Ogundoyin Olakayode1,2, Ijeoma Chibuzo2, Hyginus Ekwuazi2
1Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Ethiopian Journal of Health Sciences
|November 1, 2019
Summary
Typhoid fever can cause rare caecal perforations in young children, even as young as two. Early detection requires a high index of suspicion for this atypical presentation of enteric fever.
Area of Science:
- Pediatric Surgery
- Infectious Diseases
- Gastroenterology
Background:
- Typhoid fever is prevalent in low-resource settings, often causing ileal perforations.
- Caecal perforations from typhoid fever are rare, particularly in children under five.
- Atypical presentations, including cough, can mask caecal perforations in young children.
Observation:
- A case report details a two-year-old girl presenting with a perforated typhoid caecitis.
- The diagnosis was confirmed by intraoperative findings and histopathology.
- The patient underwent a right hemicolectomy for the condition.
Findings:
- Typhoid fever can lead to caecal perforations in children as young as two years old.
- This complication may present atypically, differing from the more common ileal perforations.
- Cough can be an unusual accompanying symptom in pediatric typhoid-related caecal perforations.
Implications:
- Clinicians should maintain a high index of suspicion for caecal perforations in children with suspected enteric fever.
- Early diagnosis and surgical intervention are crucial for managing this rare complication.
- Understanding atypical presentations improves diagnostic accuracy in pediatric typhoid fever.
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