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Salmonella typhimurium as a Rare Cause of Small Bowel Obstruction

Sunny Sandhu1, Dhuha Alhankawi2, Devang Prajapati2,3

  • 1Department of Internal Medicine, University of California, San Francisco, Fresno, CA, USA.

Journal of Community Hospital Internal Medicine Perspectives
|October 20, 2022
PubMed

Insights

Small bowel obstruction (SBO) can rarely be caused by Salmonella typhimurium. This case highlights CT imaging and culture data for diagnosing and treating this uncommon cause of SBO.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Radiology

Background:

  • Small bowel obstruction (SBO) is a frequent cause of hospitalization globally.
  • Post-operative adhesions are the most common etiology of SBO.
  • Less common causes of SBO require consideration due to diagnostic and therapeutic implications.

Observation:

  • This report details the first known case of SBO attributed to terminal ileitis induced by Salmonella typhimurium.
  • The patient presented with clinical signs necessitating investigation for SBO.

Findings:

  • Specific computed tomography (CT) imaging characteristics were indicative of an infectious ileitis.
  • Microbiological culture data confirmed the presence of Salmonella typhimurium.
  • These diagnostic elements led to the successful treatment of the SBO.

Implications:

  • Highlights Salmonella typhimurium as a rare but significant cause of SBO.
  • Emphasizes the importance of considering infectious etiologies in SBO differentials.
  • Demonstrates the utility of integrated CT imaging and microbiological analysis in diagnosing and managing uncommon SBO causes.
Keywords:
SalmonellaSmall bowel obstructionTerminal ileitis

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