Related Experiment Videos
[Massive digestive hemorrhage in typhoid fever. A case report]
Presse Medicale (Paris, France : 1983)
|April 23, 1983
Summary
Massive intestinal bleeding during typhoid fever can be effectively treated with surgery. Angiography is useful for locating the bleeding source in such exceptional cases.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Infectious Diseases
Background:
- Typhoid fever, caused by Salmonella Typhi, can lead to severe gastrointestinal complications.
- Massive intestinal hemorrhage is a rare but life-threatening complication of typhoid fever.
Observation:
- A patient with typhoid fever presented with massive intestinal hemorrhage.
- Mesenteric angiography identified the bleeding source in the superior mesenteric artery.
Findings:
- Surgical excision of the ileo-colonic junction was performed.
- Pathological examination revealed necrosis of Peyer's plaques, leading to the severance of small submucosal arterioles.
- Endothelial lesions followed by thrombosis caused the observed necrosis.
Implications:
- This case highlights the diagnostic utility of mesenteric arteriography in identifying the bleeding site.
- Surgical intervention proved effective in managing this exceptional complication of typhoid fever.
- Early diagnosis and surgical management are crucial for improving outcomes in massive intestinal hemorrhage during typhoid fever.