[Role of ileostomy in typhoid peritonitis]

Diffuse peritonitis secondary to ileal perforation due to typhoid fever are serious and frequent in our country. 42 cases are reported. In 85% the perforation is on the end of the ileum between 10 to 50 cm from the Bauhin's valve. In 32 cases there is only one perforation. 8 patients underwent 50 cm resection of the end of the ileum with terminal ileostomy: one died. One case underwent closure. The washing out of peritoneum is done in 15 cases. The covery of the continuity is usually executed 3 months later by an iliac surgical approach in preference.