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[Intestinal perforation in juvenile abdominal typhoid]
Rontgen-Blatter; Zeitschrift Fur Rontgen-Technik Und Medizinisch-Wissenschaftliche Photographie
|March 1, 1983
Summary
Intestinal perforation occurred in eight of 19 children with typhus abdominalis, always in the terminal ileum. X-ray findings, including small intestine meteorism, are similar to adults.
Area of Science:
- Pediatric Gastroenterology
- Infectious Diseases
- Radiology
Background:
- Typhus abdominalis, a severe infectious disease, can lead to serious complications in children.
- Intestinal perforation is a critical complication requiring prompt diagnosis and management.
Observation:
- Radiographic examination of children aged 4-12 with typhus abdominalis revealed specific signs.
- Key observations included intestinal perforation, meteorism of the small intestine, and in some cases, ileus.
Findings:
- Eight out of 19 pediatric patients (4-12 years) with typhus abdominalis presented with intestinal perforation.
- Perforation consistently localized to the terminal ileum, typically occurring between the second and fourth week of illness.
- Radiographic findings in children mirrored those seen in adults, with visualized free air and small bowel distension.
Implications:
- Early recognition of these radiographic signs is crucial for timely surgical intervention in pediatric typhus abdominalis.
- The consistent localization of perforation to the terminal ileum aids in surgical planning and diagnosis.
- Understanding these radiographic patterns improves diagnostic accuracy and patient outcomes in pediatric typhus abdominalis.