Transverse colon perforation in enteric fever

Abstract

Typhoid intestinal perforation is an important cause of morbidity and mortality in many developing countries. Most of the perforations occur in the terminal ileum. However, rarely colonic perforations has also been reported to occur in which solitary caecal perforations is reported to be most common. The rare case of transverse colon perforation in enteric fever in a 10 year old child was observed. She was managed by exploratory Laparotomy and simple closure of perforation with thorough peritoneal lavage. Post operatively she developed left sided pneumonia and was managed conservatively. She was discharged on 14th postoperative day. To conclude, the possibility of colonic perforation should be kept in mind in patients of enteric perforation peritonitis before the diagnosis of sealed perforation is made. © Medwell Journals, 2010.