A review of typhoid perforation in a rural African hospital

Agbakwuru, E A; Adesunkanmi, A. R. K.; Fadiora, S O; Olayinka, O.S.; Aderonmu, A O A; Ogundoyin, Olakayode Olaolu

doi:10.4314/wajm.v22i1.27973

Cited by 32 publications

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“…Commuting to and from school in places where motorcycles are major means of transport, with poor road infrastructure and impatient drivers/ riders put these children at risk of road traffic injuries. Similarly, the absence of school feeding program encourages the pupils/ students to patronize food vendors which may increase the risk of contracting food and water borne diseases like enteric fever; which was a major cause of surgical abdomen in them 14 .…”

Section: Discussionmentioning

confidence: 99%

Surgical Abdomen in School Age Children: A Prospective Review From Two Centers In SouthWestern Nigeria

Etonyeaku¹,

Talabi²,

Akinkuolie³

et al. 2017

East. Cent. Afr. J. Surg.

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Background: Surgical abdomen traverses all age groups. We sought to define the aetiology, patients' characteristics, and outcome of management amongst children Methods: Two years prospective review of patients aged 5-15 years managed for surgical abdomen at the Wesley Guilds Hospital Ilesa and Mishmael Medical Centre Akure, Nigeria. Results: Fifty two patients were treated. The male: female ratio was 1:1. The age range was 5years to 15years (mean=11.25 ±2.24years). Mean duration of illness was 29.5hours (range 2-72hours). Gut perforation was the most common aetiology (n=39; 75%); with perforations due to infections most prevalent (n= 34; 87.2%). Ten cases (19.2%) were trauma related and showed male predominance. Obstructed gut accounted for 15.4% (n=8) of cases; and showed female predominance. Five out of the eight small bowel obstructions (62.5%) were due to post operation adhesions. Pre-operative and post-operative diagnoses were congruent in 90.4% (n=47) of cases. Major post-operative complications were surgical site infection (20; 38.5%), and pneumonia (5; 9.6%). The average hospital stay was 9days (range 4-21days). Mortality rate was 1.9% (n=1). Conclusion: Acute abdomen requiring surgical intervention is mainly infective origin. The male child is more at risk of abdominal trauma while gut obstruction was more common in females.

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Section: Discussionmentioning

confidence: 99%

Surgical Abdomen in School Age Children: A Prospective Review From Two Centers In SouthWestern Nigeria

Etonyeaku¹,

Talabi²,

Akinkuolie³

et al. 2017

East. Cent. Afr. J. Surg.

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“…Wound infection still remains the major reason for morbidity in these patients and can lead to burst abdomen. [3][4][5] The mainstay of treatment for small bowel perforation is surgery. 1 There are several modalities of operations are done to improve outcome.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic approach for small - bowel perforation - early outcome for 20 patients

Patel

2016

Int Surg J

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“…Of the 20% that had multiple perforations, one patient had 3 perforations, while the remaining three 11 patients had 2 perforations each. In Akoh's study about 78% of the patients had single perforation.…”

Section: Discussionmentioning

confidence: 99%

Pattern and Outcome of Typhoid Perforation in Benin City

Osime¹,

Osifo²

2009

Journal of Medicine and Biomedical Research

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Over a 26-year period, there were only twenty four cases of perforated typhoid that were operated at the University of Benin Teaching Hospital. Four cases had incomplete data and were excluded from the study and only twenty cases were therefore included in the study. Of the twenty patients, there were 12 males and 8 females and the age range was between 11 and 45 years, with a mean of 25.65 years. The main complaints were fever, abdominal pain, vomiting, diarrhea or constipation. Most of the patients presented late to the hospital. Most of the patients had single perforations. Simple closure was the method of treatment in most of the patients. Wound infection was the major post operation complication. The average hospital stay was 16.3 days. We conclude that compared with other tertiary health institutions in Nigeria, the incidence of typhoid perforation is low at the University of Benin Teaching Hospital, Benin City, Nigeria and simple closure of perforations is efficient in managing typhoid perforations.

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A review of typhoid perforation in a rural African hospital

Cited by 32 publications

References 0 publications

Surgical Abdomen in School Age Children: A Prospective Review From Two Centers In SouthWestern Nigeria

Surgical Abdomen in School Age Children: A Prospective Review From Two Centers In SouthWestern Nigeria

Laparoscopic approach for small - bowel perforation - early outcome for 20 patients

Pattern and Outcome of Typhoid Perforation in Benin City

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