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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2006 October;19(5):353-5
Small bowel infection secondary to S. Typhi infection
Lo Storto G., Ferrario A., Zoongo D., Casumba K. J., Priuli F.
Fatebenefratelli ‘s Mission “San Giovanni di Dio” ‘s Hospital BP 07 Tangueta, Benin, Africa
Aim. The aim of this study is to report our experience about perforation of infective origin of the small bowel in developing countries, with particular attention to the effects of surgical treatment on survival.
Methods. In the period since September the 1st 2002 until September the 1st 2003, 122 patients were admitted to our hospital for typhoid fever; 44 patients underwent exploratory laparotomy and in all them made diagnosis of small bowel perforation.
Results. Were performed 32 enterorraphies, 7 resections and 5 enterorraphies with resection. 13 of the 44 patients died (29.5%); 7 had undergone enterorraphy (21.9%), 2 resection and enterorraphy (40%), 4 resection (57.1%). Complications rate was 11.3%. None of these patients died. The difference of survival based on the kind of treatment demonstrated a value of P>0.5.
Conclusion. The perforation of the small bowel of infective origin is a prerogative of developing countries. The role of surgical treatment still must be assessed for this pathology.