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MINERVA PEDIATRICA

A Journal on Pediatrics, Neonatology, Adolescent Medicine,
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Minerva Pediatrica 2006 April;58(2):203-5

Copyright © 2006 EDIZIONI MINERVA MEDICA

language: Italian

Acute abdomen caused by Salmonella typhi acute appendicitis

Manganaro A., Impellizzeri P., Manganaro A., Cutrupi A., Formica I., Zuccarello B.

U.O. di Chirurgia Pediatrica Dipartimento di Scienze Pediatriche Mediche e Chirurgiche Università degli Studi di Messina, Messina


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Salmonella infections can manifest themeselves as acute abdominal problems and lead to emergency surgery. Some examples are: salmonella-related intestinal perforations, gallbladder involments, salpingitis, and peritonitis. Mesen-teric lymphadenitis associated with salmonella mimics acute appendicitis and it is often difficult to estabilish a timely and tempestive diagnosis in children with right lower abdominal pain. Because of the difficult diagnostic process, a significant number of patients with salmonella infections present acute abdomen and undergo needless operations. Instead, in our case of salmonella-related acute abdomen, laparotomy was the right therapeutic choice. The conclusion is drawn that, even if there is not a precise diagnosis, in salmonella-related acute abdomen the surgical approach is the right choice, considering the high morbidity and mortality associated with untreated appendicitis and intestinal perforations.

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