Mamun Ibn Munim1, Guljar Ahmed2, Hasina Choudhury3,
Md. Siddiqur Rahman4, Mushfiqur Rahman5
1. Assistant Professor, Department of Surgery, North-East Medical College, Sylhet
2. Associate professor, Department of Surgery, North-East Medical College, Sylhet
3. OSD, DG Health, Mohakhali, Dhaka.
4. Associate Professor, Department of Urology, Womens Medical College, Sylhet
5. Associate Professor, Department of Surgery, Prime Medical College, Rangpur
Abstract
Small bowel perforation is a common surgical emergency all over the world. The etiology of small bowel perforation is different in different parts of the world. I the eastern world typhoid ulcer is the important cause of small bowel perforation. Typhoid fever is a protracted disease that includes bacteremic phase with fever and chills during the first week, wide spread reticulo-endothelial involvement with rash, abdominal pain and prostration in the second week and ulceration of payer’s patches with intestinal bleeding and perforation during the third week. Now a days the mortality of typhoid ulcer perforation is though decreasing, still remains very high ranging from 1-39% with significant morbidity in spite of therapeutic progress. The purpose of the study is to see the clinico-pathological features of typhoid ulcer perforation of small bowel. A total 63 patients with typhoid ulcer perforation were enrolled in this study. Inclusion criteria were typhoid ulcer perforation, aged 18 years and above. Exclusion criteria were typhoid ulcer perforation with diabetes mellitus, renal failure, debilitated patient and malignancy.
Key Words: Small bowel, Perforation, Typhoid ulcer.