TYPHOID AND NON-TYPHOID ILEAL PERFORATION: SURGICAL EXPERIENCE OF 50 CASES

Typhoid and Non-Typhoid Ileal Perforation

Abstract

Objective: The objective of the study was, to find out the frequency of typhoid and non typhoid ileal perforation, to observe the association of various epidemiological factors in causation of disease and to note surgical, clinical, and laboratory findings along with mortality.
Study Design: A comparative descriptive study.
Place and Duration of the study: The study was conducted in the department of surgery Civil Hospital Karachi from June 1997 to August 1998.
Patients and Methods: Fifty consecutive patients of non – traumatic ileal perforation managed surgically were observed by making two groups of typhoid and non typhoid ileal perforation.
Results: Out of 50 (n=50) 32(Group –A) patients (26 male and 6 female) had typhoid while18 (Group -B) patients (15 male and 3 female) had non-typhoid ileal perforation. There were 41 (82%) male and 09 (18 %) female. In-group A age range was 16- 50 years and a mean of ± SD of 25 ± 10 while in group B age range was12– 60 years and a mean of ± SD of 26±11.65. In group A 90.6% while in group B 100 % patients had a single perforation. Wound infection was the most common complication. Mortality was 6.25 % and 5.5 % in group A and B respectively. There was no significant association (P<0.05) of gender, seasonal and living conditions.
Conclusion: Surgical cum Epidemiological findings point out to the need of distinguishing between different types of non traumatic ileal perforation, and having check on the related causative factors leading to their occurrences.