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Gallbladder perforation complicating typhoid fever: report of two cases.
Niger J Med. 2011 Jan-Mar; 20(1):181-3.NJ

Abstract

BACKGROUND

Gallbladder perforation (GBP) is rare and as a complication of typhoid fever is extremely rare. We present two consecutive patients with GBP diagnosed incidentally at laparotomy.

METHOD

Information on the management of two patients with gallbladder perforation seen at Federal Medical Centre Azare in June and October 2008 was extracted from their case records.

RESULTS

The two patients were both males aged 13 years and 16 years. They both presented with high fever of more than 2 weeks duration; and abdominal pain and distension. Both patients had features of generalised peritonitis. Pre-operative diagnoses of typhoid enteric perforation were made based on a positive Widal test. Intra-operative findings however, were that of bile peritonitis and gallbladder perforation. Both had cholecystectomy. Culture of the bile aspirate yielded Salmonella typhi.

CONCLUSION

Gallbladder perforation secondary to typhoid fever should be considered as a differential diagnosis in patients with suspected typhoid enteric perforation in typhoid fever endemic region.

Authors+Show Affiliations

Department of Surgery, University of Maiduguri Teaching Hospital, Borno State, Nigeria. mbgal@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21970286

Citation

Gali, B M., et al. "Gallbladder Perforation Complicating Typhoid Fever: Report of Two Cases." Nigerian Journal of Medicine : Journal of the National Association of Resident Doctors of Nigeria, vol. 20, no. 1, 2011, pp. 181-3.
Gali BM, Ali N, Agbese GO, et al. Gallbladder perforation complicating typhoid fever: report of two cases. Niger J Med. 2011;20(1):181-3.
Gali, B. M., Ali, N., Agbese, G. O., Duna, V. D., Dawha, S. D., Ismai, G. I., & Mohammed, M. (2011). Gallbladder perforation complicating typhoid fever: report of two cases. Nigerian Journal of Medicine : Journal of the National Association of Resident Doctors of Nigeria, 20(1), 181-3.
Gali BM, et al. Gallbladder Perforation Complicating Typhoid Fever: Report of Two Cases. Niger J Med. 2011 Jan-Mar;20(1):181-3. PubMed PMID: 21970286.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gallbladder perforation complicating typhoid fever: report of two cases. AU - Gali,B M, AU - Ali,N, AU - Agbese,G O, AU - Duna,V D, AU - Dawha,S D, AU - Ismai,G I, AU - Mohammed,M, PY - 2011/10/6/entrez PY - 2011/10/6/pubmed PY - 2011/12/21/medline SP - 181 EP - 3 JF - Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria JO - Niger J Med VL - 20 IS - 1 N2 - BACKGROUND: Gallbladder perforation (GBP) is rare and as a complication of typhoid fever is extremely rare. We present two consecutive patients with GBP diagnosed incidentally at laparotomy. METHOD: Information on the management of two patients with gallbladder perforation seen at Federal Medical Centre Azare in June and October 2008 was extracted from their case records. RESULTS: The two patients were both males aged 13 years and 16 years. They both presented with high fever of more than 2 weeks duration; and abdominal pain and distension. Both patients had features of generalised peritonitis. Pre-operative diagnoses of typhoid enteric perforation were made based on a positive Widal test. Intra-operative findings however, were that of bile peritonitis and gallbladder perforation. Both had cholecystectomy. Culture of the bile aspirate yielded Salmonella typhi. CONCLUSION: Gallbladder perforation secondary to typhoid fever should be considered as a differential diagnosis in patients with suspected typhoid enteric perforation in typhoid fever endemic region. SN - 1115-2613 UR - https://www.unboundmedicine.com/medline/citation/21970286/Gallbladder_perforation_complicating_typhoid_fever:_report_of_two_cases_ L2 - http://www.diseaseinfosearch.org/result/7276 DB - PRIME DP - Unbound Medicine ER -