DOI: 10.36347/sasjs

Pages: 21-24

Perforation of upper gastrointestinal tract constitutes the majority of cases in India and subcontinent. The postulated causes of ileal perforation include typhoid fever, tuberculosis, trauma, crohn’s Disease, malignancy etc. Perforation of the intestine is the most serious complication of typhoid fever and remains a significant problem with in many parts of the world. Typhoid fever is caused by salmonella typhi, a gram negative bacillus and is acquired by ingestion of contaminated water or food. Various operative procedure have been advocated by different authors such as primary repair of perforation, repair of perforation with ilio-trasverse colostomy, single layer repair with omental patch, trimming of ulcer edge and closure, wedge excision and anastomosis. Even with such variety of procedures, enteric perforation still has a high rate of morbidity and mortality.