Typhoid Perforation of the Ileum

Abstract
The clinical notes and abdominal radiographs of 12 patients with proven typhoid perforation of the distal ileum have been reviewed. The radiographic findings on supine and erect plain abdominal films taken shortly before surgery or death are described. A large quantity of free intraperitoneal gas, an uncommon finding in small bowel perforation due to other causes, was present in half of the cases. Secondary changes typically seen with peritonitis were present in most cases although the distribution of bowel gas and distension was unusual.

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