Postpartum Typhoid Intestinal Perforation

Authors

  • Dare Julius UNIVERSITY OF ILORIN TEACHING HOSPITAL
  • Abdulwahab Oluwatomisin Lawal MCON institute of medical research https://orcid.org/0000-0003-3781-5169
  • Olabinjo Hafeezoh University of Ilorin Teaching Hospital, Ilorin. Nigeria
  • Balogun Olayinka University of Ilorin Teaching Hospital, Ilorin. Nigeria
  • Aremu Ishaq University of Ilorin Teaching Hospital, Ilorin. Nigeria
  • Adenuga Adedire Cedarcrest Hospitals Abuja. Nigeria

DOI:

https://doi.org/10.55320/mjz.49.2.14

Keywords:

Typhoid fever, Intestinal perforation, Pregnancy

Abstract

Background: Typhoid fever remains a highly contagious and multi-systemic infection caused by salmonellae typhi, and like other gastro-enteric infection, it poses a higher risk of morbidity and mortality during pregnancy as a result of the physiological changes associated with pregnancy as well as concerns of antibiotic safety in pregnancy. The occurrence of typhoid perforation in pregnancy may be easily confused for other causes of acute abdomen in pregnancy.

We report the presentation, management and outcome of a 25 year old postpartum woman who presented with typhoid intestinal perforation in a resource limited environment. She had an emergency exploratory laparotomy and was managed post operatively in the ICU but clinically deteriorated and subsequently died on the third post-operative day secondary to multiple organ failure from severe sepsis.

Typhoid perforation in pregnancy is a rare presentation, a high index of suspicion, and early intervention, would reduce the incidence of morbidity and mortality associated with this disease condition.

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Author Biographies

Olabinjo Hafeezoh, University of Ilorin Teaching Hospital, Ilorin. Nigeria

Department of Obstetrics and Gynaecology

Balogun Olayinka, University of Ilorin Teaching Hospital, Ilorin. Nigeria

Department of Obstetrics and Gynaecology

Aremu Ishaq, University of Ilorin Teaching Hospital, Ilorin. Nigeria

Department of Surgery

Adenuga Adedire, Cedarcrest Hospitals Abuja. Nigeria

Department of Surgery

Published

21-11-2022

How to Cite

Julius, D., Lawal, A. O., Hafeezoh, O., Olayinka, B., Ishaq, A., & Adedire, A. (2022). Postpartum Typhoid Intestinal Perforation. Medical Journal of Zambia, 49(2), 198–201. https://doi.org/10.55320/mjz.49.2.14

Issue

Section

Case Report