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Typhoid fever with caecal ulcer bleed: managed conservatively.
BMJ Case Rep. 2014;2014
Authors: Boopathy V, Periyasamy S, Alexander T, Balasubramanian P
Abstract
Typhoid fever is caused by enteroinvasive Gram-negative organism Salmonella typhi. The well-known complications of typhoid fever are intestinal haemorrhage and perforation. In the pre-antibiotic era, these complications were quite common, but in the current antibiotic era the incidence of these complications is on the decline. We report a case of a patient with typhoid fever who developed haematochezia during the hospital stay and was found to have caecal ulcer with an adherent clot on colonoscopy. He was managed successfully with conservative measures without endotherapy and there was no rebleed.
PMID: 24686806 [PubMed - indexed for MEDLINE]