Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Typhoid ulcer causing life-threatening bleeding from Dieulafoy's lesion of the ileum in a seven-year-old child: a case report. | Ezzat et al. Journal of Medical Case Reports 2010 4 171 http content 4 1 171 jA CASE REPORTS CASE REPORT Open Access Typhoid ulcer causing life-threatening bleeding from Dieulafoy s lesion of the ileum in a seven-year-old child a case report Rajan Fuad Ezzat 1 Hiwa A Hussein2 Trifa Shawkat Baban3 Abbas Tahir Rashid1 and Khaled Musttafa Abdullah1 Abstract Introduction We describe a case of rare complication of typhoid fever in a seven-year-old child and review the literature with regard to other rare causes of bleeding per rectum. Dieulafoy s lesion is an uncommon but important cause of recurrent gastrointestinal bleeding. Dieulafoy s lesion located extragastrically is rare. We report a case of typhoid ulcer with Dieulafoy s lesion of the ileum causing severe life-threatening bleeding and discuss the management of this extremely uncommon entity. Case presentation As a complication of typhoid fever a seven-year-old Kurdish girl from Northern Iraq developed massive fresh bleeding per rectum. During colonoscopy and laparotomy she was discovered to have multiple bleeding ulcers within the Dieulafoy s lesion in the terminal ileum and ileocecal region. Conclusion Although there is no practical way of predicting the occurrence of such rare complications we emphasize in this case report the wide array of pathologies that can result from typhoid fever. Introduction Typhoid fever and paratyphoid fever is a systemic infection caused by Salmonella enterica including S. enterica serotype Typhi S. typhi and serotype Paratyphi S. paratyphi . Enteric fever is a faecal-oral transmissible disease and thus occurs in an environment with overcrowding poor sanitation and untreated water 1 . Complications occur in 10 to 15 of patients and are particularly likely in patients who have been ill for more than two weeks. Many complications have been described of which gastrointestinal bleeding intestinal perforation and typhoid encephalopathy are .
