Massive lower gastrointestinal bleeding in patients with typhoid fever
Wig, J.D.; Malik, A.K.; Khanna, S.K.; Singh, K.; Talwar, B.L.; Shukla, N.K.; Sekar, N.
American Journal of Gastroenterology 75(6): 445-448
1981
ISSN/ISBN: 0002-9270 PMID: 6973927 Document Number: 177811
The classical approach to management of intestinal hemorrhage due to typhoid ulceration has been conservative. In, however, the event of massive, persistent and life-threatening hemorrhage not responding to conservative measures, early surgical intervention is life-saving, controls typhoid toxemia rapidly and presents no special difficulties. A right hemicolectomy is recommended. Four such patients treated by us with bowel resection have had an uneventful recovery.