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Peritonitis by perforation of the gall bladder of typhoid origin in children
Kone Rose Nandiolo1, Franck Grah Lohourou2, Benié Adoubs Celestin2, Ibrahim Traoré2, Jean Bertrand Ahua Kpangni2
1 Pediatric Surgery Unit of St Joseph Moscati Catholic Hospital of Yamoussoukro, University Alassane Ouattara, Bouaké, Republic of Côte Cote d'Ivoire
2 Pediatric Surgery Unit of the Teaching Hospital, University Alassane Ouattara, Bouaké, Republic of Côte Cote d'Ivoire
Correspondence Address:
Franck Grah Lohourou,
Pediatric Surgery Unit of the Bouaké Teaching Hospital, University Alassane Ouattara, Bouaké
Republic of Côte Cote d'Ivoire
 Source of Support: None, Conflict of Interest: None DOI: 10.4103/ajps.ajps_144_21
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Peritonitis by perforation of the gall bladder of typhic origin is a rare condition. In Côte d'Ivoire, no studies to our knowledge have addressed the vesicular complications of typhoid fever in children. The aim of this work was to describe the epidemic-clinical, therapeutic and evolutionary aspects of the perforation of the gall bladder of typhic origin in subjects under 15 years of age. In 6 years, five children showed a vesicular perforation of typhic origin or 9.4% of peritonites of typhic origin. They were 5 boys with an average age of 07.4 years 5–11 years. The children were from low socioeconomic backgrounds. No history was noted. Clinical examination revealed peritoneal syndrome. X-ray of the abdomen without preparation carried out in all children had objectified a diffuse greyness. Leucocytosis was present in all cases. Treatment in all children initially consisted of resuscitation and antibiotic therapy with the 3rd generation cephalosporin and an imidazole. Surgical exploration revealed gangrene and perforated gallbladder without damage to other organs or the presence of stones. A cholecystectomy was performed. The following procedures were simple in 4 patients. A patient died of sepsis following postoperative peritonitis by biliary fistula. Perforation of the gall bladder of typhic origin is rare in children. It is usually discovered at the stage of peritonitis. The treatment combines antibiotic therapy and cholecystectomy. Systematic screening should reduce the progression to this complication.
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