1. [Acute abdomen caused by Salmonella typhi acute appendicitis].
- Author
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Manganaro A, Impellizzeri P, Manganaro A, Cutrupi A, Formica I, and Zuccarello B
- Subjects
- Abdomen, Acute surgery, Appendicitis surgery, Child, Preschool, Female, Humans, Abdomen, Acute etiology, Appendicitis complications, Appendicitis microbiology, Salmonella typhi pathogenicity
- Abstract
Salmonella infections can manifest themselves as acute abdominal problems and lead to emergency surgery. Some examples are: salmonella-related intestinal perforations, gallbladder involments, salpingitis, and peritonitis. Mesenteric lymphadenitis associated with salmonella mimics acute appendicitis and it is often difficult to establish a timely and tempestive diagnosis in children with right lower abdominal pain. Because of the difficult diagnostic process, a significant number of patients with salmonella infections present acute abdomen and undergo needless operations. Instead, in our case of salmonella-related acute abdomen, laparotomy was the right therapeutic choice. The conclusion is drawn that, even if there is not a precise diagnosis, in salmonella-related acute abdomen the surgical approach is the right choice, considering the high morbidity and mortality associated with untreated appendicitis and intestinal perforations.
- Published
- 2006