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CASE REPORT
Typhoid fever with caecal ulcer bleed: managed conservatively
  1. Vinoth Boopathy1,
  2. Sivakumar Periyasamy2,
  3. Thomas Alexander1,
  4. Padhmini Balasubramanian3
  1. 1Department of Gastroenterology, Pondicherry Institute of Medical Sciences, Pondicherry, India
  2. 2Department of Medicine, Pondicherry Institute of Medical Sciences, Pondicherry, India
  3. 3Department of Radiology, Pondicherry Institute of Medical Sciences, Pondicherry, India
  1. Correspondence to Dr Vinoth Boopathy, drbvinoth{at}gmail.com

Summary

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.

https://doi.org/10.1136/bcr-2014-203756

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