This report represents a clinical study of 63 cases of ileal perforation due to typhoid fever at Department of General Surgery, Maryknoll Hospital in Busan, during 10 years from January, 1974 to December, 1983.
The results are summerized as follows:
1) The incidence of ileal perforation due to typhoid fever was apt to occur persistantly in spite of the improvement in socioeconomic condition and the development of medicine.
2) The ileal perforation due to typhoid fever continued to occur through the year with no outstanding seasional variation in occurence.
3) The sex ratio was 2.3:1, more frequent in male than femal. The peak incidence of age was in the period between the 3rd decade and the 4th.
4) Leukocytosis was present in 52.4%, leukopenia in 11.1%.
5) Widal test was positive(above 1: 80) in 52.4%, negative in 9.3% on admission.
6) Subdiaphragmatic free air was visible in 68.3% in the erect view of plain abdomen and chest films. The pattern of paralytic ileus or peritonitis was visible in 84.5% in plain abdomen.
7) The sites of perforation were located within 60cm proximal to the ileocecal valve in 75.7%, and single perforation was in 93.6%.
8) In the operative methods, debridment and simple closure was done in 95.9%, which obtained good result.
9) The postoperative complications were observed in about 52.4% of cases; wound infection, atelectasis and pneumonia, wound disruption, sepsis, fecal fistula, renal failure, intraabdo minal abscess, and ileus were observed in order of frequency.
10) The overall mortality ratio was 9.5%. The interval between the onset of perforation and the surgical intervention seemed to have a major influence on mortality.
11) The mean remission period of fever was 7 days after operation, and the mean stay in hospital was 14.5 days.
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