2 Cases of Transcatheter Embolization Therapy of Massive Lower Gastrointestinal Bleeding due to Typhoid Fever.
- Author:
Sung Ki KIM
1
;
Mi Young KWON
;
In Han KIM
;
Jong Kil YOO
;
Jae Nam CHANG
;
Won CHOI
;
Don Haeng LEE
;
Pum Soo KIM
;
Hyung Gil KIM
;
Young Soo KIM
;
Sung Kwon KANG
Author Information
1. Department of Internal Medicine, Inha University, College of Medicine, Inchon, Korea.
- Publication Type:Case Report
- Keywords:
Typhoid Fever;
Gastrointestinal Bleeding;
Transcatheter Embolization Therapy
- MeSH:
Angiography;
Cholecystitis;
Colon;
Developing Countries;
Hemorrhage*;
Hepatitis;
Ileum;
Intestinal Perforation;
Mortality;
Osteomyelitis;
Pyelonephritis;
Typhoid Fever*;
Ulcer
- From:Korean Journal of Medicine
1999;56(2):196-202
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Typhoid fever is still endemic in developing countries and the cause of much morbidity and mortality. Complications such as intestinal hemorrhage, intestinal perforation, hepatitis, pyelonephritis, cholecystitis, osteomyelitis are known to occur. 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. But surgical intervention is difficult due to multiple bleeding sites and friable distal ileum and colon. These two cases are reported in order to draw attention to the usefulness of mesenteric arteriography and the effectiveness of transcatheter embolization therapy in massive intestinal hemorrhage due to typhoid fever.