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What is A 5 year old child with gas under diaphragm is seen in ? and explain in detail?
Pneumoperitoneum:free air under the diaphram on an upright chest film suggests the presence of a bowel perforation and underlying peritonits. Enteric fever with intestinal perforation:seen in 1-3 %cases,occur in 3rd- 4th week of illness due to hyperplasia,ulceration and necrosis at the ileocecal peyer&;s patches at the initial site of salmonella infiltration. Ref : HARRISON&;S PRINCIPLES OF INTERNAL MEDICINE,18 TH EDITION(pg no:2692)