PMC5753017_01
Intraoperative view of multiple typhoid ileal perforations (A to E) in the patient.
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fig1
On further inspection, multiple perforations were observed in the ileum (Figure 1).
Segmental resection of the distal ileum.
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fig2
About 28 cm of the distal ileum including the section with perforations was segmentally resected (Figure 2) to leave clean margins, and then, a manual 2-layer end-to-side anastomosis of the proximal edge of the ileum and the transverse colon was performed.
Abdominal drain (A).
CRIS2017-9424237.003.jpg
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fig3
Two abdominal drains were inserted to drain both the paracolic gutters and the rectovesical pouch through the right (Figure 3) and left lower quadrants of the abdomen.