[Acute abdomen caused by Salmonella typhi acute appendicitis].
Salmonella infections can manifest themselves as acute abdominal problems and lead to emergency surgery. Some examples are: salmonella-related intestinal perforations, gallbladder involments, salpingitis, and peritonitis. Mesenteric lymphadenitis associated with salmonella mimics acute appendicitis and it is often difficult to establish a timely and tempestive diagnosis in children with right lower abdominal pain. Because of the difficult diagnostic process, a significant number of patients with salmonella infections present acute abdomen and undergo needless operations. Instead, in our case of salmonella-related acute abdomen, laparotomy was the right therapeutic choice. The conclusion is drawn that, even if there is not a precise diagnosis, in salmonella-related acute abdomen the surgical approach is the right choice, considering the high morbidity and mortality associated with untreated appendicitis and intestinal perforations.
Manganaro
A
A
U.O. di Chirurgia Pediatrica, Dipartimento di Scienze Pediatriche Mediche e Chirurgiche, Università degli Studi di Messina, Messina, Italy. manganaroa@unime.it
Impellizzeri
P
P
Manganaro
A
A
Cutrupi
A
A
Formica
I
I
Zuccarello
B
B
D000006:Abdomen, Acute / Q000209:etiology* / Q000601:surgery; D001064:Appendicitis / Q000150:complications* / Q000382:microbiology* / Q000601:surgery; D002675:Child, Preschool; D005260:Female; D006801:Humans; D012485:Salmonella typhi / Q000472:pathogenicity*