Typhoid ulcer causing life-threatening bleeding from Dieulafoy's lesion of the ileum in a seven-year-old child: a case report.
BACKGROUND
We describe a case of rare complication of typhoid fever in a seven-year-old child and review the literature with regard to other rare causes of bleeding per rectum. Dieulafoy's lesion is an uncommon but important cause of recurrent gastrointestinal bleeding. Dieulafoy's lesion located extragastrically is rare. We report a case of typhoid ulcer with Dieulafoy's lesion of the ileum causing severe life-threatening bleeding and discuss the management of this extremely uncommon entity.


METHODS
As a complication of typhoid fever, a seven-year-old Kurdish girl from Northern Iraq developed massive fresh bleeding per rectum. During colonoscopy and laparotomy, she was discovered to have multiple bleeding ulcers within the Dieulafoy's lesion in the terminal ileum and ileocecal region.


CONCLUSIONS
Although there is no practical way of predicting the occurrence of such rare complications, we emphasize in this case report the wide array of pathologies that can result from typhoid fever.
Ezzat
Rajan Fuad
RF
Department of Surgery, Sulaimanyah Teaching Hospital, Sulaimanyah, Iraq. rajanfuad@yahoo.com.
Hussein
Hiwa A
HA
Baban
Trifa Shawkat
TS
Rashid
Abbas Tahir
AT
Abdullah
Khaled Musttafa
KM