Case detail

DIGESTIVE > SMALL INTESTINE

 

 

 

 

 

TYPHOID ULCERATION WITH PERFORATION

Catalogue No:  D6-i41-1927    Origin:  UCT Anat Path museum    Old Museum No:  XVI:iii:6    Year:  1929

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Clinical data:

The patient, a 46 year old woman, was one of a family of four - all of them with a history and physical findings typical of typhoid fever. Her death was caused by the peritonitis that set in after intestinal perforation.


Macroscopy:

The specimen consists of a strip of her small intestine showing two typical typhoid ulcers. The second strip is her terminal ileum, with including the appendix and the caecum; it shows several large, deeply eroding ulcers, and in the middle of the largest can be seen a perforation. On the serosal surface over the perforation there is only slight reaction, but over the base of the appendix there is a large patch of congested exudate.


Microscopy:
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