J Korean Radiol Soc.  1979 Dec;15(2):448-455. 10.3348/jkrs.1979.15.2.448.

Radiological observation in typhoid fever

• Lim KY
• Park HY
• Kim JD
• Rhee HS

• KMID: 2349401
• DOI: http://doi.org/10.3348/jkrs.1979.15.2.448

Abstract

Radiographic findings in plain abdominal films, chest PA and liver scanning are considered to be ancillary diagnostic methods for uncomplicated typhoid fever and a valuable method for detection of complication such as intestinal perforation. 189 cases of clinically proven typhoid fever from Mar. 1973 to Feb. 1979 in this hospital were reviewed and radiographic findings were analyzed carefully. The rsuls are as follows; 1. Most(73.6%) cases were between 20 and 40 years of age. 2. Three of the most common radiographic findings were as follows; 1)Localized paralytic ileus in RLQ or diffuse paralytic ileus(96.3%). 2) Hepatomegaly(56.5%). 3) Splenomegaly(49.7%). 3. In cases of typhoid fever with intestinal perforation there were additional significant findings such as free air under diaphragm(85%), free fluid in peritoneal cavity(90%) and air fluid levels in RLQ(80%). 4. The most frequent chest X-ray finding was elevation of diaphragm(11.1%). 5. 8 cases of complicated typhoid fever which eventually came to operation were diagnosed only by radiographic method.

MeSH Terms

Intestinal Perforation
Intestinal Pseudo-Obstruction
Liver
Methods
Thorax
Typhoid Fever*