Fecal peritonitis

Case contributed by Dr Rodney Strahan


18 year old male traveled 300 kms by public transport, suffering from abdominal pain.

Patient Data

Age: 18
Gender: Male

Supine image:
Soft tissue density material in paracolic gutters, medial to properitoneal fat planes, displacing bowel medially. Free gas seen as 'football sign'.


Ultrasound demonstrates echogenic material in the peritoneal cavity, around the spleen and in the paracolic gutters.

Case Discussion

Distal ileal perforations were found at laparotomy, typical of typhoid fever. There was gross fecal contamination of the peritoneal cavity.

The patient survived the operation but succumbed to overwhelming sepsis.

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Case information

rID: 50190
Published: 23rd Dec 2016
Last edited: 18th Apr 2019
Inclusion in quiz mode: Included

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