Commonly done treatment of single perforation of typhoid in ileum.: (A) Direct closure, (B) Graham patch, (C) Resection of ileum, (D) Ileostomy
Answer is A. Ans. (a) Direct closureRef: Sabiston 20th edition, Page 1267Typhoid intestinal perforation:* Intestinal perforation occurs in 2% cases.* Typically, it is usually a single perforation in Peyer's patch areas* Simple closure is the treatment of choice* Multiple perforation occurs in 25% cases* In such cases of multiple perforations resection is done followed by anastomosis or exteriorization depending upon the case