This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Small & Large Intestine, Subject name: Surgery
Commonly done treatment of single perforation of typhoid in ileum. 
Select and explain. 
A. Direct closure, B. Graham patch, C. Resection of ileum, D. Ileostomy
A: Direct closure
Answer: A: Direct closure 
Explanation: 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