Ileal perforation associated with dengue in the paediatric age group: an uncommon presentation

Abstract

Acute abdomen in dengue, a common arboviral disease found in tropical and subtropical countries, is not uncommon and can occasionally present as acute surgical emergency requiring urgent surgical intervention. The spectrum of acute abdomen presenting as surgical emergency in dengue infection that raises suspicion of an abdominal catastrophe includes acute appendicitis, acute cholecystitis, appendicitis and, rarely, intestinal perforation. All cases of intestinal perforation including appendicular, gastric and jejunal perforation have been reported in adult patients during the course of dengue infection. However, intestinal perforation during the course of dengue infection in the paediatric age group has never been reported. We report two cases of ileal perforation in children occurring during the course of dengue infection.

Dengue Infections and the Surgical Patient

“…Supplemental Table S5 summarizes the other less common surgical manifestations in dengue. 16,23,[95][96][97][98][99][100][101][102][103][104][105][106][107][108][109][110][111][112][113][114] Seven studies and several case reports/series were found mainly from Asian countries. A total of 296 patients were described.…”