Isolated Rectal Perforation Presenting as Peritonitis in a Child with Enteric Fever

Typhoid fever is caused by the gram-negative bacillus Salmonella typhi (S. typhi), and it is an important public health problem in developing countries.1 Typhoid fever is endemic in those parts of world where sanitation is poor.2 Perforation of the bowel from typhoid fever is a serious abdominal complication, which continues to be the most frequent cause of its highmorbidity andmortality.3 Terminal ileum is the commonest site of perforation.2 We treated a patient with a positive Widal’s test and perforation in the anterior rectal wall.