ABSTRACT
As most often advocated, treatment of intestinal bleeding caused by typhoid fever is by conservative means. Although it requires meticulous and intensive care, treatment by surgery is rarity Four cases which are treated by surgery was reported and was decided upon after failure of conservative treatment. The fourth cases had resections of the distal ileum extended to a right hemicolectomy. The histopathologic examination of the all cases, revealed alcerative plaques of Peyer's patches in the distal ileum and caeceum, confirming the diagnosis of typhoid fever.