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[Acute intestinal tuberculosis].
- Source :
-
Annales de chirurgie [Ann Chir] 2006 May; Vol. 131 (5), pp. 306-10. Date of Electronic Publication: 2006 Feb 20. - Publication Year :
- 2006
-
Abstract
- Aim of Study: To report cases from Vietnam of intestinal tuberculosis disease, which is uncommon but did not disappear in occidental countries.<br />Materials and Methods: Seventy-six patients were included in this retrospective study. Mean age was 40 years and sex ratio M/F was 6. Diagnosis was established on pathological examination of resected specimen or on presence of Mycobacterium tuberculosis or by polymerase chain reaction.<br />Results: Intestinal obstruction or subobstruction was the most usual symptom (68%), and thereafter peritoneal symptoms with pain and tenderness (17%). Five patients had intractable digestive haemorrhage. Thirty-six patients had no past history or active pulmonary tuberculosis (47%). Lesions of stenosis on barium enema and thickness of intestinal wall on CT-scan were not specific. Sixty-two patients were operated on (82%) and 14 were not. Surgical techniques differed according symptoms, site and type of lesions. Intestinal resections were performed in half of the patients, others undergoing stomies or enterolysis. There were eight postoperative deaths (13% of patients operated on), seven out of these deaths were attributable to cachexy. In the postoperative period, all the patients were medically treated and follow-up in the antituberculosis centre of Hanoi.<br />Conclusion: Symptomatology and operative findings of intestinal tuberculosis are similar to those observed in Crohn's disease, and sometimes in amoeboma or lymphoma. In face of stenosis and intestinal wall thickness, probability of intestinal tuberculosis is high in endemic area, but diagnosis must be suspected in occidental countries, mainly in patients immigrated coming from these areas, patients with immuno-deficiency even if they did not have past or present pulmonary tuberculosis.
- Subjects :
- Adolescent
Adult
Aged
Antitubercular Agents therapeutic use
Cachexia mortality
Constriction, Pathologic epidemiology
Enterostomy
Female
Follow-Up Studies
Gastrointestinal Hemorrhage epidemiology
Humans
Intestinal Obstruction epidemiology
Male
Middle Aged
Mycobacterium tuberculosis isolation & purification
Postoperative Complications
Retrospective Studies
Rural Health statistics & numerical data
Tuberculosis, Gastrointestinal mortality
Tuberculosis, Pulmonary epidemiology
Urban Health statistics & numerical data
Vietnam epidemiology
Tuberculosis, Gastrointestinal epidemiology
Subjects
Details
- Language :
- French
- ISSN :
- 0003-3944
- Volume :
- 131
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Annales de chirurgie
- Publication Type :
- Academic Journal
- Accession number :
- 16545337
- Full Text :
- https://doi.org/10.1016/j.anchir.2006.01.013