Perforated tuberculous enteritis - clinical features and early results of surgical treatment
- Author:
Nguyen Van Hai
- Publication Type:Journal Article
- Keywords:
intestinal perforation
- MeSH:
Enteritis;
Diagnosis;
Therapeutics;
Surgery
- From:Journal Ho Chi Minh Medical
2005;9(3):161-166
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
Retrospective study was carried out on all patients treated for perforated tuberculous enteritis treated at Gia Dinh Hospital between 1999 and 2004. Definite diagnosis of perforated tuberculous enteritis was based on surgical and histopathological findings. Results: there were 15 patients including 14 males and 1 female with mean age of 39 years (range 20 to 82 years). Noticeable clinical manifestations were: abdominal pain (steadily severe in 5 patients and insidious with exacerbation in 10 patients), fever above 38oC in 5 patients, cachexia in 11 patients, abdominal tenderness and muscular guarding in 15 patients, preoperative shock in 4 patients. 60% of patients experienced tuberculosis and 60% patients had imagines of free gas in abdominal cavities on X-ray films. 6 patients had leucopenia and 5 patients had HIV positive. In operation, perforations were found in ileum and ileocecal region in 86.7% of cases. Postoperative morbidity and mortality rates were 60% and 46.7%, respectively
