Vol.15, No 2, 2008 pp. 51 - 55
UC 616.34-002.5

ABDOMINAL LOCALISATION OF TUBERCULOSIS AND THE ROLE OF SURGERY
Hadži-Bojan Marjanović1, Vanja Pecić1, Goran Marjanović2, Vesna Marjanović3
1Department of Surgery, Clinical Centre Niš, Republic of Serbia
2Department of Hematology, Clinical Centre Niš, Republic of Serbia
3Clinic of Child Surgery and Orthopedics, Clinical Centre Niš, Republic of Serbia
 E-mail: bokijaca@eunet.rs

Summary. Abdominal tuberculosis is a rare disease presented by non-specific symptoms, laboratory and radiography findings that make it difficult to diagnose. Surgical treatment of 11 patients (8 males, 3 females, age range 27-74 years), with abdominal tuberculosis was analyzed retrospectively and the literature was reviewed. Urgent surgical intervention was done in 6 cases due to peritonitis, while in 5 it was done after a minimal diagnostic procedure. Surgical exploration was done in 5 patients (45,4%), ileostomy in 4 (36,4%), right-hemicolectomy in 2 (18,2%). Six patients were operated once, 4 were operated twice and one had 4 operations. Eight patients survived (72,7%), 3 died (27,3%). Simultaneus abdominal and pulmonary involvment was registered in 6 patients (54,5%). Diagnosis of tuberculosis was confirmed with a pathology exam. Surgical intervention is very often the only diagnostic and also a therapeutic option for patients with abdominal tuberculosis.
Key words: Abdominal tuberculosis, acute abdomen

ABDOMINALNA LOKALIZACIJA TUBERKULOZE I ULOGA HIRURGIJE
Kratak sadržaj: Abdominalna tuberkuloza je retko oboljenje koje odlikuju nespecifični simptomi koji otežavaju previlnu dijagnozu. Retrospektivno je analizirano hiruško lečenje 11 pacijenata (8 muškaraca i 3 žene, raspon godina starosti 27-74), sa abdominalnom tuberkulozom uz analizu literature. Hitna hiruška intervencija je izvršena u 6 slučajeva zbog peritonitisa, dok je kod 5 pacijenata operacija urađena nakon sprovođenja minimalnih dijagnostičkih procedura. U 5 slučajeva je urađena hiruška eksploracija (45,4%), kod 4 ileostoma (36,4%) a kod 2 je urađena desna hemikolektomija (18,2%). Šest slučajeva je operisano samo jednom, 4 je bilo operisano u dva navrata (u dva akta) dok je jedan bolesnik operisan 4 puta. Osmoro pacijenata je preživelo (72,7%), dok je troje umrlo (27,3%). Istovremena plućna I abdominalna tuberkuloza je nađena u 6 slučajeva (54,5%). U svim slučajevima, dijagnoza tuberkuloze je potvrđena patohistološki. Hiruška intervencija je veoma često jedina dijagnostička ali i terapiska mera za pacijente sa abdominalnom tuberkulozom.
Ključne reči: abdominalna tuberkuloza, akutni abdomen