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
