Primary tuberculosis of the stomach, caecum, and appendix treated with antituberculous drugs

Stirk, D. I.

doi:10.1002/bjs.1800550317

Cited by 7 publications

(3 citation statements)

References 7 publications

(2 reference statements)

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“…The value of chemotherapy as a primary treatment is unknown although one of our patients with a short history responded very well. We can make no attempt to advise on the details of chemotherapy as opinions on the use of these drugs in tuberculous infections elsewhere are so variable, but Stirk (1968) also reported a cure by drugs alone in a patient with a short history. Anand's (1956) large series showed that reasonable results were achieved by either oneor twostage resections but unfortunately, except in the two-stage procedures, there is no direct comparison with ileotransverse colostomies.…”

Section: Discussion Ofresults Ofsurgical Treatmentmentioning

confidence: 99%

Clinical Features and Surgical Management of Ileocaecal Tuberculosis

Byrom

Mann

1969

Proceedings of the Royal Society of Medicine

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Section: Discussion Ofresults Ofsurgical Treatmentmentioning

confidence: 99%

Clinical Features and Surgical Management of Ileocaecal Tuberculosis

Byrom

Mann

1969

Proceedings of the Royal Society of Medicine

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“…14], Ideally, if the diagnosis can be established prior to surgical intervention, multiple (2 or 3) drug therapy with isoniazid, rifampin, ethambutol, and/or streptomycin is the accepted mode of therapy. Therapy is usually contin ued for 18-24 months and is highly effective [1,2,4,12], Surgical intervention is usually reserved for those cases with serious complications (e.g. obstruction, hemor rhage, or perforation) or lesions indistinguishable from carcinoma.…”

Section: Discussionmentioning

confidence: 99%

“…He defervesced on the 3rd postoperative day and was tolerating an oral diet by day 6, although he still had a mild leukocytosis (12,300). Peritoneal fluid cultures were negative.…”

Section: Introductionmentioning

confidence: 99%

Perforated Gastric Tuberculosis: A Rare Complication of a Rare Disease

Fink¹,

Doty²,

Tompkins³

et al. 1987

Dig Surg

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A 30-year old physician presented with acute abdominal findings compatible with acute appendicitis. Chest roentgenogram was normal. After appendectomy, the patient slowly improved. Microscopically the appendix displayed only peri-appendicitis, prompting upper gastrointestinal and computerized tomographic examinations. The latter revealed a lesser sac abscess which was drained. Despite drainage, the abscess recurred and the patient was reexplored. A minute perforation of the distal stomach, communicating with the lesser space, was closed and the area widely drained. The patient developed a low-output gastrocutaneous fistula which failed to close with conservative treatment. The patient remained well clinically, even with fistulous involvement of the right colon. Endoscopic biopsy revealed granulomatous gastritis without acid-fast bacilli. Several months later a large inguinal lymph node was excised and found to have caseating granulomas with acid-fast bacilli. All fistulous drainage resolved after initiating antituberculous therapy and the patient has remained well. This case appears to be the first report of gastric tuberculosis causing an acute abdomen due to perforation. This rare curable condition should be considered when evaluating gastric pathology.

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