Tubercular bowel perforation: what to do?

Catena, Fausto; Ansaloni, Luca; Lazzareschi, Daniel; Puviani, Lorenza; Pinna, Antonio Daniele

doi:10.5505/tjtes.2011.39145

Cited by 14 publications

(15 citation statements)

References 41 publications

(80 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The characteristic histopathology is seen more often in affected lymph node than in the bowel 4,8 . The symptoms anaemia, lymphocytosis, and elevated ESR, tuberculin test positive in 42.0% cases, are common in patient with tuberculosis 1,4 .…”

Section: Discussionmentioning

confidence: 99%

“…The hypertrophic form usually occurs in the ileum about 70% cases due to fibroblastic reaction to the tubercle bacilli 4 . Recently, vasculitis of the mesenteric vasculature due to tuberculosis has been implicated as a contributory factor 8 . The mesenteric vasculature (medium and small vessels, mostly) and endarteritis of sub-mucosal vessels was frequently involved by granulomatous inflammation, with intravascular organizing thrombus being present in 30.0% of the resected specimens with perforation [9][10] .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Acute Spontaneous Multiple Ileal Tuberculosis Perforation: A Case Report

Rima

Naser

Kabir³

et al. 2017

Bangladesh J. Infect. Dis.

View full text Add to dashboard Cite

A 18 years old boy presented with severe diffuse abdominal pain, constipation, abdominal distention, fever and diagnosed as a case of perforation as free gas noted under both dome of the diaphragm. After resuscitation, exploratory laparotomy was done and diagnosed as a case of multiple spontaneous leaky perforations of jejunum and ileum 25 to 30 cm from duodeno-Jejunal flexure (DJ) up to terminal ileum. Peritoneal toileting and excisional biopsy of the mesenteric lymph node were done. Operative and postoperative period were uneventful. Histopathological examination of the resected lymph node revealed granulomatous inflammation compatible with tuberculosis. Anti-tubercular therapy was started and continued for 6 months. Patient was discharged on the 12 th postoperative day in a good condition. At 3 months of follow up the patient was asymptomatic and thriving well. Free perforation is one of the most feared complications of the intestinal tuberculosis. The terminal ileum is the most common site of perforation, while the majority of (90%) perforations are solitary. [Bangladesh Journal of Infectious Diseases 2016;3(2):52-54]

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Acute Spontaneous Multiple Ileal Tuberculosis Perforation: A Case Report

Rima

Naser

Kabir³

et al. 2017

Bangladesh J. Infect. Dis.

View full text Add to dashboard Cite

show abstract

“…Recently, vasculitis of the mesenteric vasculature due to tuberculosis have been implicated as a contributory factor. 21 The mesenteric vasculature (medium and small vessels, mostly) and endarteritis of sub-mucosal vessels was frequently involved by granulomatous inflammation, with intravascular organizing thrombus being present in 30.0% of the resected specimens with perforation. 22 Four out of 12 patients with tuberculous perforation in our series were undergoing anti-tuberculous treatment (2 weeks to 3 months).…”

Section: Figure 2 Overall Morbidity Statusmentioning

confidence: 95%

Non-Traumatic Ileal Perforation- A Recent Experience

R¹,

R²

2019

jebmh

View full text Add to dashboard Cite

BACKGROUNDTyphoid is a major cause for non-traumatic ileal perforation in developing and under developed countries. 1,2,3,4,5,6 Other causes of non-traumatic ileal perforations worldwide include intestinal tuberculosis, 11 Crohn's disease, Behcet's disease, radiation enteritis, adhesions, ischemic enteritis and nonspecific ulcer. The public health burden of enteric fever in India is huge. Typhoid burden in some states and union territories in India, like Kerala, Mizoram, Sikkim, Goa etc. are much lower than the national rate. 16 The objectives of this study were-(a) To find out the causes of non-traumatic ileal perforations for which surgery is undertaken in our institution (b) To estimate the frequency of typhoid fever among non-traumatic ileal perforations. (c) To analyse the various surgical treatments offered and (d) To analyze morbidity and mortality among patients operated. MATERIALS AND METHODSThis is a retrospective cohort study. During 2012 to 2017, a total of 62 patients with perforation peritonitis were identified as ileal perforations, at laparotomy. Data collected and analysed with the help of SPSS software Version 21.0. Basic statistical methods like percentage analysis were employed for the analysis of the data.

show abstract

“…Even though the procedure is an ideal one, it is not feasible to be applied in cases with poor physiological function and extent disease.4 Therefore, options of surgical procedures were found in vary, including drainage, resection and diversion, or resection and anastomosis, based on intraoperative findings. [5][6] Primary anastomosis is avoided in those cases mentioned. Complications of surgical intervention on inflamed as well as adhered tissue which is common in intestinal TB is a logic consequence.…”

Section: Introductionmentioning

confidence: 99%

Anastomosis in Intestinal Tuberculosis: A Systematic Review

Putranto

Muchtar

2018

NRJS

View full text Add to dashboard Cite

Introduction. The heterogeneity of manifestations in intestinal tuberculosis requires different approach. One step or two steps surgical procedure referred to the method of choice to reduce morbidity and mortality. The review aimed to find out the indication to perform primary anastomosis in intestinal tuberculosis. Method. A systematic review was conducted in accordance with PRISMA guideline in June 2018. Literature searches were performed through online databases sites (PubMed, EBSCO, and Ovid) using keywords "intestinal tuberculosis" AND "surgery" AND "anastomosis". Intestinal pathology, surgical procedures, anastomosis leaks, enterocutaneous fistula, and mortality were the variables of outcome have been analyzed. Results. Twelve articles of cohort studies were critically appraised and analyzed. The selection of the surgical procedure depends on condition, extent disease, nutritional status, and surgeon's preferences. Resection and primary anastomosis are safe in an obstructive lesion with low incidence of enterocutaneous fistula and anastomosis leaks. The two steps procedure is advisable in intra-abdominal sepsis. Conclusion. In subjects without intra-abdominal sepsis, intestinal resection with primary anastomosis as a definitive procedure might be considered in obstructive lesions and in perforated lesions, with low risk to have anastomosis leaks and enterocutaneous fistulas. In contrast, in septic subjects, two steps procedure is advisable.

show abstract

Tubercular bowel perforation: what to do?

Cited by 14 publications

References 41 publications

Acute Spontaneous Multiple Ileal Tuberculosis Perforation: A Case Report

Acute Spontaneous Multiple Ileal Tuberculosis Perforation: A Case Report

Non-Traumatic Ileal Perforation- A Recent Experience

Anastomosis in Intestinal Tuberculosis: A Systematic Review

Contact Info

Product

Resources

About