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Related Experiment Videos

Spontaneous tuberculous enteroumbilical fistulas.

P L Rao, S K Mitra, I C Pathak

    The American Journal of Gastroenterology
    |December 1, 1979
    PubMed
    Summary

    Gastrointestinal tuberculosis in children, though rare, can cause enteroumbilical fistulas. Conservative management with antitubercular drugs showed better survival rates than surgical intervention for these rare pediatric cases.

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    Area of Science:

    • Pediatric Gastroenterology
    • Infectious Diseases
    • Surgical Pediatrics

    Background:

    • Gastrointestinal tuberculosis (GITB) is uncommon in children.
    • Common complications of tuberculous enteritis include obstruction and hemorrhage.
    • Tubercular enterocutaneous fistula is a rare complication of GITB.

    Observation:

    • This report details five pediatric cases of spontaneous tubercular enteroumbilical fistulas.
    • All patients were under 10 years old, with the youngest being 15 months.
    • Four children received conservative treatment with antitubercular drugs.
    • One child underwent surgical intervention (exploration, resection, and excision).

    Findings:

    • Conservative management led to survival in all four treated children.
    • The child who underwent surgery died postoperatively.
    • This suggests a significant difference in outcomes between treatment modalities.

    Implications:

    • Conservative management with antitubercular drugs appears to be the preferred treatment for established tubercular enterocutaneous fistulas in children.
    • Further research may be warranted to confirm optimal management strategies for this rare pediatric condition.

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