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Tuberculous enteritis

G S Hill, J Tabrisky, M E Peter

    The Western Journal of Medicine
    |June 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Tuberculous enteritis, a rare complication of pulmonary tuberculosis, requires consideration in patients with abdominal symptoms. Surgical intervention is often necessary for diagnosis and managing complications like obstruction or perforation.

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    Area of Science:

    • Gastroenterology
    • Infectious Diseases
    • Pulmonology

    Background:

    • Tuberculous enteritis is an uncommon gastrointestinal manifestation of tuberculosis.
    • It affects approximately 2% of patients with pulmonary tuberculosis.
    • Consideration is crucial in patients with active pulmonary disease and abdominal complaints.

    Purpose of the Study:

    • To highlight the diagnostic and management considerations for tuberculous enteritis.
    • To review cases treated at a single institution over 25 years.
    • To emphasize the role of surgery in complicated cases.

    Main Methods:

    • Retrospective review of eight cases of tuberculous enteritis.
    • Analysis of associated pulmonary tuberculosis findings (radiological).

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  • Evaluation of gastrointestinal contrast studies and surgical outcomes.

    • Main Results:

    • Seven of eight patients had associated pulmonary tuberculosis.
    • Gastrointestinal contrast studies confirmed disease in all six examined patients.
    • Five patients required surgery for diagnosis or complications, with resection and anastomosis being common.

    Conclusions:

    • Tuberculous enteritis, though rare, warrants consideration in patients with pulmonary tuberculosis and abdominal symptoms.
    • Medical therapy is primary, but surgical resection with anastomosis is the preferred approach for complications.
    • Early diagnosis and management are key for favorable outcomes in intestinal tuberculosis.