[Colonic tuberculosis].
General improvement of life standard normally reduces tuberculous morbidity. However, the general surgeon is confronted with a significant rise of abdominal tuberculosis, especially the colonic form. Between 1990 and 1995, 6 patients with ileo-colonic tuberculosis were operated in the Surgical Department N. Gh. Lupu, of which 3 presented also the peritonitis form, and 2 patients had also a liver involvement. The clinical symptoms, the palpable abdominal mass in the right lower quadrant and the intraoperative aspect suggested usually a right colonic neoplasm. The diagnosis was established by histology. The management was right (ileo) hemicolectomy, followed by tuberculostatic treatment over one year. In conclusion, the diagnosis is still a matter of concern whenever a palpable abdominal mass is found, even in the absence of evolutive pulmonary tuberculosis. A frozen section from the resection piece is very important, because it enables early beginning of the tuberculostatic treatment.
Andronescu
P
P
Departamentul de Chirurgie, UMF Carol Davila, Spital Clinic N. Gh. Lupu.
Nanu
M
M
Mazilu
C
C
Angelescu
M
M
D000328:Adult; D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use; D003082:Colectomy; D003108:Colonic Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery*; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery; D007082:Ileum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D014385:Tuberculosis, Gastrointestinal / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery*
D000995:Antitubercular Agents
Tuberculoza colonică.