Rao P L, Mitra S K, Pathak I C
Am J Gastroenterol. 1979 Dec;72(6):671-5.
Gastrointestinal tuberculosis in children is an uncommon condition. Obstruction and hemorrhage are the known common complications of tuberculous enteritis. Perforation is an uncommon complication whereas tubercular enterocutaneous fistula is a still rarer complication. Five children with spontaneous tubercular enteroumbilical fistulas are being reported. All were below the age of 10 years, the youngest being 15 months old. Four children had conservative treatment with antitubercular drugs and one had exploration, resection of gut and excision of fistula. All the children who had conservative treatment survived whereas the child who underwent surgery died in the postoperative period. We feel that the conservative management is the treatment of choice in cases of established tubercular enterocutaneous fistulas.
儿童胃肠道结核是一种罕见疾病。梗阻和出血是结核性肠炎已知的常见并发症。穿孔是一种罕见并发症，而结核性肠皮肤瘘则是更为罕见的并发症。本文报告了5例自发性结核性肠脐瘘患儿。所有患儿均未满10岁，最小的15个月大。4例患儿接受了抗结核药物保守治疗，1例接受了探查、肠道切除和瘘管切除手术。所有接受保守治疗的患儿均存活，而接受手术的患儿术后死亡。我们认为，对于确诊的结核性肠皮肤瘘病例，保守治疗是首选治疗方法。
