Walia H S, Khafagy A R, al-Sayer H M, Walia H K, al-Nakib B, Sivanandan R
Department of Surgery, Al-Amiri Hospital, Kuwait.
Can J Surg. 1994 Aug;37(4):300-6.
To review unusual presenting features and diagnostic difficulties of abdominal tuberculosis in an endemic region.
Retrospective clinical study from 1984 to 1989, illustrated by case reports.
A single hospital in Kuwait.
Fifty patients with abdominal tuberculosis established by the standard histologic and bacteriologic demonstration of acid-fast bacilli or tuberculous granulomas.
Site of disease and unusual features at presentation.
Tubercular lesions are most commonly seen in the ileocecal region. They are also common in the ileum but are less common in the appendix and jejunum. Involvement of the ascending colon, rectum and upper gastrointestinal tract is rare. Abdominal tuberculosis presents in many ways depending on the degrees of ulceration, fibrous healing, infection and caseating abscess formation.
Abdominal tuberculosis should be considered in immigrants from regions where this disease is endemic who present with abdominal signs and symptoms. Imaging studies, endoscopy and laparoscopy may preclude laparotomy for the diagnosis of abdominal tuberculosis. Antituberculosis chemotherapy is the mainstay of treatment.
回顾某流行地区腹部结核的不寻常表现特征及诊断难点。
1984年至1989年的回顾性临床研究，辅以病例报告说明。
科威特的一家医院。
50例经标准组织学和细菌学方法证实有抗酸杆菌或结核性肉芽肿的腹部结核患者。
疾病部位及就诊时的不寻常特征。
结核病变最常见于回盲部。在回肠也很常见，但在阑尾和空肠较少见。升结肠、直肠和上消化道受累罕见。腹部结核根据溃疡程度、纤维愈合、感染及干酪样脓肿形成情况有多种表现。
来自本病流行地区且出现腹部体征和症状的移民应考虑腹部结核。影像学检查、内镜检查和腹腔镜检查可能避免为诊断腹部结核而行剖腹手术。抗结核化疗是主要治疗方法。
