Retroperitoneal perforation of the colon caused by colonic tuberculosis: report of a case

Détails

ID Serval
serval:BIB_1875B4DD592D
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Retroperitoneal perforation of the colon caused by colonic tuberculosis: report of a case
Périodique
Diseases of the Colon and Rectum
Auteur(s)
Heinrich  S., Hetzer  F. H., Bauerfeind  P., Jochum  W., Demartines  N., Clavien  P. A.
ISSN
0012-3706 (Print)
Statut éditorial
Publié
Date de publication
12/2004
Volume
47
Numéro
12
Pages
2211-4
Notes
Case Reports
Journal Article --- Old month value: Dec
Résumé
We present a 25-year-old, HIV-negative patient from Kosovo, with no significant past medical history, who was admitted to a local hospital for nonspecific upper abdominal discomfort. He was transferred to us after a retroperitoneal mass with contact to the right colonic flexure had been found during workup. Colonoscopy demonstrated an edemateous area with a central fistula in the right flexure, and histology showed caseous necrosis. Although neither bacteriology nor histology could detect any germs, gastrointestinal tuberculosis seemed to be very probable. Laparotomy with a segmental resection of the colon was performed to remove the fistula-bearing segment, and histologic examination of the resected specimen confirmed the intraoperative suspect of a retroperitoneal colonic perforation. Again, all cultures from the specimen were negative for tuberculosis, but polymerase chain reaction of a regional lymph node revealed acid-fast bacilli of the Mycobacterium tuberculosis/bovis species. Although the patient had no other sites of tuberculosis infection like pulmonary or urinary, he received adjuvant standard tuberculosis treatment for six months. At control examination one year after the operation, the patient was free of recurrence and in very good general condition. We report this extremely rare presentation of gastrointestinal tuberculosis to sensitize physicians to tuberculosis again, because incidence rates are increasing and this disease will certainly play a more important role in the future.
Mots-clé
Abdominal Pain/microbiology Adult Antitubercular Agents/therapeutic use Biopsy Colectomy Colonic Diseases/*complications/diagnosis/therapy Colonoscopy Combined Modality Therapy DNA, Bacterial/analysis/genetics Humans Intestinal Fistula/diagnosis/*microbiology/therapy Intestinal Perforation/diagnosis/*microbiology/therapy Male Mycobacterium bovis/genetics Necrosis Polymerase Chain Reaction Rare Diseases Retroperitoneal Space Risk Factors Tomography, X-Ray Computed Tuberculosis, Gastrointestinal/*complications/diagnosis/therapy Tuberculosis, Lymph Node/diagnosis/therapy Yugoslavia
Pubmed
Web of science
Création de la notice
28/01/2008 9:53
Dernière modification de la notice
20/08/2019 13:48
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