caa a22 4500 465771912 CHVBK 20180323111931.0 cr unu---uuuuu 170327e19901101xx s 000 0 eng 10.1007/BF00174332 doi (NATIONALLICENCE)springer-10.1007/BF00174332 Abdominal tuberculosis in children — surgical management [Elektronische Daten] A 10-year review of 95 cases [A. Millar, H. Rode, S. Cywes] During the period 1980-1989, 95 patients, mean age 5 years, with abdominal tuberculosis (ATB) were seen at the Red Cross Children's Hospital. Eighty per cent were malnourished. Apart from fever, loss of weight, and failure to thrive, symptoms of abdominal pain, vomiting, and diarrhoea predominated. Abdominal distension (86%) and a palpable mass (57%) were the most common physical findings. Sixty-three per cent had radiological evidence of chest disease. Abdominal ultrasound was useful in identifying ascites and distribution of lymph node masses. Fifty of the 95 patients were managed on the surgical unit and the predominant involvement was: peritoneal 21, nodal 15, enteric 11, and undetermined 3. Thirteen of this group developed one or more complications — perforation (4), obstruction (7), abscess or fistulae (5), and haemorrhage (1). Surgery involved diagnostic laparotomy, extra-abdominal biopsy, and management of the complications. Emergency surgery was conservative. Definitive surgery for stricture-plasty, resection, and stoma closure was delayed at least 8 weeks to allow for chemotherapeutic effect. Uncomplicated TB responded rapidly to therapy. There were no deaths in this group. Thirty-seven of the 45 "medical” cases made an uncomplicated recovery on anti-TB therapy. Three died due to generalised disease, 5 had complications (chylous ascites 2, protein-losing enteropathy 3) and 3 had relapse of disease due to poor compliance. The morbidity and mortality of this ubiquitous disease can be greatly reduced by timely diagnosis, which often requires early recourse to diagnostic laparotomy, and appropriate surgery and supportive care for complicated disease. Springer-Verlag, 1990 Abdominal tuberculosis nationallicence Complications nationallicence Surgical management nationallicence Millar A. Department of Paediatric Surgery, University of Cape Town, Institute of Child Health and Red Cross War Memorial Children's Hospital, 7700 Rondebosch, Cape Town, Republic of South Africa aut Rode H. Department of Paediatric Surgery, University of Cape Town, Institute of Child Health and Red Cross War Memorial Children's Hospital, 7700 Rondebosch, Cape Town, Republic of South Africa aut Cywes S. Department of Paediatric Surgery, University of Cape Town, Institute of Child Health and Red Cross War Memorial Children's Hospital, 7700 Rondebosch, Cape Town, Republic of South Africa aut Pediatric Surgery International Springer-Verlag 5/6(1990-11-01), 392-396 0179-0358 5:6<392 1990 5 383 https://doi.org/10.1007/BF00174332 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00174332 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Millar A. Department of Paediatric Surgery, University of Cape Town, Institute of Child Health and Red Cross War Memorial Children's Hospital, 7700 Rondebosch, Cape Town, Republic of South Africa aut NATIONALLICENCE 700 1- Rode H. Department of Paediatric Surgery, University of Cape Town, Institute of Child Health and Red Cross War Memorial Children's Hospital, 7700 Rondebosch, Cape Town, Republic of South Africa aut NATIONALLICENCE 700 1- Cywes S. Department of Paediatric Surgery, University of Cape Town, Institute of Child Health and Red Cross War Memorial Children's Hospital, 7700 Rondebosch, Cape Town, Republic of South Africa aut NATIONALLICENCE 773 0- Pediatric Surgery International Springer-Verlag 5/6(1990-11-01), 392-396 0179-0358 5:6<392 1990 5 383 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer