CLINICAL PICTURE, DIAGNOSTICS AND TREATMENT OF ABDOMINAL TUBERCULOSIS IN URGENT SURGERY

Abdominal tuberculosis is a rare form of the disease. The number of tubercular cases has been increasing everywhere since the mid-1980s, which has led to a general increase in the number of patients with abdominal tuberculosis. The Irkutsk region is one of the most disadvantaged regions of Russia in...

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Autores principales:	V. A. Beloborodov, A. P. Frolov
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2017
Materias:	abdominal tuberculosis hiv-infection urgent surgery Science Q
Acceso en línea:	https://doaj.org/article/60bcd8360ef246a287bf9e80453eadc0
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spelling	oai:doaj.org-article:60bcd8360ef246a287bf9e80453eadc02021-11-23T06:14:39ZCLINICAL PICTURE, DIAGNOSTICS AND TREATMENT OF ABDOMINAL TUBERCULOSIS IN URGENT SURGERY2541-94202587-959610.12737/article_5a0a875c1e7ec0.06298237https://doaj.org/article/60bcd8360ef246a287bf9e80453eadc02017-11-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/473https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Abdominal tuberculosis is a rare form of the disease. The number of tubercular cases has been increasing everywhere since the mid-1980s, which has led to a general increase in the number of patients with abdominal tuberculosis. The Irkutsk region is one of the most disadvantaged regions of Russia in the incidence of tuberculosis and HIV infection. A retrospective analysis of 165 cases of abdominal tuberculosis was conducted. Among patients with abdominal tuberculosis 95.0 % of patients were 30-35 years old, 132 (80.0 %) patients used drugs, 80 % patients had HIV-infection and 79 (47.9 %) patients had hepatitis В. Overwhelming majority had an antisocial lifestyle. The leading manifestation of the disease was abdominal pain syndrome, which was noted in 88.3 %. Nausea and vomiting, hypotension and tachycardia were detected in 49 (29.7 %), 90 (54.5 %) and 118 (71.5 %) persons respectively. Perforations of tubercular gastrointestinal ulcers (75; 53.7 %) were the mostfrequent complications of abdominal tuberculosis. Gastrointestinal bleedings, tubercular mesenterial lymphadenopathy, tubercular lesions of the spleen, liver, and peritoneum were detected in 4 (2.8 %), 16 (11.4 %), 14 (14.0 %), 9 (6.4 %), 22 (15.7 %) patients respectively. The sings of peritonitis were the main indication to surgery. 140 (84.5 %) patients were operated. The total mortality made 57.6 %. Acute surgical pathology of abdominal cavity in tubercular and HIV-infected patients should arouse suspicion about presence abdominal tuberculosis. Unsuccessful outcomes of disease are caused by a combination tubercular process and HIV-infection.V. A. BeloborodovA. P. FrolovScientific Сentre for Family Health and Human Reproduction Problemsarticleabdominal tuberculosishiv-infectionurgent surgeryScienceQRUActa Biomedica Scientifica, Vol 2, Iss 6, Pp 82-85 (2017)
institution	DOAJ
collection	DOAJ
language	RU
topic	abdominal tuberculosis hiv-infection urgent surgery Science Q
spellingShingle	abdominal tuberculosis hiv-infection urgent surgery Science Q V. A. Beloborodov A. P. Frolov CLINICAL PICTURE, DIAGNOSTICS AND TREATMENT OF ABDOMINAL TUBERCULOSIS IN URGENT SURGERY
description	Abdominal tuberculosis is a rare form of the disease. The number of tubercular cases has been increasing everywhere since the mid-1980s, which has led to a general increase in the number of patients with abdominal tuberculosis. The Irkutsk region is one of the most disadvantaged regions of Russia in the incidence of tuberculosis and HIV infection. A retrospective analysis of 165 cases of abdominal tuberculosis was conducted. Among patients with abdominal tuberculosis 95.0 % of patients were 30-35 years old, 132 (80.0 %) patients used drugs, 80 % patients had HIV-infection and 79 (47.9 %) patients had hepatitis В. Overwhelming majority had an antisocial lifestyle. The leading manifestation of the disease was abdominal pain syndrome, which was noted in 88.3 %. Nausea and vomiting, hypotension and tachycardia were detected in 49 (29.7 %), 90 (54.5 %) and 118 (71.5 %) persons respectively. Perforations of tubercular gastrointestinal ulcers (75; 53.7 %) were the mostfrequent complications of abdominal tuberculosis. Gastrointestinal bleedings, tubercular mesenterial lymphadenopathy, tubercular lesions of the spleen, liver, and peritoneum were detected in 4 (2.8 %), 16 (11.4 %), 14 (14.0 %), 9 (6.4 %), 22 (15.7 %) patients respectively. The sings of peritonitis were the main indication to surgery. 140 (84.5 %) patients were operated. The total mortality made 57.6 %. Acute surgical pathology of abdominal cavity in tubercular and HIV-infected patients should arouse suspicion about presence abdominal tuberculosis. Unsuccessful outcomes of disease are caused by a combination tubercular process and HIV-infection.
format	article
author	V. A. Beloborodov A. P. Frolov
author_facet	V. A. Beloborodov A. P. Frolov
author_sort	V. A. Beloborodov
title	CLINICAL PICTURE, DIAGNOSTICS AND TREATMENT OF ABDOMINAL TUBERCULOSIS IN URGENT SURGERY
title_short	CLINICAL PICTURE, DIAGNOSTICS AND TREATMENT OF ABDOMINAL TUBERCULOSIS IN URGENT SURGERY
title_full	CLINICAL PICTURE, DIAGNOSTICS AND TREATMENT OF ABDOMINAL TUBERCULOSIS IN URGENT SURGERY
title_fullStr	CLINICAL PICTURE, DIAGNOSTICS AND TREATMENT OF ABDOMINAL TUBERCULOSIS IN URGENT SURGERY
title_full_unstemmed	CLINICAL PICTURE, DIAGNOSTICS AND TREATMENT OF ABDOMINAL TUBERCULOSIS IN URGENT SURGERY
title_sort	clinical picture, diagnostics and treatment of abdominal tuberculosis in urgent surgery
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2017
url	https://doaj.org/article/60bcd8360ef246a287bf9e80453eadc0
work_keys_str_mv	AT vabeloborodov clinicalpicturediagnosticsandtreatmentofabdominaltuberculosisinurgentsurgery AT apfrolov clinicalpicturediagnosticsandtreatmentofabdominaltuberculosisinurgentsurgery
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CLINICAL PICTURE, DIAGNOSTICS AND TREATMENT OF ABDOMINAL TUBERCULOSIS IN URGENT SURGERY

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