Perforated tubercular enteritis of childhood: A ten year study

Abstract

One hundred sixty seven children were operated at the Kalawati Saran Children Hospital for acute peritonitis during last 10 years (1978-88). Bowel perforation was seen in 123 cases. Nineteen cases had underlying tubercular enteritis. Preoperative diagnosis was usually difficult. The terminal ileum was affected in 12 and the jejunum in 5 cases. Multiple perforations were seen in 3 cases. Postoperative mortality was high (12/19) and usually attributable to their poor preoperative status.

Small Intestine Perforation in Systemic Tuberculosis: Case Report

“…6 However, it can be seen in the jejunum in children and individuals with impaired immune function. 7,8 In the present case presentation, we have reported tuberculosis that involved the ileocaecal valve and caused obstruction.…”

High Jejunal Perforation Complicating Tuberculous Abdominal Cocoon: A Rare Presentation in Immune-Competent Male Patient

“…Nevertheless, TB enteritis was associated with a very high mortality (12 of the 19 cases) which is attributed to poor preoperative status associated with the insidious nonspecific symptoms. 3 In another series of 96 histologically proven abdominal TB cases from Ghana, ten cases only presented with perforation. 2 Because of the encapsulating nature of the abdominal cocoon, it is not usually associated with free perforation, and if perforation occurs, it is usually contained within the inflammatory mass.…”

“…However, jejunum can also be involved especially in children and immune-compromised adults. 3,4 In the majority of cases, the slow inflammation causes strictures, adhesions, and inflammatory masses, but in around 2.5-10% of the cases, it can cause multiple perforations that mandates bowel resection, and this carries a high rate of mortality (up to 29% in some series) especially if the operation was delayed for more than 36 h. 5…”

Usefulness of Histopathological Examination in Nontraumatic Perforation of Small Intestine

“…12 Although perforation due to abdominal tuberculosis is supposed to be uncommon because of reactive thickening of the peritoneum and formation of adhesions with surrounding tissues, 13 it is still a serious complication that occurs in 1-10% of all patients with abdominal tuberculosis. 13,14 The perforation is most commonly found in the distal ileum. Of the 49 patients, 36 patients had perforation, stricture, as well as ulcer; eight cases had a stricture along with the perforation, while five patients had only perforation.…”