La chirurgie de la tuberculose pulmonaire aux Cliniques Universitaires de Kinshasa : etude de 322 cas

La revue de 322 cas de tuberculose pulmonaire operes dans leur service permet aux auteurs de relever les 3 types de lesions qui ont fait indiquer les gestes chirugicaux a savoir les lesions pleurales (17 pour cent); bronchiques (8 pour cent) et parenchymateuses (75 pour cent). Allies au traitement medical; les actes chirurgicaux des plus simples (drainage pleural p.e.) aux plus mutilantes exereses parenhymateuses ont abouti a de nombreuses guerisons avec un taux de mortalite de 7 pour cent. L'association de plus en plus frequente entre le SIDA et la tuberculose pulmonaire souleve des problemes ethiques qui pesent sur la decision chirurgicale

Surgical abdominal tuberculosis in Nigerians: a series of 17

Seventeen cases of abdominal tuberculosis were seen over a period of thirteen years in the surgical units of the University of Benin Teaching Hospital. There were 9 males and 8 females and their ages ranged from 15 to 60 years with a median age of 38.9 years. There were 7 cases of tuberculous mesentric lymphadenitis; 3 of gastric tuberculosis; 2 each of tuberculous peritonitis and ileo-ccaecal tuberculosis fistula-in-ano. The common presenting clinical faetures were abdominal pain; fever; vomiting; weight loss; abdominal distension and abdominal mass which were not always diagnostic. Laparotomy was mostly used to obtain tissues for diagnosis in which there was histological confirmation of tuberculosis in all 17 cases and positive bacterial examination in only 5 patients. [abstract terminated]