The Pediatric Corner: Spontaneous Tuberculous Enteroumbilical Fistulas

P. L.N.G. RAO, S. K. MITRA, I. C. PATHAK

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Gastrointestinal tuberculosis in children is an uncommon condition. Obstruction and hemorrhage are the known common complications of tuberculous enteritis. Perforation is an uncommon complication whereas tubercular enterocutaneous fistula is a still rarer complication. Five children with spontaneous tubercular enteroumbilical fistulas are being reported. All were below the age of 10 years, the youngest being 15 months old. Four children had conservative treatment with antitubercular drugs and one had exploration, resection of gut and excision of fistula. All the children who had conservative treatment survived whereas the child who underwent surgery died in the postoperative period. We feel that the conservative management is the treatment of choice in cases of established tubercular enterocutaneous fistulas.

Original languageEnglish
Pages (from-to)671-675
Number of pages5
JournalThe American Journal of Gastroenterology
Volume72
Issue number6
DOIs
Publication statusPublished - 12-1979

All Science Journal Classification (ASJC) codes

  • Hepatology
  • Gastroenterology

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