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Chir Ital ; 61(3): 397-9, 2009.
Article in Italian | MEDLINE | ID: mdl-19694246

ABSTRACT

The incidence of tuberculosis in Italy steadily decreased until two decades ago, but the infection is now frequently diagnosed in common clinical practice. The Authors describe a rare acute abdominal presentation of the disease featuring a double intestinal perforation in a subject affected by pulmonary, renal and gastrointestinal miliary tuberculosis. A review of the literature is also presented. Intestinal resection is the treatment of choice in such cases, even if it leads to frequent, major complications, but the authors stress that there may be a possibility for a less radical form of management of these patients.


Subject(s)
Ileum/microbiology , Intestinal Perforation/microbiology , Tuberculosis, Gastrointestinal/complications , Tuberculosis, Miliary/complications , Antitubercular Agents/therapeutic use , Humans , Ileal Diseases/microbiology , Ileum/pathology , Ileum/surgery , Intestinal Perforation/drug therapy , Intestinal Perforation/pathology , Intestinal Perforation/surgery , Male , Middle Aged , Treatment Outcome , Tuberculosis, Gastrointestinal/drug therapy , Tuberculosis, Gastrointestinal/pathology , Tuberculosis, Gastrointestinal/surgery , Tuberculosis, Miliary/drug therapy , Tuberculosis, Miliary/pathology , Tuberculosis, Miliary/surgery
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