RESUMO
Tuberculosis abdominal lymphadenitis is rare and exceptionally revealed by digestive complications. We report one case of digestive stenosis due to duodenal external compression by tuberculosis lymph nodes. Surgical resection of periduodenal lymph nodes was performed without gastric resection or gastrointestinal anastomosis. Medical treatment of tuberculosis was successful and the patient remains asymptomatic.
Assuntos
Obstrução Duodenal/etiologia , Tuberculose dos Linfonodos/complicações , Dor Abdominal/etiologia , Adulto , Antituberculosos/uso terapêutico , Terapia Combinada , Diagnóstico Diferencial , Úlcera Duodenal/diagnóstico , Humanos , Excisão de Linfonodo , Masculino , Pressão , Tuberculose Hepática/complicações , Tuberculose Hepática/diagnóstico , Tuberculose dos Linfonodos/diagnóstico , Tuberculose dos Linfonodos/tratamento farmacológico , Tuberculose dos Linfonodos/cirurgia , Vômito/etiologia , Redução de PesoRESUMO
Final surgical treatment of perforated duodenal ulcer is not admitted by all authors. The aim of this study is to evaluate final treatment of perforated duodenal ulcer among 110 patients. 74.5% were aged less than 41 years. 107 patients underwent surgery. Treatment was based on: truncal vagotomy with pyloroplasty (99 cases), truncal vagotomy with closure of duodenal perforation and gastroentero-anastomosis (5 cases), truncal vagotomy with antrectomy (1 case) and simple closure of the duodenal perforation (2 cases). Mortality of truncal vagotomy with pyloroplasty was about 1%. According to the visick evaluation, clinical results were good in 95.3% cases without recurrent ulcer with a mean follow up of 4 years. According to our results truncal vagotomy with pyloroplasty seems to be a safe procedure in the management of perforated duodenal ulcer and more over gives good long-term results in control of peptic disease.