ABDOMINAL TUBERCULOSIS PRESENTING WITH SPONTANEOUS RECTOVAGINAL FISTULA IN A 7 YEAR OLD CHILD – A CASE REPORT
Keywords:
Abdominal tuberculosis, Spontaneous faecal discharge, Recto-vaginal fistula, Posterior sagittal anorectoplasty, Children
Abstract
Abdominal tuberculosis presenting with spontaneous recto-vaginal fistula is very rare. We present a case of 7 year old, female, Nigerian child who had chronic diarrhoea, weight loss and intermittent fever for one year duration with spontaneous discharge of faecal matter from the vagina for 3 months. Because diagnosis of primary abdominal TB is very challenging, prevention of the disease and high index of suspicion are invaluable in management to reduce morbidity and mortality of the disease.
Downloads
Download data is not yet available.
References
1. Sood R. Diagnosis of Abdominal Tuberculosis: Role of Imaging. Journal Indian Academy of Clinical Medicine 2001: 2 (3): 169-177.
2. Engel S, Stern RO, Newns GH. Danger of Primary abdominal tuberculosis in children. Br Med J 1938; 19:1038-1041.
3. Zamora JMB, Laya BF, Bautista MW. Computed tomography scan manifestations of abdominal tuberculosis in children. St Luke’s J Med 2011; 7(1):43-50.
4. Veeragandham RS, Lynch FP, Canty TG, Collins DL, Dankner WM. Abdominal tuberculosis in children. Review of 26 cases. J Pediatr Surg 1996; 31 (1): 170-176.
5. Sarkar DN, Amin R, Mohammed H, Azhar MA, Faiz MA. Abdominal tuberculosis – a review. Bangladesh J Med 2011; 22:51-59.
6. Ridaura-Sanz C, Lopez-Corella E., Lopez-Ridaura R. Intestinal/ Peritoneal tuberculosis in children: An analysis of Autopsy Cases. Tuberculosis Research and Treatment 2012; 2012: 1-6
7. Tinsa F, Essaddam L, Fitouri Z, et al. Abdominal tuberculosis in children. JPGN 2010; 50 (6): 634-638.
8. Froines EJ, Palmer DL. Surgical therapy for rectovaginal fistulas in ulcerative colitis. Dis Colon Rectum 1991; 34:925-930.
9. Ceccherini E, Sereni P, Felicioni L, Testi W, Mancini S. Tubercular enteral fistulas. Minerva Chirurgica 1989; 44: 1293-1295.
10. Bhansali SU. Abdominal tuberculosis: experience with 300 cases. American Journal of Gastroenterology. 1977; 67:324-327.
11. Agarwal M, Kumar S, Melhotra M, Singh S, Bind R. Concomitant tubercular enterocutaneous and enterovesical fistula: Rare presentation of a common disease. CIBTech Journal of Surgery 2015; 4 (1): 2319-3875.
12. Badoe EA, Nwako F A, Tandoh JFL, Archmapong EQ, Da Rocha – Afodu JT, Naaeder SB et al. Small and large intestines (including rectum and anus). In: Badoe EA, Archampong EQ, Da Rocha- Afodu JT (eds). Principles and practice of surgery including pathology in the tropics. 4th edition Accra; Ghana Publishing Company 2010; 650-736.
13. Cooper RA. Vaginography: a presentation of new cases and subject review. Radiology 1982; 143:421-425.
14. Debi U, Ravisankar V, Prasad KK, Sinha SK, Sharma AK. Abdominal tuberculosis of the gastrointestinal tract: Revisited. World J Gastroenterol 2014:20 (40): 14831-14840.
15. Sharma MP, Bhatia V. Abdominal tuberculosis. Indian J Med Res 2004; 120:305-315.
16. Pujari BD. Modified surgical procedures in intestinal tuberculosis. Br J Surg 1979; 66: 180-181.
2. Engel S, Stern RO, Newns GH. Danger of Primary abdominal tuberculosis in children. Br Med J 1938; 19:1038-1041.
3. Zamora JMB, Laya BF, Bautista MW. Computed tomography scan manifestations of abdominal tuberculosis in children. St Luke’s J Med 2011; 7(1):43-50.
4. Veeragandham RS, Lynch FP, Canty TG, Collins DL, Dankner WM. Abdominal tuberculosis in children. Review of 26 cases. J Pediatr Surg 1996; 31 (1): 170-176.
5. Sarkar DN, Amin R, Mohammed H, Azhar MA, Faiz MA. Abdominal tuberculosis – a review. Bangladesh J Med 2011; 22:51-59.
6. Ridaura-Sanz C, Lopez-Corella E., Lopez-Ridaura R. Intestinal/ Peritoneal tuberculosis in children: An analysis of Autopsy Cases. Tuberculosis Research and Treatment 2012; 2012: 1-6
7. Tinsa F, Essaddam L, Fitouri Z, et al. Abdominal tuberculosis in children. JPGN 2010; 50 (6): 634-638.
8. Froines EJ, Palmer DL. Surgical therapy for rectovaginal fistulas in ulcerative colitis. Dis Colon Rectum 1991; 34:925-930.
9. Ceccherini E, Sereni P, Felicioni L, Testi W, Mancini S. Tubercular enteral fistulas. Minerva Chirurgica 1989; 44: 1293-1295.
10. Bhansali SU. Abdominal tuberculosis: experience with 300 cases. American Journal of Gastroenterology. 1977; 67:324-327.
11. Agarwal M, Kumar S, Melhotra M, Singh S, Bind R. Concomitant tubercular enterocutaneous and enterovesical fistula: Rare presentation of a common disease. CIBTech Journal of Surgery 2015; 4 (1): 2319-3875.
12. Badoe EA, Nwako F A, Tandoh JFL, Archmapong EQ, Da Rocha – Afodu JT, Naaeder SB et al. Small and large intestines (including rectum and anus). In: Badoe EA, Archampong EQ, Da Rocha- Afodu JT (eds). Principles and practice of surgery including pathology in the tropics. 4th edition Accra; Ghana Publishing Company 2010; 650-736.
13. Cooper RA. Vaginography: a presentation of new cases and subject review. Radiology 1982; 143:421-425.
14. Debi U, Ravisankar V, Prasad KK, Sinha SK, Sharma AK. Abdominal tuberculosis of the gastrointestinal tract: Revisited. World J Gastroenterol 2014:20 (40): 14831-14840.
15. Sharma MP, Bhatia V. Abdominal tuberculosis. Indian J Med Res 2004; 120:305-315.
16. Pujari BD. Modified surgical procedures in intestinal tuberculosis. Br J Surg 1979; 66: 180-181.
How to Cite
1.
Usang E Usang, Akan W Inyang, Martin A Nnoli, John-Daniel C. Emehute, Ijeoma E Nwachukwu. ABDOMINAL TUBERCULOSIS PRESENTING WITH SPONTANEOUS RECTOVAGINAL FISTULA IN A 7 YEAR OLD CHILD – A CASE REPORT. Med. res. chronicles [Internet]. 2016Oct.31 [cited 2024May8];3(05):423-7. Available from: https://medrech.com/index.php/medrech/article/view/193
Section
Case Report
