Ulus Travma Acil Cerrahi Derg. 2010; 16(6): 508-510

Tüberküloz abdominal koza: Orijinal makale

Imtiaz Wani¹, Mohamad Ommid², Arfat Waheed², Mehraj Asif^3
1Smhs Hastanesi, Cerrahi Bölümü, Srinagar, Keþmir, Hindistan
²Skýms, Anesteziyoloji Bölümü, Srinagar, Keþmir, Hindistan
³Skýms, Cerrahi Bölümü, Srinagar, Keþmir, Hindistan.

AMAÇ
Tüberküloz abdominal koza, ameliyat öncesi dönemde nadir olarak taný konulan ender bir hastalýktýr. Baðýrsak, bir membran içinde, koza gibi bir þekilde kýlýfla kaplanýr. Histopatoloji doðrulayýcýdýr.
GEREÇ VE YÖNTEM
Bu prospektif olgu incelemesinde, Nisan 2005 ile Nisan 2008 tarihine kadar olan dönemde tüberküloz abdominal koza tanýsý alan hastalar (8 kadýn, 3 erkek) deðerlendirildi.
BULGULAR
Tüm hastalarda ince baðýrsak týkanýklýðý özellikleri vardý. Bütün hastalara laparotomi uygulandý; etkilenen bölgede büyük omentumun bulunmamasý ile baðýrsak tüberkülozu belirtisi bulunmamasý karakteristik bulgu idi. Gerekli olan iþlem membranýn soyulmasýydý ve hastalarýn hepsi ameliyat sonrasý antitüberküloz tedavisi aldý. Her olguda, membran histopatolojisinde tüberküloz kanýtý bulundu.
SONUÇ
Tüberküloz abdominal koza nadir görülür. Kadýnlar yaygýn olarak etkilenir. Cerrahi tercih edilen tedavidir.

Anahtar Kelimeler: Antitüberküloz tedavisi, büyük omentum; tüberküloz abdominal koza.

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Tuberculous abdominal cocoon: original article

Imtiaz Wani¹, Mohamad Ommid², Arfat Waheed², Mehraj Asif^3
1Department Of Surgery, Smhs Hospital, Srinagar, Kashmir, India
²Department Of Anaesthesia Skýms, Srinagar, Keþmir, Hindistan
³Department Of Surgery, Skýms, Srinagar, Kashmir, India.

BACKGROUND
Tuberculous abdominal cocoon is a rare disease, and diagnosis is seldom made preoperatively. The bowel is encased in a membrane in a cocoon-like fashion. Histopathology is confirmatory.
METHODS
This prospective case note review was a study of patients diagnosed with tuberculous abdominal cocoon from April 2005 - April 2008. There were 8 females and 3 males.
RESULTS
All patients had features of small bowel obstruction. All had laparotomy and the characteristic finding of absence of the greater omentum from the involved area and the absence of any stigmata of gut tuberculosis. Peeling of membrane is all that is required, and patients received anti-tubercular therapy postoperatively. In each case, evidence of tuberculosis on histopathology of membrane was present.
CONCLUSION
Tuberculous abdominal cocoon is a rare entity. Females are commonly affected. Surgery is the preferred treatment.

Keywords: Antitubercular therapy, greater omentum; tuberculous abdominal cocoon.

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