the Current tubercular ileotiflita. A radiological picture of a tuberculosis

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In process of process progressing in ileotsekalnoj areas it is probed opuholevidnoe the inactive formation connected with a thickening and infiltratsiej of this department of a gut. Rubtsovo-Stenotichesky and hypertrophic forms of a tuberculosis of guts can lead to partial impassability. In these cases patients have shvatkoobraznaja belly-ache, a delay of a chair and gazoz, feeling raspiranija and stomach swellings. Patients complain of rumbling and transfusion in a stomach (a symptom of Keniga), accompanied by painful sensations; after othozhdenija gases and sometimes a liquid chair there comes considerable simplification - a pain, meteorizm and feeling raspiranija almost completely disappear.

In certain cases a current of a tuberculosis of guts asymptomatic or malosimptomnoe that considerably complicates timely diagnostics. Secondary defeats of guts quite often proceed so atypically and latentno, what even at complication of disease by punching of an ulcer of the phenomenon of a peritonitis long time nediagnostirujutsja (R.M.Sagateljan and K.A.Vardanjan, 1966; O.I.Biber, 1974). It is necessary to consider that tubercular defeats of guts are observed at patients with progressing fibrozno-kavernoznym process in lungs more often and is much more rare - at less heavy - ochagovoj and limfo-ferruterous forms (T. G.Terekhov with soavt., 1975).

The Radiological picture of a tuberculosis of guts has patognomonichnyh no signs, at the same time the given kind of research at the specified disease dostatochnoinformativen.

At laboratory researches increase SOE, insignificant lejkotsitoz with nejtrofilezom and shift to the left, presence positive tuberkulinovoj tests of the Tuberculine test, Mantu and Kokh is marked.