Abdominal Tuberculosis

Vk, Kapoor

doi:10.1383/medc.31.3.112.28495

Cited by 11 publications

(37 citation statements)

References 23 publications

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“…Contrary to the earlier reports, the developing countries are showing a fearful increase in the incidence of abdominal tuberculosis, as reported in recent studies [20][21][22]. The increase in the prevalence of abdominal tuberculosis in the developing countries is attributed to a rising incidence of HIV-positive population linking it to immunosuppression [12,19].The age incidence of our study population coincides with other similar reports [20]. The male dominance is very clear in our studies as reported by other similar studies [18].…”

Section: Discussioncontrasting

confidence: 93%

“…The unusual presentation and confusion in diagnosis usually lead to unnecessary and avoidable laparotomies, which is most of the time performed as a last resort to reach to a conclusive diagnosis. Contrary to the earlier reports, the developing countries are showing a fearful increase in the incidence of abdominal tuberculosis, as reported in recent studies [20][21][22]. The increase in the prevalence of abdominal tuberculosis in the developing countries is attributed to a rising incidence of HIV-positive population linking it to immunosuppression [12,19].The age incidence of our study population coincides with other similar reports [20].…”

Section: Discussionsupporting

confidence: 60%

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Diagnostic Laparoscopy for Abdominal Tuberculosis: A Promising Tool for Diagnosis

Malik¹

2017

Laparoscopic Surgery

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Introduction: Abdominal tuberculosis has plagued the mankind over several decades and is a major reason of morbidity and mortality even today in the developing world. It's a difficult problem to diagnose as most patients present with vague and nonspecific symptomatology. This study was performed with a view to find out an efficient and practical tool for diagnosing this problem. Methods: This analytical descriptive study including 283 patients of abdominal tuberculosis is a continuation of an earlier study by the author in the same context. The study was conducted to highlight the usefulness of diagnostic laparoscopy in patients with vague abdominal symptoms, posing difficulty in establishing a conclusive diagnosis. The study extended over a nine-year period in a teaching hospital as well as some private hospitals. The data was collected and statistically analyzed on SPSS version 22. Results: We had a total of 266 patients with unsettled diagnosis having vague abdominal symptoms. Out of the total study subjects, 214 (80.45%) were finally conclusively diagnosed to have abdominal tuberculosis on diagnostic laparoscopy. Abdominal pain is the most frequent symptom which makes the patients seek medical advice coupled with changing bowel habits, loss of weight and generalized weakness. Laparoscopy revealed various tuberculous lesions which were biopsied and diagnosed. Conclusion: Diagnostic laparoscopy is a potential answer for the diagnostic dilemma posed by abdominal tuberculosis. Its efficacy and reliability need further studies in future.

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Section: Discussioncontrasting

confidence: 93%

Section: Discussionsupporting

confidence: 60%

Diagnostic Laparoscopy for Abdominal Tuberculosis: A Promising Tool for Diagnosis

Malik¹

2017

Laparoscopic Surgery

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“…In areas of high‐TB prevalence, empiric treatment for TB with careful clinical review is often resorted to when diagnostic uncertainty exists 53 . This approach is problematic as it may delay treatment for CD or make it difficult to confirm or refute a diagnosis of ITB at a later stage.…”

Section: The Clinical Differences Between Crohn’s Disease and Intestimentioning

confidence: 99%

“…In developed nations, TB is a disease of immigrants, the indigent or institutionalized or occurs in the immunosuppressed. In areas of high‐TB prevalence, the disease is of the young or middle‐aged with no distinguishing demographics 51, 53 . Intuitively the duration of symptoms would seem a distinguishing feature, but both diseases have an insidious onset which may go undiagnosed for many years 55 .…”

Section: The Clinical Differences Between Crohn’s Disease and Intestimentioning

confidence: 99%

“…Laparoscopy has been used as a diagnostic test in CD and the presence of creeping fat is associated with transmural inflammation 109, 110 . However, mesenteric fat wrapping has also been described in patients undergoing laparotomy for tuberculosis in India 53, 62, 91 . Laparoscopy can be used for the diagnosis of peritoneal tuberculosis but its role in ITB is less clear 111, 112 …”

Section: The Role Of Laparoscopy In the Diagnosis Of Itb And CDmentioning

confidence: 99%

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Review article: the diagnosis and management of Crohn’s disease in populations with high‐risk rates for tuberculosis

Epstein

Watermeyer

Kirsch

2007

Aliment Pharmacol Ther

129

145

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Summary Background Distinguishing Crohn’s disease from intestinal tuberculosis in endemic areas is challenging as both conditions have overlapping clinical, radiological, endoscopic and histological characteristics. Furthermore, high rates of latent tuberculosis confer a considerable risk of reactivation once therapy for established Crohn’s disease is started. Aim To review current strategies in differentiating these two conditions, and in managing Crohn’s disease, in populations with high rates of tuberculosis. Methods Literature review and clinical experience. Results While various clinical, radiological, endoscopic and histological parameters may aid in differentiating Crohn’s disease from intestinal tuberculosis, these remain imperfect and as treatment options differ misdiagnosis has grave consequences. We propose a diagnostic algorithm, based on currently available evidence and experience, to aid in this dilemma. We also discuss approaches to the management of Crohn’s disease, including agents targeting tumour necrosis factor‐α, in patients at risk of developing tuberculosis. Conclusions A diagnosis of Crohn’s disease in individuals at risk for tuberculosis should only be made after careful interpretation of clinical signs, abdominal imaging and systematic endoscopic and histological assessment. Newer techniques for the diagnosis of latent tuberculosis still need to be validated in this environment, and guidelines on the treatment of latent tuberculosis in this setting require clarification.

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Dünndarmileus bei stenosierendem Ileozökaltumor und abdomineller Tuberkulose

Schmidt

Bewig²,

Klomp³

2003

Zentralbl Chir

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Abdominal tuberculosis is a rare disease. Therapy usually consists in drug treatment while surgery is only performed in complicated cases. We report on a 75 year-old man who presented with clinical and radiologic signs of bowel obstruction. The patient complained of weight loss and B-symptoms. There was a history of drug treatment for tuberculosis of the neck and throat in the medical department four weeks prior to admission. Intraoperatively a coecum stenosis was found due to a large tumor that macroscopically appeared with a diffuse carcinomatosis of the peritoneum. A right hemicolectomy was performed. Histopathology findings revealed a granulomatous inflammation with epithelioid cells. Signs of peritoneal carcinomatosis were not seen. The patient recovered well after an additional tuberculostatic treatment and was discharged after 14 days. At present he is free of symptoms. Even after tuberculostatic treatment lymphatic tuberculosis might show signs of progression that can lead to an abdominal presentation.

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Abdominal Tuberculosis

Cited by 11 publications

References 23 publications

Diagnostic Laparoscopy for Abdominal Tuberculosis: A Promising Tool for Diagnosis

Diagnostic Laparoscopy for Abdominal Tuberculosis: A Promising Tool for Diagnosis

Review article: the diagnosis and management of Crohn’s disease in populations with high‐risk rates for tuberculosis

Dünndarmileus bei stenosierendem Ileozökaltumor und abdomineller Tuberkulose

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