Abdominal Tuberculosis: A Diagnostic Dilemma

Tarafder, Arun Joyati; Mahtab, Mamun-Al; Das, Sisir; Karim, Rezaul; Rahaman, Habibur; Rahman, Salimur

doi:10.5005/jp-journals-10018-1133

Cited by 2 publications

(1 citation statement)

References 19 publications

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“…However, abdominal tuberculosis can present with the same vague symptoms, and it is an important differential diagnosis to consider and to hope in a minor subset of lucky women [1]. Worldwide, the prevalence of extrapulmonary tuberculosis is increasing parallel to the rise of acquired immunodeficiency syndrome (AIDS), mainly in developing countries, with around 12% of abdominal involvement [2]. Peritoneal tuberculosis is a rare entity in developed countries but should always be considered in developing countries, accounting for less than 1% of tuberculosis cases [3].…”

Section: Discussionmentioning

confidence: 99%

Peritoneal Tuberculosis: A Forsaken Yet Misleading Diagnosis

Kattan

Menassa-Moussa

Kesrouani

et al. 2019

Case Reports in Oncological Medicine

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In women presenting with an abdominal mass and ascites, the first diagnosis to consider is ovarian cancer. However, clinicians should always consider alternative differentials, namely, peritoneal tuberculosis, especially in the presence of respiratory symptoms and with the increasing prevalence of extrapulmonary tuberculosis. Peritoneal tuberculosis can mimic the clinical presentation of ovarian cancer, and on imaging, it can show similar features of peritoneal carcinomatosis and nodules. Tumor markers can also be elevated in the absence of malignancy. We present the case of a 44-year-old woman with abdominal distension and ascites. Imaging with CT scan, MRI, and PET scan were inconclusive, showing peritoneal nodules. Cytology of ascites was negative. Laparoscopy was done showing Koch bacilli followed by pulmonary sampling showing Mycobacterium tuberculosis. The patient was treated with quadritherapy with resolution of symptoms.

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Section: Discussionmentioning

confidence: 99%

Peritoneal Tuberculosis: A Forsaken Yet Misleading Diagnosis

Kattan

Menassa-Moussa

Kesrouani

et al. 2019

Case Reports in Oncological Medicine

View full text Add to dashboard Cite

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Incidence of Abdominal Tuberculosis in Cases of the Intestinal Obstruction With Its Clinical Course and Management

PARAS KUMAR PANDOVE,

ROMMEL SINGH MOHI,

PARVEEN KUMAR

2023

Asian J Pharm Clin Res

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Objective: Intestinal obstruction occurs due to the failure of passage of contents through intestine. It can be because of a mechanical or functional pathology. Main causes of intestinal obstruction may vary from country to country or among zones within a specific country. The aim of this study was to evaluate the etiology, presentation, management strategies, and patients with acute mechanical intestinal obstruction and to find incidence of abdominal tuberculosis at a tertiary care hospital in Punjab, North India. Methods: This prospective study was conducted in the Department of Surgery, Rajindra Medical College Hospital, Patiala, Punjab, India, between November 2020 and September 2022. A total of 100 patients were enrolled in our study who were diagnosed to have intestinal obstruction. Observation and Results: The most common age group affected was 21–50 years (63%). Intestinal obstruction was diagnosed with males preponderance (66%). Abdominal pain, constipation, and vomiting were the most common presenting symptoms and abdominal distension was the most common physical finding on the clinical examination. The most common radiological finding was multiple air fluid levels seen on X rays. The main cause of obstruction was Adhesions and Bands followed by Ileocecal tuberculosis. About 13% patients diagnosed with abdominal tuberculosis. Patients showed good response to anti-tubercular therapy. About 6% mortality rate was reported. Conclusion: Adhesions and bands were the main causes of acute intestinal obstruction in our region. An algorithmic diagnostic approach based on different radio investigations, biopsy, and appropriate management with a rational combination of anti-tubercular therapy can reduce the morbidity of this easily curable yet potentially lethal disease.

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Abdominal Tuberculosis: A Diagnostic Dilemma

Cited by 2 publications

References 19 publications

Peritoneal Tuberculosis: A Forsaken Yet Misleading Diagnosis

Peritoneal Tuberculosis: A Forsaken Yet Misleading Diagnosis

Incidence of Abdominal Tuberculosis in Cases of the Intestinal Obstruction With Its Clinical Course and Management

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