Abdominal tuberculosis—experience of a University hospital in Oman

Machado, Norman Oneil; Grant, Christopher S.; Scrimgeour, Euan M.

doi:10.1016/s0001-706x(01)00175-9

Cited by 13 publications

(7 citation statements)

References 9 publications

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“…Even today, this diagnostic tool has not attracted the desired level of attention and usually is considered a last resort rather than the first in difficult diagnostic situations. In the current study, we gave it a place of primary investigation tool along with other diagnostic tests and we found it extremely encouraging as the yield of diagnosis is over 80%, in line with other similar studies [28][29]. Diagnostic laparoscopy prompts the diagnosis and can reduce the delay which can increase the morbidity and can lead to unnecessary laparotomies while improving the outcome [30][31].…”

Section: Laparoscopic Surgerysupporting

confidence: 81%

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: Laparoscopic Surgerysupporting

confidence: 81%

Diagnostic Laparoscopy for Abdominal Tuberculosis: A Promising Tool for Diagnosis

Malik¹

2017

Laparoscopic Surgery

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“…Chest X-rays showed evidence of pulmonary tuberculosis in 8.3% of the cases, which is in wide contrast with study of A Manohar and N Machado, who found the positivity rate in 40.8% and 43.2% respectively. 27,28 The ultrasonography gives useful supportive findings:-terminal ileum & caecal wall thickening, loculated ascites with free-fluid, interloop ascites producing 'sliced bread' sign, and mesenteric lymphadenopathy. 29 In the present study abdominal sonography was done in 82% cases which revealed almost similar findings.…”

Section: Discussionmentioning

confidence: 99%

“…In more advanced disease gross wall thickening, adherent loops, large regional nodes and mesenteric thickening can together form a soft tissue mass centred around the ileocaecal junction. 28 CT scan can also pick up ulceration or nodularity within the terminal ileum, along with narrowing and proximal dilatation. In the colon, involvement around the hepatic flexure is common.…”

Section: Discussionmentioning

confidence: 99%

Surgical management of abdominal tuberculosis: a retrospective study from Central India

Charokar¹,

Garg²,

Jain³

2016

Int Surg J

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“…[1][2][3][4][5]11,18,30 Patients with secondary SEP warrant investigations to confirm the presence of predisposing conditions; these should include measurements of erythrocyte sedimentation rate, sputum tests for tuberculosis, ascetic fluid tests for adenosine deaminase levels, examinations for suspected abdominal tuberculosis and, in some cases, laparoscopies and biopsies. 1,2,35,36 Similar investigations would be required to rule out other possible diagnoses 24 including autoimmune conditions or pelvic ovarian inflammatory pathologies. [1][2][3][4] Other differential diagnoses include retractile mesenteritis, sclerosing malignant lymphomas, malignant primary mesenteric tumours and other metastatic neoplasms.…”

Section: Differential Diagnosismentioning

confidence: 99%

Sclerosing Encapsulating Peritonitis: Review

Machado

2016

SQUMJ

108

182

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Sclerosing encapsulating peritonitis (SEP) is a rare chronic inflammatory condition of the peritoneum with an unknown aetiology. Also known as abdominal cocoon, the condition occurs when loops of the bowel are encased within the peritoneal cavity by a membrane, leading to intestinal obstruction. Due to its rarity and non-specific clinical features, it is often misdiagnosed. The condition presents with recurrent episodes of small bowel obstruction and can be idiopathic or secondary; the latter is associated with predisposing factors such as peritoneal dialysis or abdominal tuberculosis. In the early stages, patients can be managed conservatively; however, surgical intervention is necessary for those with advanced stage intestinal obstruction. A literature review revealed 118 cases of SEP; the mean age of these patients was 39 years and 68.0% were male. The predominant presentation was abdominal pain (72.0%), distension (44.9%) or a mass (30.5%). Almost all of the patients underwent surgical excision (99.2%) without postoperative complications (88.1%).

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Abdominal tuberculosis—experience of a University hospital in Oman

Cited by 13 publications

References 9 publications

Diagnostic Laparoscopy for Abdominal Tuberculosis: A Promising Tool for Diagnosis

Diagnostic Laparoscopy for Abdominal Tuberculosis: A Promising Tool for Diagnosis

Surgical management of abdominal tuberculosis: a retrospective study from Central India

Sclerosing Encapsulating Peritonitis: Review

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