Abdominal Tuberculosis

Aston, Niall O.

doi:10.1007/pl00012275

Cited by 125 publications

(133 citation statements)

References 80 publications

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“…Patients managed conservatively were put on ATT after confirmation of diagnosis. Signs and symptoms improved dramatically corresponding with observations made by other authors [10][11][12][13]. Majority of patients in our study (76 %) required emergency surgery for acute intestinal obstruction, peritonitis, and gut perforation.…”

Section: Discussionsupporting

confidence: 89%

Study of Surgical Emergencies of Tubercular Abdomen in Developing Countries

et al. 2012

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To study the various modes of presentation, diagnosis, and management of surgical emergencies of tubercular abdomen. This prospective study of surgical emergencies of tubercular abdomen was conducted in 50 patients who attended our surgical emergency from 2006 to 2008. Patients were evaluated thoroughly with history, physical examination, routine investigations, and special investigations such as ELISA, PCR, barium studies of gastrointestinal tract, and diagnostic laparoscopy as required and managed with medical and surgical treatment as necessary. The most of patients were from rural areas, in the third to sixth decades with slight male preponderance. Abdominal pain, vomiting, and constipation were commonest presenting symptoms. About 20 % patients had history of pulmonary tuberculosis and 16 % patients presented with ascites. PCR for blood and ascitic fluid was positive in 72 and 87.5 % patients, respectively. About 24 % patients were managed nonoperatively and responded to ATT. About 76 % patients needed surgery among which one-fifth of patients were operated in emergency. Procedures like adhesiolysis of gut (47.3 %), strictureplasty (10.5 %), resection anastomosis (5.2 %), right hemicolectomy (5.2 %), and ileotransverse anastomosis (7.8 %) were performed in 30 patients and peritoneal biopsy and lymph node biopsy in the remaining 8 patients. Both medically and surgically managed patients were put on antitubercular therapy. Abdominal tuberculosis is a disease of middle-aged rural people, presenting commonly with abdominal pain and vomiting with right lower abdominal tenderness.PCR (blood and ascites) for tuberculosis is much more sensitive than IgM ELISA (blood and ascites). The most of patients required surgical procedures and all patients responded dramatically to antitubercular therapy symptomatically with increase in the hemoglobin level and decrease in ESR.

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Section: Discussionsupporting

confidence: 89%

Study of Surgical Emergencies of Tubercular Abdomen in Developing Countries

et al. 2012

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“…The clinician must look for tuberculosis, and confirm or exclude this treatable malady in any patient who presents with gastrointestinal disease such as Crohn's disease, abdominal lymphoma, and malignancies of the abdominal viscera (18). The spectrum of disease in children is different from adults, in whom adhesive peritoneal and lymph nodal involvement is more common than gastrointestinal disease (19).…”

Section: Discussionmentioning

confidence: 99%

Assessment of 35 children with abdominal tuberculosis

Kılıç

Somer²,

Törün³

et al. 2015

Turk J Gastroenterol

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Background/Aims: To contribute to the diagnosis and treatment of pediatric abdominal tuberculosis cases by assessing the clinical, laboratory, and radiological features of patients who presented at our clinic and were diagnosed with abdominal tuberculosis. Materials and Methods: Clinical, laboratory, and radiological features were reviewed retrospectively for 35 patients diagnosed with abdominal tuberculosis and followed up at the Pediatric Infectious Diseases Clinic between January 1987 and August 2012. Results: The study group included 16 female (45.7%) and 19 male (54.3%) patients with an age range of 6 months to 16 years (mean: 9.77±4.36 years). Twenty-nine patients were diagnosed with tuberculosis peritonitis, five patients with intestinal tuberculosis, and one patient with pelvic tuberculosis. The most common signs and symptoms were ascites, abdominal pain, abdominal distention, weight loss, and fever. Mean duration of the complaints was 109 days (range: 10 days to 3 years). Conclusion: Abdominal tuberculosis is a disease with an insidious course without disease-specific clinical and laboratory signs. When the disease is suspected, laparoscopy or laparotomy could be helpful in diagnosis. Employing ultrasound and computed tomography signs, abdominal tuberculosis should be included in differential diagnoses in regions with a high incidence of tuberculosis when there is abdominal pain, weight loss, ascites, history of contact with individuals with tuberculosis, and positive tuberculin skin test when patients have not been Bacillus Calmette Guerin BCG vaccinated.

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“…4 Approximately one-eighth of total TB cases are extra-pulmonary. 3,5 Of these abdominal tuberculosis accounts for 11-16%. 4,6 It is estimated that in India extra-pulmonary tuberculosis constitutes 15-20 % of all cases of tuberculosis in immune-competent patients, 6 and in HIV positive patients the incidence is up to 50%.…”

Section: Introductionmentioning

confidence: 99%