Acute Presentation and Management of Abdominal Tuberculosis

Ahmad, Qamar; Sarwar, Muhammad Zeeshan; Fatimah, Nafeesah; Ahmed, Abubaker Shafiq; Changaizi, Shabbar Hussain; Ayyaz, Mahmood

doi:10.29271/jcpsp.2020.02.129

Cited by 10 publications

(9 citation statements)

References 12 publications

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“…Abdominal TB may arise alone or in association with pulmonary tuberculosis. It can involve the peritoneum, lymph nodes, luminal structures, and solid organs, with the predominance of intestinal and peritoneal forms of the disease [ 5 ]. Pediatric cases account for 10-20% of abdominal TB; most may present with peritoneal and lymph node disease, unlike adults, where intestinal TB predominates [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…Pediatric cases account for 10-20% of abdominal TB; most may present with peritoneal and lymph node disease, unlike adults, where intestinal TB predominates [ 6 ]. Mainly it can be managed successfully with anti-TB therapy [ 5 ]. Surgical intervention is usually preserved when complications arise from adhesions and inflammation, such as bowel perforation, obstruction, fistula formation, abscesses, and hemorrhage [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

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A Challenging Surgical Decision in a Child With Bowel Obstruction Secondary to Abdominal Tuberculosis and a Literature Review

Almohaidly¹,

Alsinan²,

Mohamadalmoktar³

et al. 2023

Cureus

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Tuberculosis (TB) is an infectious disease and one of the top 10 causes of death worldwide. Abdominal TB (ATB) can involve the peritoneum, lymph nodes, luminal structures, and solid organs, with a predominance of intestinal and peritoneal forms of the disease. Most pediatric cases may present with peritoneal and lymph node disease. This case reports a five-year-old girl who is medically and surgically free. She had ATB complicated with a bowel obstruction that resulted in an eventful outcome of fistula formation. The family gave a travel history to Egypt two months prior to the emergency first presentation. ATB is considered a severe and challenging infectious disease that affects several systems. It is associated with high mortality and morbidity rates, specifically in the pediatric population. This case discusses the importance of considering the possible complications of ATB in pediatrics to overcome unfavorable outcomes.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Challenging Surgical Decision in a Child With Bowel Obstruction Secondary to Abdominal Tuberculosis and a Literature Review

Almohaidly¹,

Alsinan²,

Mohamadalmoktar³

et al. 2023

Cureus

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“…In the Developed world, the colon's disease "Diverticula" is a common occurrence, and its prevalence rises with age, influencing 33% of the people aged above 45 years and roughly 66% of the people aged above 85 years [9]. Fever, discomfort and diarrhea (40-70%, 80-95, and 11-20 respectively), as well as constipation, malaise, alternating diarrhea and constipation, anorexia, weight loss (40-90 %), are frequent non-specific symptoms [10]. Secondary peritonitis caused by gastrointestinal perforation is among the most prevalent surgical emergencies worldwide, and is linked with a high rate of mortality and morbidity [11].…”

Section: Introductionmentioning

confidence: 99%

Clinical Presentation and Surgical Outcome in Patients Presented with Peritonitis

Abro

Qureshi

Hameed

et al. 2021

JPRI

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Objective: To determine the surgical outcome in patients with peritonitis at tertiary care Hospital. Materials and Methods: This descriptive case series study was conducted in general surgery department of Peoples Medical Collage Hospital, Nawabshah (SBA). Study duration was two year from August 2014 to July 2016. All the patients aged more than 12 years and of both genders were included. Surgical management was done in all of the study subjects. Abdominal cavity was produced with midline incisions using grid iron as per investigations and clinical evaluation; the quantity and quality of intra-abdominal exudates were measured. Intestinal contents and pus were removed from peritoneal cavity with suction as well as by manual mopping, and full lavage was carried out with 3-5 liters of normal saline to all parts of the abdominal cavity. All the demographic data including clinical presentation and surgical outcome in terms of post-operative complications, Hospital stay and mortality were recorded via study proforma. Results: A total of 100 cases of peritonitis 75% patients were male and 25% patients were female. The mean age of patients was 36.21+12.32 years. Acute generalized abdominal pain was in all cases, followed by fever 91.0%, vomiting 66.0%, constipation 69.0% and 2.0% patients complained of passing blood per rectum. Generalized abdominal tenderness, including rebound tenderness 90%, abdominal rigidity 83%, dehydration 88%, abdominal distention 85%, absent gut sound 70%, shifting dullness was elicited in 64% of cases and jaundice in 1.0% of cases. According to post-operative complications 20.0% patients developed Septicemia and Fecal fistula, 40.0% had wound Infection only, 9.0% patients developed wound infection and septicemia, 4.0% patients developed septicemia without any wound infection. Most of the patients had prolonged Hospital stay and overall mortality rate was 16%. Conclusion: Surgical outcome of the peritonitis resulted poor in those cases who came late and there was huge contamination of peritoneal cavity when operated, these patients developed post-operative complications i.e. wound infection, septicemia, faecal fistula and there hospital stay was longer.

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“…Abdominal tuberculosis is a common serious EPTB [2]. Abdominal tuberculosis can cause many complications, such as intestinal obstruction, intestinal perforation, which seriously affect the quality of life and prognosis of patients [3]. Therefore, early diagnosis and treatment of abdominal tuberculosis is very important to reduce the incidence of serious abdominal complications.…”

Section: Introductionmentioning

confidence: 99%

Meta-analysis of diagnostic accuracy of nucleic acid amplification tests for abdominal tuberculosis: A protocol

Shen¹,

Fang²,

Ye³

et al. 2020

PLoS ONE

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Background Abdominal tuberculosis is a severe extrapulmonary tuberculosis, which can lead to serious complications. Early diagnosis and treatment are very important for the prognosis and the diagnosis of abdominal tuberculosis is still difficult. This study aims to evaluate the diagnostic accuracy of nucleic acid amplification tests (NAATs) for abdominal tuberculosis using meta-analysis method. Methods We will search PubMed, the Cochrane Library, Embase, China National Knowledge Infrastructure, and the Wanfang database for studies evaluating the diagnostic accuracy of NAATs for abdominal tuberculosis until May 2020. We will include a systematic review and meta-analysis that evaluated the accuracy of NAATs for abdominal tuberculosis. Any types of study design with full text will be sought and included. The risk of bias will be assessed using the Quality Assessment of Diagnostic Accuracy Studies tool. Stata version 15.0 with the midas command packages will be used to carry out meta-analyses. Results The results will provide clinical evidence for diagnostic accuracy of NAATs for abdominal tuberculosis, and this systematic review and meta-analysis will be submitted to a peer-reviewed journal for publication. Conclusion This overview will provide evidence of NAATs for diagnosis of abdominal tuberculosis. Systematic review registration INPLASY202060030.

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Acute Presentation and Management of Abdominal Tuberculosis

Abstract: Objective: To study the clinicopatholgical profile and outcomes of surgical management of abdominal tuberculosis (ATB) Study Design: Cross-sectional observational study.

Cited by 10 publications

References 12 publications

A Challenging Surgical Decision in a Child With Bowel Obstruction Secondary to Abdominal Tuberculosis and a Literature Review

A Challenging Surgical Decision in a Child With Bowel Obstruction Secondary to Abdominal Tuberculosis and a Literature Review

Clinical Presentation and Surgical Outcome in Patients Presented with Peritonitis

Meta-analysis of diagnostic accuracy of nucleic acid amplification tests for abdominal tuberculosis: A protocol

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