Clinical diagnosis of abdominal tuberculosis

Das, Pritam; Shukla, H. S.

doi:10.1002/bjs.1800631213

Cited by 126 publications

(114 citation statements)

References 4 publications

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“…10 Diarrhoea alternating with constipation was present in 8% of the cases, which was similar to studies by Dass and Shukla and Anand. 10,11 Fever was found in 50% of the cases, which was similar to studies by Paustian and Vij. 12,13 Loss of weight was present in 82% of the cases, which was similar to studies by Anand and Vij.…”

Section: Discussionsupporting

confidence: 89%

“…11,13 Abdominal distention was present in 50% of the cases, which was similar to study by Dass and Shukla. 10 Incidence of night sweats was present in 68% of the cases, which was similar to studies by Anand and Paustian. 11,12 Most of the patients presented within six months of onset of symptoms, which was similar to studies by Bernhard JS et al and Dass and Shukla.…”

Section: Discussionsupporting

confidence: 89%

“…9 Constipation was found in 50% of the cases similar to study by Dass and Shukla. 10 Diarrhoea was present in 10% of the patients, which was similar to study by Dass and Shukla. 10 Diarrhoea alternating with constipation was present in 8% of the cases, which was similar to studies by Dass and Shukla and Anand.…”

Section: Discussionsupporting

confidence: 88%

“…10 Diarrhoea was present in 10% of the patients, which was similar to study by Dass and Shukla. 10 Diarrhoea alternating with constipation was present in 8% of the cases, which was similar to studies by Dass and Shukla and Anand. 10,11 Fever was found in 50% of the cases, which was similar to studies by Paustian and Vij.…”

Section: Discussionsupporting

confidence: 88%

“…11,12 Most of the patients presented within six months of onset of symptoms, which was similar to studies by Bernhard JS et al and Dass and Shukla. 7,10 Abdominal tenderness was present in 86% of the cases, which was similar to studies by Bhansali and Iwasaki Y et al 14,15 Abdominal lump was present in 20% of the patients, which was similar to study by Dass and Shukla. 10 The location of abdominal lump in right iliac fossa was noted in 80% of patients, which was similar to study by Romesh and Mehta.…”

Section: Discussionsupporting

confidence: 83%

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Abdominal tuberculosis: a clinicopathologic study in Kashmir valley

Kumar

Digra²,

Kumar

2017

Int Surg J

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Background: Tuberculosis is a major health hazard in India. Because of its diverse manifestations, difficult diagnosis, widespread complications, prolonged morbidity and increased mortality the study of this disease becomes even more important. The objectives of the study were to study age and sex distribution of abdominal tuberculosis, to study association of abdominal tuberculosis with pulmonary tuberculosis, to study various clinical presentations of abdominal tuberculosis, to study various modalities for diagnosis of abdominal tuberculosis and to study the surgical management in relevant patients of abdominal tuberculosis.Methods: This study was carried out in 50 patients of abdominal tuberculosis of different age group and sex admitted in Department of Surgery, SMHS Hospital, Govt. Medical College, Srinagar during the period from 2002 to 2004. The patients of abdominal tuberculosis fell into two broad categories - those presenting with acute/sub-acute intestinal obstruction and those without obstruction. All patients were worked up with the elicitation of proper history, clinical examination, laboratory investigation, etc. The diagnosis was confirmed by IgM ELISA for tuberculosis, peritoneocentesis, FNAC, laparotomy and biopsy of the specimen obtained at the time of surgery.Results: Maximum incidence of abdominal tuberculosis was noted in third and fourth decades followed by second decade of life. Males constituted 60% and females constituted 40% of total patients. 23 patients presented with acute and 27 patients with chronic onset of signs and symptoms respectively. Abdominal pain, anorexia, weight loss, weakness, vomiting and constipation were the main presenting symptoms. No haemoglobin and raised ESR were the commonest finding on routine laboratory investigations in majority of the patients. IgM ELISA for tuberculosis was positive in 41 patients (95.34%). Surgical intervention was required in 50% of the patients.Conclusions: Good clinicopathological workup in patients of abdominal tuberculosis results in earlier diagnosis and timely management of this curable disease.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 83%

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Abdominal tuberculosis: a clinicopathologic study in Kashmir valley

Kumar

Digra²,

Kumar

2017

Int Surg J

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Primary Tuberculous Enterocolitis

Kasulke¹,

Anderson²,

Gupta³

et al. 1981

Arch Surg

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Abdominal tuberculosis in the 1970s: A continuing problem

Shukla¹,

Hughes²

1978

Journal of British Surgery

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Eight cases of abdominal tuberculosis (5 indigenous and 3 immigrants) treated in Cardiff in the 5-year period 1972-6 were studied to determine clinical presentation, errors in diagnosis and usefulness of investigations. The heterogeneous presentation is reflected in the 7 types of lesion seen in the 8 cases. Anorexia and weight loss were present in all cases and abdominal colic and post-prandial discomfort were common. No patient had diarrhoea, constipation or intestinal obstruction. The clinical diagnosis was wrong 7 out of 8 times. Investigations were unhelpful in the diagnosis and where a lesion was found on barium studies, a diagnosis of Crohn's disease or carcinoma was made. The same was true of the findings at laparotomy. The examinations most useful in the diagnosis were histopathological examination for caseation and demonstration of acid-fast bacilli by alcohol and acid-fast tissue stains, or by a culture technique. The need for a greater awareness of abdominal tuberculosis, not only in immigrants but also in the indigenous population of Britain, is apparent.

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Clinical diagnosis of abdominal tuberculosis

Cited by 126 publications

References 4 publications

Abdominal tuberculosis: a clinicopathologic study in Kashmir valley

Abdominal tuberculosis: a clinicopathologic study in Kashmir valley

Primary Tuberculous Enterocolitis

Abdominal tuberculosis in the 1970s: A continuing problem

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