Presentation Of Abdominal Tuberculosis Research Articles

Case Report: Abdominal tuberculosis presenting as abdominal mass

Case Report: Abdominal tuberculosis presenting as abdominal mass

Spectrum of abdominal tuberculosis presenting as acute surgical emergency: Relevance in 21st century, a case series

BackgroundAbdominal tuberculosis presenting as acute surgical emergency continues to be a major issue in developing countries including India. Being an indolent disease with varied presentation, there is a need to describe the epidemiology, clinicopathological nature of the disease. Hence, this series was conducted with the aim of describing our institutional experience in the management of abdominal tuberculosis presenting as acute surgical emergency, outlining the epidemiology, management aspects and the analysis of risk factors for poor outcome in our population. MethodsThis was a descriptive series of patients operated for abdominal tuberculosis presenting as acute surgical emergency at a tertiary care hospital in Eastern India from January 2021 to January 2022. All consecutive patients presenting with intestinal obstruction or peritonitis who underwent laparotomy with intra operative and histopathological finding suggestive of tuberculosis were taken for the study. ResultsA total of 30 patients with acute abdominal tuberculosis were included in the study. 56.7% of patients were males; the mean age of presentation was 43 years with majority of patients in the younger to middle age groups. Most (80%) patients were from rural areas with limited access to healthcare. One patient had co-infection with HIV. Five patients had diabetes and six patients had hypertension as co-morbidities. 73.3% of patients had primary intestinal tuberculosis. Majority (76.7%) presented with acute intestinal obstruction. All patients had colicky abdominal pain as a consistent feature. 40% of patients were anaemic and 70% had low serum albumin levels. The most common site of affection was Ileo-cecal region (73.3%) with stricture as the pathology. Segmental resection with end to end anastomosis was the most common procedure performed (46.7%). 26.7% of patients had an adverse post operative complication, and 23.3% had surgical site infection (SSI). The mortality rate in our series was 6.7%. Although coexisting SSI, co-morbidities were associated with increased mortality, it was not found to be statistically significant (p = 0.08). 16 patients were lost to follow up. ConclusionAbdominal tuberculosis presenting as acute abdomen continues to challenge surgeons even in the 21st century. Majority in the developing countries present late with varied complications. A high index of clinical suspicion is required for timely diagnosis to reduce the mortality and morbidity of the disease.

Abdominal Tuberculosis Presenting as Anemia Refractory to Standard Therapy in an Elderly Male

Abstract India bears a significant proportion of tuberculosis cases, accounting for approximately 28% of the global burden. Among the reported global cases, around 16% constitute extrapulmonary tuberculosis (EPTB). EPTB diagnosis and treatment are usually challenging. The diagnosis frequently requires the application of contemporary methods, such as acquiring extrapulmonary samples and utilizing advanced diagnostic tools that involve immunological and molecular techniques. Here, we present a case of an elderly male who presented with constitutional symptoms and severe anemia which was refractory to standard hematinic and transfusion therapy. The patient was diagnosed to be a case of abdominal tuberculosis and improved with antitubercular therapy.

The cost of pediatric abdominal tuberculosis treatment in India: Evidence from a teaching hospital

Abstract This study estimated the treatment cost of pediatric abdominal tuberculosis that potentially needs surgical treatment in India. Data were collected from 38 in-patient children at Christian Medical Hospital, Ludhiana as part of a clinical study conducted to establish the patterns of presentation and outcomes of abdominal tuberculosis in an Indian setting. A bottom-up approach was used to estimate the costs from a healthcare provider perspective, and a generalized linear model (GLM) was run to find variables that had an impact on the costs. Costs were reported in international dollars ($) and India Rupees (INR). The results show that the average direct cost was $3095.00 (standard deviation [SD]: 3480.82) or 68,065.13 INR (SD: 76,539.69). The GLM results established that duration of treatment and surgical treatment were significantly associated with higher costs. Efforts of eliminating the condition should be strengthened.

Primary Abdominal Tuberculosis Presenting as Peritonitis: Experience at an Emergency Medical Unit in the War Zone

Tubercular disease is a global health problem, but it is more prevalent in developing countries. Emergency surgery for complicated abdominal tubercular disease in a war zone is challenging as the confirmation of definite diagnosis is difficult and delayed. We are presenting a case of abdominal tubercular disease complicated with peritonitis from intestinal perforation in a young female, diagnosed as acute surgical abdomen, and undergone emergent exploratory laparotomy at a “Médecins Sans Frontières” (MSF) Emergency Medical Unit in the war zone of Lankien-South Sudan. She was managed with abdominal washouts and intestinal stoma; diseased tissues and ascitic fluid were taken for histopathology and cultures. A Bogota Bag was used for abdominal closure. The patient was timely but empirically put on anti-tubercular therapy, and she was transferred to a primary hospital on the 20th postoperative day to continue her treatment. We were informed that her primary abdominal tuberculosis was confirmed by histopathology from intraoperatively obtained tissues and she was doing well during a three-month follow-up.

Primary Abdominal Tuberculosis Presenting as Peritonitis: Experience at an Emergency Medical Unit in the War Zone

Tubercular disease is a global health problem, but it is more prevalent in developing countries. Emergency surgery for complicated abdominal tubercular disease in a war zone is challenging as the confirmation of definite diagnosis is difficult and delayed. We are presenting a case of abdominal tubercular disease complicated with peritonitis from intestinal perforation in a young female, diagnosed as acute surgical abdomen, and undergone emergent exploratory laparotomy at a “Médecins Sans Frontières” (MSF) Emergency Medical Unit in the war zone of Lankien-South Sudan. She was managed with abdominal washouts and intestinal stoma; diseased tissues and ascitic fluid were taken for histopathology and cultures. A Bogota Bag was used for abdominal closure. The patient was timely but empirically put on anti-tubercular therapy, and she was transferred to a primary hospital on the 20th postoperative day to continue her treatment. We were informed that her primary abdominal tuberculosis was confirmed by histopathology from intraoperatively obtained tissues and she was doing well during a three-month follow-up.

Surgical Presentation of Abdominal Tuberculosis at a University Hospital

Aim: To determine various surgical presentation of abdominal tuberculosis Study design: cross sectional study Place and duration: This study was conducted at Peoples University of Medical & Health Sciences for Women (PUMHS-W) Nawabshah Pakistan from October 2017 to march 2020. Methodology: The data in this study were from cases of abdominal TB that were admitted as an acute or subacute abdominal emergency. The data of the patients were analyzed using SPSS version 22. Descriptive analysis was used to examine the data. The data was presented using numbers and percentages. Results: Females made up 62.66 % of the 150 cases. A total of 55.33 % of the cases were between the ages of 30 and 50 years. No history of TB was shown in 60.66% of the cases and a history of pulmonary TB was found in 26.66 % of the cases. In 96.66% of patients, abdominal pain was present, followed by vomiting in 52 % and fever in 22 %. 60.66 percent of the cases were classified as having subacute intestinal obstruction, whereas 39.33 % had acute abdominal symptoms. The most common symptom was abdominal pain, and the most common clinical presentation was subacute intestinal obstruction. Early identification is crucial for avoiding intestinal TB's systemic and local effects. Conclusion: Intestinal obstruction was the most common clinical presentation of abdominal tuberculosis followed by intestinal obstruction. Acute abdominal TB is one of the most common causes of acute abdomen in endemic areas, as intestinal TB is a common extrapulmonary manifestation of TB. The key to avoiding systemic and local consequences of intestinal TB is early detection. Keywords: Abdominal, Clinical presentation, Intestinal, Symptoms, Tuberculosis

Hepatic Scalloping - A Rare Presentation of Abdominal Tuberculosis

Hepatic Scalloping - A Rare Presentation of Abdominal Tuberculosis

Abdominal Tuberculosis Presenting with an Indiscernible Abdominal Complaint: A Case Report

Abdominal Tuberculosis Presenting with an Indiscernible Abdominal Complaint: A Case Report

Acute Presentation and Management of Abdominal Tuberculosis.

To study the clinicopatholgical profile and outcomes of surgical management of abdominal tuberculosis (ATB) Study Design: Cross-sectional observational study. Department of Surgery, Services Hospital, Lahore, Pakistan, from May 2008 to April 2018. All patients who underwent emergency laparotomy during the study period due to abdominal tuberculosis, and consented to participate in the study were included. Demographic variables and type of surgical procedure performed were recorded. Patients were followed-up for histopathology, recurrence, or any anti-tuberculous therapy related complications at 1, 4, 6, and 12 months. Data were analysed using SPSS version 21. Out of the 80 patients, 36 were males and 44 were females. The median age was 23.5 years (range = 11-90 years). Mean weight of the patients was 48.7 ±12.2 kg. Commonest presenting symptom was abdominal pain 72 (90%). On exploration, ileocecal region was most commonly involved segment 68 (85%). Stoma formation was the most common surgical procedure performed in 59 (73.8%) patients. Complications and mortality rate were 48 (60%) and 7 (8.7%), respectively. A significant relationship of complications was found with prolonged hospital stay (p <0.001). Abdominal tuberculosis is a major public health concern. Vague symptoms lead to diagnostic delay so patients present late with intestinal obstruction. Ileocecal tuberculosis is the most common site of involvement.

English

English

Acute Presentation and Management of Abdominal Tuberculosis: A Ten-year Experience at a Tertiary Care Center in Pakistan

Acute Presentation and Management of Abdominal Tuberculosis: A Ten-year Experience at a Tertiary Care Center in Pakistan

Clinical Presentation of Abdominal Tuberculosis

Introduction . Nowadays, tuberculosis remains an issue of global. It may have affected all gastrointestinal organs, including peritoneum. Thus, diagnostic approach of this abdominal tuberculosis remains challenging as it may present non–specific features and mimics other abdominal pathologies. A study focused on clinical and laboratory findings, imaging and evaluation of management of those diagnosed as abdominal tuberculosis was required. Method. A cross–sectional study proceeded retrospectively aimed for an evaluation. All abdominal tuberculosis managed in dr Cipto Mangunkusumo General Hospital, Jakarta and Fatmawati General Hospital, Jakarta during January 2011 to December 2013 were enrolled. Data collected from data registration, subject’s characteristic, clinical findings, laboratory findings, and imaging were variables subjected to analysis. Results. There were forty–eight subjects recorded. The most symptoms found were abdominal pain (81.25%), abdominal distention (72.9%), fever (68.75%) and weight loss (68.75%). While as most laboratory findings were leukocytosis (52%) and elevated erythrocyte sedimentation rate, ESR (72.9%). And up to 50% subject showed normal chest x–ray while as other showed non–specific features for pulmonary tuberculosis. Conclusion. Clinical presentations showed to be diverse. Laboratory finding, and imaging maybe valuable to diagnose abdominal tuberculosis, although chest x–ray represents non–specific features for pulmonary tuberculosis. Evaluation of these clinical findings and lead to accurate diagnostic approach; which was determine the characteristics associated with abdominal tuberculosis diagnostics value (New Ropanasuri J Surg.2018;1(1):e186). Keywords : Abdominal Tuberculosis; Laboratory Test; Symptoms

Spectrum of clinical presentation of abdominal tuberculosis and its surgical management

Background: Objective was to study the incidence, spectrum of clinical features, management-conservative or surgical and its outcome in patients of abdominal tuberculosis.Methods: It is retrospective study including 262 patients were part of this study conducted from January 2013 to December 2017 with a diagnosis of abdominal tuberculosis carried out in Gandhi medical college associated Hamidia Hospital, Bhopal, Madhya Pradesh, India.Results: The patients were mostly females and from age group 21-40 years. The most common clinical symptom was abdominal pain and the sign was tenderness, least common was lump in abdomen. Most patients were treated by operative procedure in comparison to conservative management. Most common intraoperative finding was ileal stricture while the least one being splenic abscess and the commonest procedure done was laparotomy with resection and anastomosis and the least was splenectomy. Most patients come in emergence rather than electively. The mortality was about 3.8% i.e. 10 patients.Conclusions: In conclusion despite of so much advances in medicine incidence of abdominal tuberculosis seems to be increasing which is evident with current reports. The delay in treatment leads to increase morbidity and mortality because of difficulty in diagnosing the disease due to its varied clinical presentation mimicking other abdominal condition. A high index of suspicion should always be kept in mind for the early diagnosis of this completely treatable disorder.

Abdominal tuberculosis: a clinical study in a tertiary care hospital

Background: Abdominal tuberculosis is the sixth most common form of extrapulmonary site of infection after lymphatic, genitourinary, bone and joint, miliary and meningeal TB with a rising incidence in recent years. Tuberculosis can affect any part of the gastro-intestinal (GI) tract including anus, peritoneum and hepato-biliary system. The clinical manifestations of abdominal tuberculosis are non-specific and mimic various GI disorders and cause delay in diagnosis and management. The aim of this study is to study the incidence of abdominal tuberculosis, percentage of acute presentation, to study and analyse clinical presentation, various diagnostic modalities, role of surgery and to evaluate the spectrum of surgeries done for abdominal tuberculosisMethods: Study was done by analyzing 108 cases in our tertiary care hospital, Chennai, India, during the period of June 2015 to January 2016. All suspected and diagnosed cases of abdominal tuberculosis were included in the study. The relevant clinical information, laboratory results, microbiological and radiological investigations were recorded. Histopathological examination of all the resected or excised specimens was done to detect tuberculosis in all the cases.Results: Out of 108 cases with abdominal tuberculosis, the average age of presentation was between 21 and 40 years with a slight male predominance (male:female = 1.1:1). Abdominal pain (92%) was the most common presenting symptom followed by anorexia (70%), loss of weight (70%), and intestinal obstruction (13%). 29 cases underwent surgical management. All patients were put on anti-tubercular treatment and majority showed good response to therapy.Conclusions: Abdominal tuberculosis should be considered as a differential diagnosis in patients with vague GI symptoms. To diagnose abdominal tuberculosis, high degree of suspicion is needed, and its incidence being common in people with lower socioeconomic status. This study gives a basic outline of presentation, diagnosis and management of abdominal tuberculosis in developing country.

A case of abdominal tuberculosis diagnosed by fine needle aspiration cytology (FNAC) of mesenteric lymph node

Background: The modes of presentation of abdominal tuberculosis can be vague resulting in diagnostic dilemma.Objective: To report a case of abdominal tuberculosis diagnosed by FNAC of a mesenteric lymphnode.Case: A 17-year-old boy presented in General out Patient department complaining of abdominal pain, abdominal distension, and low grade fever, anorexia and weight loss for 2 months. The examination revealed pallor, low body weight, doughing of abdomen and multiple palpable painless, slightly mobile abdominal lymph nodes. The ultrasonography (USG) guided fine needle aspiration cytology (FNAC) of a mesenteric lymphnode showed caseating necrosis suggestive of tuberculosis. The erythrocytes sedimentation rate (ESR) was raised.Conclusion: The abdominal tuberculosis can present with abdominal pain and abdominal distension associated with low grade fever, anorexia and weight loss. The diagnosis of abdominal tuberculosis can be confirmed by FNAC of the lymphnodes. Health Renaissance 2015;13(3): 177-180

Effect of mobile phone radiation on thyroid glands of rats

Tuberculosis is an immense health problem in the developing countries. Diagnosis of abdominal tuberculosis is often difficult because of its protean manifestations. Our objective was to evaluate the various clinical and laboratory presentation of abdominal tuberculosis from a tertiary care setup.We reviewed the clinical and laboratory features of patients presenting with abdominal tuberculosis through retrospective analysis from January 2016 to December 2016 from a tertiary care hospital in Northeast India.Of the 42 adult patients with abdominal tuberculosis who were part of the study, 22 (52.4%) were males and 20 (47.6%) females. The mean age was 34.6 years. Fever (93%) was the most common presenting symptom followed by pain abdomen (74%), loss of appetite (71%), weight loss (67%) and nausea/vomiting (45%). The main organs involved were the mesenteric lymph nodes (n = 19, 45.2%), the peritoneum (n = 6, 14.3%), and gastrointestinal (n = 5, 11.9%). Pulmonary tuberculosis was apparent in 4 (9.5%) patients.Abdominal tuberculosis presents with varied symptomatology. A high degree of suspicion along with meticulous history and clinical examination corroborated with laboratory investigation is required for its diagnosis.

Clinical and laboratory presentation of abdominal tuberculosis in Shillong, Meghalaya: Experience from Northeast India

Abstract Objective Tuberculosis is an immense health problem in the developing countries. Diagnosis of abdominal tuberculosis is often difficult because of its protean manifestations. Our objective was to evaluate the various clinical and laboratory presentation of abdominal tuberculosis from a tertiary care setup. Materials and methods We reviewed the clinical and laboratory features of patients presenting with abdominal tuberculosis through retrospective analysis from January 2016 to December 2016 from a tertiary care hospital in Northeast India. Results Of the 42 adult patients with abdominal tuberculosis who were part of the study, 22 (52.4%) were males and 20 (47.6%) females. The mean age was 34.6 years. Fever (93%) was the most common presenting symptom followed by pain abdomen (74%), loss of appetite (71%), weight loss (67%) and nausea/vomiting (45%). The main organs involved were the mesenteric lymph nodes (n = 19, 45.2%), the peritoneum (n = 6, 14.3%), and gastrointestinal (n = 5, 11.9%). Pulmonary tuberculosis was apparent in 4 (9.5%) patients. Conclusion Abdominal tuberculosis presents with varied symptomatology. A high degree of suspicion along with meticulous history and clinical examination corroborated with laboratory investigation is required for its diagnosis.

A Rare Presentation of Abdominal Tuberculosis

A Rare Presentation of Abdominal Tuberculosis

Abdominal tuberculosis presenting as mass per abdomen: a case report

Tuberculosis (TB) can involve any part of the gastrointestinal tract, the peritoneum, lymphnodes and the pancreatobiliary system. The primary site of TB is usually lung, from where it disseminates to other parts of the body. TB of the gastrointestinal tract is the sixth most frequent form of extrapulmonary tuberculosis. The incidence of abdominal tuberculosis in children in India is estimated to be 2.2 million as in the year 2014 and India has the world’s largest tuberculosis cases of around 26%. It can have a varied presentation and can mimic any abdominal pathology. A high index of suspicion is an important factor in early diagnosis. Here we present a case of abdominal tuberculosis who presented as mass per abdomen.