1
|
A Retrospective Cohort Study of Coexistence of Carcinoma and Tuberculosis of Colon: 12-Year Experience. Indian J Surg Oncol 2020; 12:61-66. [PMID: 33814833 DOI: 10.1007/s13193-020-01249-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Accepted: 10/01/2020] [Indexed: 10/23/2022] Open
Abstract
Coexistence of carcinoma colon and tuberculosis is rare. The aim of this study is to present our 12-year experience on colonic carcinoma with coexisting colonic TB. Histopathology and imaging records of 189 patients of colonic carcinoma patients who underwent treatment in surgical unit 6 in our institute between January 2006 and December 2017 were reviewed. In 7 patients, histopathology and/or imaging studies were suggestive of coexistence of colonic carcinoma and tuberculosis. Fifteen cases of colonic tuberculosis were also reviewed. Descriptive statistics were used to summarize the data. Colonoscopic biopsy was suggestive of only malignant lesion in 6 cases and coexistence of TB and carcinoma in 1 case. The duration of symptoms spanned between 2 and 7 weeks. Anorexia and weight loss were the predominant symptoms. Colonoscopic biopsy was suggestive of only malignant lesion in 6 cases and coexistence of TB and carcinoma in 1 case. The morbidity was low and there was no surgery associated mortality. Clinical awareness and advancement in diagnostic studies and improvement in management strategies may guide and lead to early diagnosis, optimum therapeutic guidelines and thus improved outcome.
Collapse
|
2
|
Fahmi MN, Harti AP. A diagnostic approach for differentiating abdominal tuberculosis from ovarian malignancy: a case series and literature review. BMC Proc 2019; 13:13. [PMID: 31890006 PMCID: PMC6912930 DOI: 10.1186/s12919-019-0180-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
Abstract
Background Abdominal tuberculosis is an uncommon variant of extrapulmonary tuberculosis. It accounts for 3.5% of extrapulmonary tuberculosis. Diagnosis of abdominal tuberculosis is still a challenge due to its non-specific symptoms. Abdominal tuberculosis and ovarian cancer may show similar symptoms, laboratory and imaging features. The goal of our report is to emphasize for the need of a diagnostic approach based on clinical manifestations, laboratory, imaging findings, and additional tests for considering a diagnosis of abdominal tuberculosis rather than ovarian cancer. Case presentation We report 3 cases of abdominal tuberculosis in our Onco-gynaecology Division, Department of Obstetrics and Gynaecology, Sardjito Hospital, Yogyakarta, Indonesia in 2018 which were previously diagnosed as ovarian malignancy and managed surgically. All of our patients experienced abdominal pain and enlargement but only two of them had significant weight loss. The general symptoms were typically found in onco-gynaecology patients, especially in those with ovarian malignancy. Ultrasound examination showed multilocular masses, 2 of them with solid parts and ascites. Cancer antigen 125 (CA-125) levels were found increasing in those three patients. All of them were treated surgically and diagnosis of abdominal tuberculosis was established through the histopathological result of tissue biopsy. Based on our cases and literature, we consider the need of a diagnostic approach to differentiate abdominal tuberculosis from ovarian malignancy, an attempt to avoid unnecessary invasive procedures that put burden risk for the patients. Conclusion Minimally invasive tests to establish the diagnosis of abdominal tuberculosis should be optimized to reduce the burden risk of laparotomy. Careful diagnostic steps should be followed to avoid wrong diagnosis.
Collapse
Affiliation(s)
- Moh Nailul Fahmi
- Department of Obstetrics and Gynecology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada/Dr. Sardjito Hospital, Jl. Kesehatan No. 1, Yogyakarta, 55281 Indonesia
| | - Annisaa Pelita Harti
- Department of Obstetrics and Gynecology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada/Dr. Sardjito Hospital, Jl. Kesehatan No. 1, Yogyakarta, 55281 Indonesia
| |
Collapse
|
3
|
Deshpande SS, Joshi AR, Deshpande SS, Phajlani SA. Computed tomographic features of abdominal tuberculosis: unmask the impersonator! Abdom Radiol (NY) 2019; 44:11-21. [PMID: 30027495 DOI: 10.1007/s00261-018-1700-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
PURPOSE Abdominal tuberculosis (ATB) mimics various infectious, inflammatory, and neoplastic conditions and hence requires a high index of suspicion for accurate diagnosis, especially in low prevalence areas. It is difficult to consistently establish a histopathological diagnosis of ATB which underlines the importance of supportive evidences for institution of prompt empirical therapy to prevent associated morbidity and mortality. METHODS We retrospectively evaluated clinical and imaging features of 105 ATB cases and classified their CT findings based on peritoneal, lymph node, bowel, and solid organ involvement. Concomitant pulmonary and extra-pulmonary involvement was assessed. RESULTS Abdominal pain (78.1%) followed by fever (42.9%) were the commonest presenting symptoms. Peritoneal TB (77.14%) most commonly presented with a mix of ascites (49.38%), peritoneal (28.40%), and omental involvement (27.16%). Lymphadenopathy (57.1%) most commonly presented as necrotic nodes (81.67%) at mesenteric, peripancreatic, periportal, and upper paraaortic regions. Commonest site of bowel involvement (cumulative of 62.85%) was ileocecal region, with the commonest pattern of involvement being circumferential bowel wall thickening without bowel stratification with mild luminal narrowing. Hepatic (13.33%) and splenic (16.2%) involvement predominantly presented as multiple microabscesses. Adrenal and pancreatic involvement was noted in 4.7% and 1.9% of patients, respectively. 38.1% patients showed concomitant pulmonary and extra-pulmonary TB. CONCLUSION ATB has varied radiological features; however, peritoneal involvement in the form of mild ascites, smooth peritoneal thickening, smudgy omentum, multi-focal bowel involvement, necrotic nodes, and multiple visceral microabscesses point towards a diagnosis of ATB in appropriate clinical setting.
Collapse
Affiliation(s)
- Sneha Satish Deshpande
- Department of Radiology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, 400022, India.
| | - Anagha Rajeev Joshi
- Department of Radiology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, 400022, India
| | - Saurabh Satish Deshpande
- Department of Radiology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, 400022, India
| | - Soyaf A Phajlani
- Department of Radiology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, 400022, India
- Department of Radiology, Government Medical College, Nagpur, 440009, India
| |
Collapse
|
4
|
Awasthi S, Saxena M, Ahmad F, Kumar A, Dutta S. Abdominal Tuberculosis: A Diagnostic Dilemma. J Clin Diagn Res 2015; 9:EC01-3. [PMID: 26155480 DOI: 10.7860/jcdr/2015/13350.5887] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2015] [Accepted: 03/30/2015] [Indexed: 11/24/2022]
Abstract
BACKGROUND Abdominal tuberculosis (TB) is the sixth most common form of extra-pulmonary site of infection after lymphatic, genitourinary, bone and joint, miliary and meningeal TB with a rising incidence in recent years. TB 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. AIM To evaluate the various clinical, radiological and microbiological findings of abdominal tuberculosis and to define the role of histopathological examination in establishing the diagnosis in resource poor settings and to analyze the compliance and response to anti-tubercular treatment. MATERIALS AND METHODS A five year retrospective study (January 2010 to December 2014) was done in a tertiary teaching hospital in Northern India and all the cases diagnosed as abdominal tuberculosis during the study period, were included. The relevant clinical informations, laboratory results, microbiological and radiological investigations were recorded. Histopathological examination of all the resected / excised specimens was done and Ziehl-Neelsen (ZN) staining to detect the tubercular bacilli and Periodic acid-Schiff (PAS) stain to rule out fungal infection was done in all the cases. RESULTS Out of 48 cases with abdominal tuberculosis, the average age of presentation was 27.4 years with a slight male predominance (Male:Female=1.4:1). Abdominal pain (100%) was the most common presenting symptom followed by anorexia (98%), fever (88%) and intestinal obstruction (88%). The ileum was the most common site of involvement. All the 45 resected / excised tissue specimens (34 cases of intestinal resection and 11 cases of intesinal, omental and lymph nodes biopsies) showed epithelioid granulomas along with necrosis (in 38 cases) and Langhans giant cells (in 42 cases). Acid Fast Bacilli (AFB) positivity was seen in 5 tissue specimens only. All patients were put on anti-tubercular treatment and majority showed good response to therapy. CONCLUSION Abdominal tuberculosis should be considered as a differential diagnosis in patients with vague GI symptoms. Study of histopathological findings can aid in the diagnosis in the settings where advanced molecular methods of diagnosis are not available, leading to early diagnosis and management.
Collapse
Affiliation(s)
- Seema Awasthi
- Associate Professor, Department of Pathology, Teerthanker Mahaveer Medical College & Research Centre , Moradabad, India
| | - Manoj Saxena
- Assistant Professor, Department of Pathology, Teerthanker Mahaveer Medical College & Research Centre , Moradabad, India
| | - Faiyaz Ahmad
- Assistant Professor, Department of Pathology, Teerthanker Mahaveer Medical College & Research Centre , Moradabad, India
| | - Ashutosh Kumar
- Assistant Professor, Department of Pathology, Teerthanker Mahaveer Medical College & Research Centre , Moradabad, India
| | - Shyamoli Dutta
- Professor, Department of Pathology, Teerthanker Mahaveer Medical College & Research Centre , Moradabad, India
| |
Collapse
|
5
|
Clancy C, Bokhari Y, Neary PM, Joyce M. Diagnosing peritoneal tuberculosis. BMJ Case Rep 2013; 2013:bcr-2013-009871. [PMID: 23784766 DOI: 10.1136/bcr-2013-009871] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
A 37-year-old male healthcare worker presented to the medical assessment unit complaining of a 3-month history of lethargy, weight loss, night sweats and intermittent abdominal discomfort. On examination there was some dullness to percussion at the right lung base and decreased breath sounds. He had mild generalised tenderness in his abdomen. Blood tests were normal. Chest x-ray and CT of the thorax showed small bilateral pleural effusions with no other abnormality. CT of the abdomen and pelvis however, showed ascites with extensive thickening of the peritoneum and marked induration of the mesentery and omentum. Mantoux test was positive. Laparoscopy was undertaken to outrule intra-abdominal malignancy and confirmed the diagnosis of tuberculosis. Peritoneal wall biopsies were taken from which Mycobacterium was isolated confirming peritoneal tuberculosis. He was started on rifampicin, isoniazid, pyrazinamide and ethambutol and completed a 6-month course without further complications.
Collapse
Affiliation(s)
- C Clancy
- Department of General and Gastrointestinal Surgery, University Hospital Galway, Galway, Ireland
| | | | | | | |
Collapse
|
6
|
Can an immunohistochemistry method differentiate intestinal tuberculosis from Crohn's disease in biopsy specimens? Dig Dis Sci 2011; 56:1165-70. [PMID: 20824497 DOI: 10.1007/s10620-010-1399-7] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2010] [Accepted: 08/12/2010] [Indexed: 02/07/2023]
Abstract
BACKGROUND It is sometimes difficult to diagnose whether a patient has intestinal tuberculosis or Crohn's disease because both have similar clinical, pathologic, and endoscopic features. However, their therapies are completely different and a mistake in diagnosis can result with deterioration. Many laboratory methods for the diagnosis of tuberculosis require considerable time to receive a diagnostic result. We wanted to evaluate whether an immunohistochemical tuberculosis staining method can be helpful for faster differentiation of biopsy materials. METHODS We used formalin-fixed paraffin-embedded histologically diagnosed small intestine (n=1), colon (n=7), skin (n=8), lung (n=5), lymph node (n=24) tuberculosis and Crohn's disease (n = 28) biopsy materials only with granulomas. Demographic characteristics like age and gender were also obtained. Pathology specimens were stained immunohistochemically with an antibody to VP-M660, targeting the 38-kDa antigen of Mycobacterium tuberculosis. RESULTS In the M. tuberculosis group, 33/45 of patients have positive immunohistochemistry (IHC) staining (73% sensitivity, 93% specificity), whereas only two of 28 patients have positive staining in the Crohn's group (p<0.001). The positive staining with IHC was detected as 85.7, 75, 75, and 60% in colon, lymph node, skin, and lung granulomas, respectively, in M. tuberculosis patients. CONCLUSIONS Immunohistochemical staining of biopsy specimens with anti-VP-M660 seems to be a simple and fast technique with 73% sensitivity and 93% specificity for establishing an earlier differentiation of M. tuberculosis from Crohn's disease.
Collapse
|
7
|
Abstract
BACKGROUND/AIM Intestinal tuberculosis needs to be considered in the differential diagnosis when patients with intestinal pathology are encountered. Tuberculosis can mimic other disease entities like, ischemic enteritis, inflammatory bowel diseases, malignancies, intussusception etc., clinically as well as morphologically in resected intestinal specimens. We aimed to study the various clinical presentations leading to intestinal resection, with identification of different etiological factors by histopathological examination; and to illustrate, discuss and describe the various histopathological features of the lesions in these resected intestinal specimens with clinicopathological correlation. MATERIALS AND METHODS We studied 100 cases of resected intestinal specimens received during September 2002 to December 2003. We totally encountered 22 request forms with clinical suspicion of ileoceocal tuberculosis. RESULTS Abdominal tenderness and mass in ileoceocal region were noted in all cases. In many instances, the cases were operated for acute/subacute intestinal obstruction. Clinical and intra-operative diagnoses of tubercular enteritis, in many instances, were finally diagnosed histopathologically as ischemic enteritis (nine cases), chronic nonspecific enteritis (four cases), adenocarcinoma of the caecum, Crohn's disease, intussusception (each one case), and correctly as intestinal tuberculosis in only six cases. CONCLUSION Tuberculosis can mimic various disease entities, clinically and sometimes morphologically. Vice versa is also true. An increased awareness of intestinal tuberculosis coupled with varied clinical presentations, nonspecific signs and symptoms, difficulties in diagnostic methods and need of early and specific treatment should improve the outcome for patients with this disease.
Collapse
Affiliation(s)
- Sankappa P. Sinhasan
- Department of Pathology, Hassan Institute of Medical Sciences, Hassan, Karnataka, India,Address for correspondence: Dr. Sankappa Sinhasan, Department of Pathology, Indira Gandhi Medical College & Research Institute (IGMC & RI), Puducherry- 605 009, India. E-mail:
| | - Rekha B. Puranik
- Department of Pathology, Karnataka Institute of Medical Sciences, Hubli, India
| | - Mohan H. Kulkarni
- Department of Pathology, Karnataka Institute of Medical Sciences, Hubli, India
| |
Collapse
|
8
|
Abdominal Tuberculosis in Adult: 10-Year Experience in a Teaching Hospital in Central Taiwan. JOURNAL OF MICROBIOLOGY, IMMUNOLOGY, AND INFECTION = WEI MIAN YU GAN RAN ZA ZHI 2010; 43:395-400. [DOI: 10.1016/s1684-1182(10)60062-x] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/30/2009] [Revised: 07/12/2009] [Accepted: 08/20/2009] [Indexed: 11/18/2022]
|
9
|
Abstract
OBJECTIVE Reports suggest that the rates of tuberculosis (TB) continue to rise in the UK and throughout the world. The spread of the disease is aided by poverty, overcrowding, co-infection with human immunodeficiency virus and drug resistance. Consistent with the overall trend, intra-abdominal and gastrointestinal (GI) TB rates are rising. Tuberculosis is a treatable disease, whether occurring in the lungs or at extra-pulmonary sites but the nonspecific features of the disease result in difficulty in establishing a diagnosis. In this report, we have concentrated on the benefits and potential pitfalls of diagnostic methods. METHOD A literature review was performed using the National Library of Medicine's Pubmed Database using the keywords diagnosis, management, abdominal and GI TB. RESULTS Abdominal TB presents a particular challenge, as the diverse features of the disease do not readily suggest a particular diagnosis and diagnostic delays lead to significant morbidity and mortality. A number of investigative methods have been used to aid in the diagnosis of abdominal and GI TB. CONCLUSION The nonspecific presentation of abdominal and GI TB present challenges in the diagnosis of this increasingly common disease. A high index of suspicion is an important factor in early diagnosis. After a diagnosis has been established, prompt initiation of treatment helps prevent morbidity and mortality.
Collapse
Affiliation(s)
- S Rasheed
- St Mark's Hospital, Harrow, Middlesex, UK
| | | | | | | | | |
Collapse
|
10
|
Rabenandrasana HA, Ahmad A, Samison LH, Vololonantenaina C, Andrianandrasana A, Murata K. Child primary tubercular appendicitis. Pediatr Int 2004; 46:374-6. [PMID: 15151563 DOI: 10.1111/j.1442-200x.2004.01904.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- H A Rabenandrasana
- Department of Radiology, Shiga University of Medical Science, Shigaken, Japan.
| | | | | | | | | | | |
Collapse
|
11
|
Sinan T, Sheikh M, Ramadan S, Sahwney S, Behbehani A. CT features in abdominal tuberculosis: 20 years experience. BMC Med Imaging 2002; 2:3. [PMID: 12427257 PMCID: PMC139990 DOI: 10.1186/1471-2342-2-3] [Citation(s) in RCA: 61] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2002] [Accepted: 11/12/2002] [Indexed: 12/11/2022] Open
Abstract
BACKGROUND: Abdominal tuberculosis (TB) is endemic in the developing world and is reemerging in the West. Since computed tomography (CT) has the ability to demonstrate changes in the peritonium, mesentry, lymphnodes, bowel and solid organs and is being increasingly used for primary evaluation of abdominal conditions, it is important to be familiar with the CT features of the disease. METHODS: CT findings were retrospectively analysed in 49 patients with proved abdominal TB. Patients with genitourinary TB and with AIDS/HIV were not included in the study. RESULTS: Peritoneal involvement was the most common feature (77.5%) with ascites (wet peritonitis) seen in more than half the cases (55.2%). The rest showed peritoneal, mesenteric or omental thickening or mass formation but no ascites (dry peritonitis). Other findings included lymphadenopathy (46.9% mainly of diffuse nature, bowel wall thickening (38%) and solid organ involvement (20.4%). CONCLUSIONS: CT reliably demonstrates the entire range of findings which need interpretation in the light of clinical and laboratory data.
Collapse
Affiliation(s)
- Tariq Sinan
- Department of Radiology, Kuwait University, Jabriya, Kuwait
| | - Mehraj Sheikh
- Department of Radiology, Kuwait University, Jabriya, Kuwait
| | | | | | | |
Collapse
|
12
|
Ahmed A, Pereira SP, Steger A, Starke I. Abdominal tuberculosis: the great mimic. HOSPITAL MEDICINE (LONDON, ENGLAND : 1998) 2001; 62:368-9. [PMID: 11436448 DOI: 10.12968/hosp.2001.62.6.1597] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
A 22-year-old woman, who had immigrated from India 2 years earlier, presented to casualty in May 1997 with cough and atypical chest pain. Sputum microscopy was positive for acid-fast bacilli, there was an equivocal right apical shadow on chest X-ray and she had a grade three Heaf test. Consequently, she was commenced on triple antituberculous therapy, but this was stopped 2 months later on the advice of the Mycobacterial Reference Laboratory when Mycobacterium fortuitum (a presumed contaminant) was isolated from one sputum culture.
Collapse
Affiliation(s)
- A Ahmed
- Department of Gastroenterology, Middlesex Hospital, London W1N 8AA
| | | | | | | |
Collapse
|
13
|
Hershman MJ. Tropical infections can mimic common western European diseases. HOSPITAL MEDICINE (LONDON, ENGLAND : 1998) 2001; 62:326. [PMID: 11436435 DOI: 10.12968/hosp.2001.62.6.1584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
With increasing international travel and migration, clinicians must have an increased awareness of tropical illnesses. Four case reports in this issue emphasize that these conditions can be difficult to diagnose and can mimic common Western European diseases, including disseminated carcinoma.
Collapse
|
14
|
Lane JE, Barron TD, Solis MM, Tench DW, Stephens JL. Tuberculous Enteritis: A Case Report. Am Surg 2000. [DOI: 10.1177/000313480006600716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
Tuberculous enteritis is an unusual diagnosis in the United States. Because this entity is rare and the symptoms are not specific, the physician must have a high index of suspicion. We report the case of a young man with tuberculous involvement of the gastrointestinal tract who required surgical intervention for small bowel obstruction.
Collapse
Affiliation(s)
| | | | | | - Daniel W. Tench
- Department of Pathology, Department of Internal Medicine, Mercer University School of Medicine, Medical Center of Central Georgia, Macon, Georgia
| | - Jeffrey L. Stephens
- Division of Infectious Disease, Department of Internal Medicine, Mercer University School of Medicine, Medical Center of Central Georgia, Macon, Georgia
| |
Collapse
|
15
|
Datta S, Vincent PJ, Singh Y, Bhalla VP, Mani NS. TUBERCULOUS PERITONITIS IN A HERNIAL SAC. Med J Armed Forces India 2000; 56:163-164. [PMID: 28790686 DOI: 10.1016/s0377-1237(17)30139-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Affiliation(s)
- Sgs Datta
- Clinical Tutor, Armed Forces Medical College, Pune 411 040
| | - P J Vincent
- Associate Professor, Armed Forces Medical College, Pune 411 040
| | - Y Singh
- Professor and Head, Armed Forces Medical College, Pune 411 040
| | - V P Bhalla
- Reader and Surgical Gastroenterologist, Department of Surgery, Armed Forces Medical College, Pune 411 040
| | - N S Mani
- Reader, Department of Pathology, Armed Forces Medical College, Pune 411 040
| |
Collapse
|
16
|
McLaughlin S, Jones T, Pitcher M, Evans P. Laparoscopic diagnosis of abdominal tuberculosis. THE AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY 1998; 68:599-601. [PMID: 9715139 DOI: 10.1111/j.1445-2197.1998.tb02108.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Abdominal tuberculosis (TB) is an uncommon condition in Western societies although Europe and America have noted an increase of this condition in immigrants and AIDS patients. This report documents three diagnosed cases of abdominal TB over a 12-month period in a Melbourne western suburbs teaching hospital which services a large migrant population. We also review the literature on this condition. If migrants present with diffuse abdominal symptoms, the diagnosis of abdominal tuberculosis should always be considered. Laparoscopy should replace diagnostic laparotomy as the definitive diagnostic tool.
Collapse
Affiliation(s)
- S McLaughlin
- Department of Surgery, Western Hospital, Footscray, Victoria, Australia
| | | | | | | |
Collapse
|
17
|
Abstract
Tuberculosis has staged a global comeback and forms a dangerous combination with AIDS. The abdomen is one of the common sites of extrapulmonary involvement. Patients with abdominal tuberculosis have a wide range and spectrum of symptoms and signs; the disease is therefore a great mimic. Diagnosis, mainly radiological and supported by endoscopy, is difficult to make and laparotomy is required in a large number of patient. Management involves judicious combination of antitubercular therapy and surgery which may be required to treat complications such as intestinal obstruction and perforation. The disease, though potentially curable, carries a significant morbidity and mortality.
Collapse
Affiliation(s)
- V K Kapoor
- Department of Surgical Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
| |
Collapse
|
18
|
Kaplanski G, Granel B, Payan MJ, Sielezneff I, Folchetti G, Durand JM, Sastre B, Soubeyrand J. [Fistulated sigmoid pseudodiverticulitis of tuberculous origin]. Rev Med Interne 1998; 19:447-8. [PMID: 9775190 DOI: 10.1016/s0248-8663(98)80873-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
19
|
Gould SW, Hare A, Banwell P, Glazer G. Enterocutaneous fistulae in an African woman. J R Soc Med 1997; 90:160-1. [PMID: 9135618 PMCID: PMC1296185 DOI: 10.1177/014107689709000314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Affiliation(s)
- S W Gould
- Department of General Surgery, St Mary's Hospital, London, England
| | | | | | | |
Collapse
|
20
|
Affiliation(s)
- C R Paul
- Department of Pediatrics, Children's Hospital of Michigan, Detroit 48201-2196, USA
| | | | | |
Collapse
|
21
|
Faccin M, Youssef SR, Mozetic V, Catapani WR. Inguinal hernia incarceration as a form of intestinal tuberculosis. SAO PAULO MED J 1996; 114:1097-9. [PMID: 8984586 DOI: 10.1590/s1516-31801996000100007] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
We report the case of a 41 year-old male who came to the emergency room with a complaint of abdominal pain, and was diagnosed to have an acute obstructive abdomen due to a right inguinal hernia incarceration. During surgery, an intestinal granulomatous inflammation was observed adhered to the hernial sac. The histopathologic study confirmed the diagnosis of tuberculosis. We present a review of the different clinical forms of intestinal tuberculosis and the difficulties encountered in the differential diagnosis of such, emphasizing the uncommon presentation described in our patient.
Collapse
Affiliation(s)
- M Faccin
- College of Medicine of the University Foundation of ABC (UFABC), São Paulo, Brazil
| | | | | | | |
Collapse
|
22
|
Wilbur AC, Gorodetsky AA, Hibbeln JF, Aizenstein RI. Tuberculous myositis: CT and sonographic findings in two cases. JOURNAL OF CLINICAL ULTRASOUND : JCU 1995; 23:495-499. [PMID: 7499520 DOI: 10.1002/jcu.1870230806] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Affiliation(s)
- A C Wilbur
- Department of Radiology, University of Illinois College of Medicine, Chicago, USA
| | | | | | | |
Collapse
|