Online ISSN: 2515-8260

Keywords : Abdominal Tuberculosis

To study the clinical diagnosis of abdominal tuberculosis

Dr. Deepak Shrivastav, Dr. Sharad Sahu, Dr. Omkar Thakur, Dr. Archana Srivastava, Dr. Akhilesh Ratnakar

European Journal of Molecular & Clinical Medicine, 2023, Volume 10, Issue 3, Pages 717-723

From the beginning of time, tuberculosis (TB) has been one of the most significant contributors to poor health, and now it is one of the most common infectious agent that results in mortality. While it most often affects the lungs, it may also manifest in other locations. Around 45 percent of the world's TB burden may be attributed to the Indian subcontinent. Around fifteen percent of all cases of tuberculosis are classified as extrapulmonary tuberculosis (EPTB).
Aims and objective: To study the clinical diagnosis of abdominal tuberculosis
Materials and methods: It was determined that abdominal TB affected 50 individuals. Each patient had a full battery of diagnostic procedures, including an in-depth interview and physical examination, blood work (including a complete blood count and erythrocyte sedimentation rate [ESR]), regular biochemical testing, a skin test [Mantoux], a chest X-ray, and an (USG).
Results: There were 50 patients with abdominal TB (mean age 35.25±3.69 years; 20 females, 30 men). It showed that abdominal discomfort and weight loss were the most common of them. Anemia was found in 35 patients, which is 70% of the total, an increased ESR was found in 33 patients, which is 66% of the total, and hypoalbuminaemia was found in 25 patients, which is 50% of the total. Additional results included leucocytosis in three individuals (representing 6%), a positive CRP in nine patients (representing 18%), and increased transaminases in eleven patients (representing 22%). Four of these 12 patients were chronic HBV carriers, two of them had immunity to HBV, and two of them tested positive for anti-HCV antibodies. Seven individuals, or 14%, had completely normal results on all of their laboratory testing. Ten (or twenty percent) of the patients had positive results from the Mantoux skin test. Ascites was present in 21(42%) of the cases. The ascitic fluid analysis that was done on those individuals revealed that it had an exudative nature. Moreover, acid-fast bacilli were discovered in the smear of just one patient, and BacTec was only used to culture the ascitic fluid of one patient (4%).
Conclusion: When it comes to the diagnosis of abdominal tuberculosis, neither the clinical symptoms, laboratory, radiographic, and endoscopic procedures, nor the bacteriological and histological results give a gold standard by themselves.
Ascites, abdominal tuberculosis, CRP

The Importance of Laparoscopy in diagnosing Abdominal Tuberculosis

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 7450-7458

Background: Tuberculosis (TB) is a common disease world wide, affecting one third of the whole population especially in developing countries.Rate of the cases vary depending on numerous factors such as age, sex, race, socioeconomic status and geographic location, which are important in the prevalence of the disease.
Gastrointestinal TB remains one of the commonest and most difficult disease globally as far as diagnosis is concerned
Methods: This retrospective study was conducted on 20 patients in General Surgery Ward, at Dr. D.Y. Patil Hospital and Research Centre, Pune for a period of 1 year who were diagnosed as Abdominal Tuberculosis. Diagnostic Laproscopy followed by biopsy was done in all the patients and aimed at finding the possible role of diagnostic laparoscopy in patients with high degree of suspicion for diagnosing and resorting to early anti-tubercular treatment as well as avoiding laparotomies as a surgical intervention in cases of abdominal tuberculosis.
Results: In the following study, 20 patients of abdominal tuberculosis underwent diagnostic laproscopy followed by biopsy. Most common symptom was pain abdomen and most common affected organ was ileo-caecal junction. Only 50% cases required intraoperative procedures such as adhesiolysis and stricturoplasty and Resection and anastomosis
Conclusions: Diagnosis of abdominal tuberculosis is always a dilemma and presents as a challenge due to its non-specific clinical presentations.
Laparoscopy is safe, reliable, minimally invasive and effective in cases presenting as a diagnostic dilemma.

Abdominal Tuberculosis in Children- A Case Report

Isaac Bahai Arthur, Lisa-Pierre Tchoungui,Sheila Takyiwaa-Gyedu, Abigail Abiba Fuseini,Sourav Bansal

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 1992-1995

Abdominal tuberculosis (TB) is a rare manifestation of TB and constitutes approximately
12% of extrapulmonary TB cases. Abdominal TB prevalence is relatively high in children
and immunocompromised patients. Diagnosis of abdominal TB is often delayed in
developing countries due to the lack of specific symptoms and proper diagnostic tests