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Appendicitis-I: Introduction

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...

Appendicitis

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...

Pulmonary Tuberculosis III

Pulmonary Tuberculosis III

Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:

Appendicitis-II: Diagnostic Studies and Management

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...

Pulmonary Tuberculosis IV

Pulmonary Tuberculosis IV

Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...

Pulmonary Tuberculosis II

Pulmonary Tuberculosis II

Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...

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Updated: Jun 10, 2026

A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients

A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients

Published on: October 25, 2024

Isolated appendicular tuberculosis (TB) presented as peritonitis.

F R Chowdhury¹, M R Amin, K H Khan

¹Atlantic Topaz, Flat-3/B 262, Elephant Road, Dhaka-1205, Bangladesh. mastershakil@hotmail.com

Nepal Medical College Journal : NMCJ

|August 4, 2010

Summary

This summary is machine-generated.

Tuberculosis is a global health issue. This report details the first documented case of isolated appendicular tuberculosis in Bangladesh, presenting with peritonitis.

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Last Updated: Jun 10, 2026

A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients

A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients

Published on: October 25, 2024

Area of Science:

Gastroenterology
Infectious Diseases
Surgical Pathology

Background:

Tuberculosis (TB) remains a significant global health concern, particularly in developing nations.
Extrapulmonary TB affects various organs, with the alimentary system involved in approximately 3.0% of cases.
While ileocecal tuberculosis is common, isolated appendicular tuberculosis is exceptionally rare.

Observation:

A patient presented with peritonitis, a severe inflammation of the abdominal lining.
Diagnostic investigations revealed tuberculosis as the underlying cause of the appendiceal involvement.
This represents the first reported instance of isolated appendicular tuberculosis in Bangladesh.

Findings:

The case confirms the possibility of isolated appendicular tuberculosis.
Appendiceal tuberculosis can manifest with acute peritonitis, mimicking other common surgical emergencies.
Microscopic examination of the appendix confirmed tuberculous granulomas.

Implications:

This case highlights the importance of considering tuberculosis in the differential diagnosis of appendicitis and peritonitis, especially in endemic regions.
Increased awareness may lead to earlier diagnosis and appropriate treatment of this rare condition.
Further epidemiological studies are warranted to understand the prevalence of isolated appendicular tuberculosis in Bangladesh.