Jove
Visualize
Contact Us

Related Experiment Videos

Abdominal tuberculosis.

N O Aston1, A M de Costa

  • 1Department of Surgery, Lewisham Hospital, London.

The British Journal of Clinical Practice
|February 1, 1990
PubMed
Summary

Abdominal tuberculosis (TB) disproportionately affects immigrants and younger individuals, often presenting with acute or chronic symptoms requiring surgical intervention. Early diagnosis improves outcomes, though non-surgical treatment can be effective.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Traumatic pseudocyst of the spleen.

Journal of the Royal Society of Medicine·2000
Same author

Sucking injury or gas gangrene?

Annals of the Royal College of Surgeons of England·1999
Same author

Abdominal tuberculosis.

World journal of surgery·1997
Same author

The distribution of atherosclerosis in the lower limbs.

European journal of vascular surgery·1992
Same author

Duodenal ulcer hemorrhage in the puerperium.

Canadian journal of surgery. Journal canadien de chirurgie·1991
Same author

A modified technique of pre-operative aortography to demonstrate the complete arterial tree of the lower limb.

The Journal of cardiovascular surgery·1991
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Surgical Oncology

Background:

  • Abdominal tuberculosis (TB) is a significant global health challenge, particularly in endemic regions.
  • Diagnosis can be complex, often mimicking other gastrointestinal conditions.
  • Immigrant populations and younger adults are frequently affected.

Purpose of the Study:

  • To analyze the clinical presentation, diagnostic challenges, and management outcomes of abdominal tuberculosis.
  • To evaluate the role of surgery versus conservative management in abdominal TB.
  • To identify demographic and clinical factors associated with abdominal TB.

Main Methods:

  • Retrospective review of 28 patients diagnosed with abdominal tuberculosis over a four-year period.
  • Analysis of surgical interventions (emergency and elective laparotomy) and non-surgical management.
  • Evaluation of pre-operative diagnostic accuracy, histological and microbiological findings, and patient outcomes.

Main Results:

  • The majority of patients (24/28) were immigrants, and 22 were under 45 years old.
  • Surgical intervention was required in 24 patients; pre-operative diagnosis was higher in elective cases (75%) than emergency cases (10%).
  • Common presentations included perforated ileal strictures (30% of acute cases), hyperplastic ileocaecal disease, and tuberculous peritonitis. Histology confirmed TB in 23 patients, while cultures were positive in only four. A single fatality occurred in an elderly patient with a perforated ileal stricture. Four patients managed non-surgically responded rapidly to antituberculous drugs.

Conclusions:

  • Abdominal tuberculosis presents diagnostic challenges, especially in emergency settings.
  • Surgical management is frequently necessary, but non-surgical treatment with antituberculous drugs can be effective for selected patients.
  • Prompt diagnosis and appropriate management are crucial for favorable outcomes in abdominal TB.

Related Experiment Videos