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Related Experiment Videos

Abdominal tuberculosis. A 10-year review.

N H Gilinsky, I N Marks, R E Kottler

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |November 19, 1983
    PubMed
    Summary

    Diagnosing abdominal tuberculosis is challenging, often mimicking other conditions. This study highlights the importance of considering tuberculosis in patients with abdominal symptoms, despite varied presentations and sometimes negative diagnostic tests.

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    Area of Science:

    • Gastroenterology
    • Infectious Diseases
    • Clinical Medicine

    Background:

    • Abdominal tuberculosis presents diverse clinical manifestations.
    • Diagnosis is frequently delayed or missed due to nonspecific symptoms.
    • It encompasses intestinal, mesenteric lymphadenitis, and peritoneal forms.

    Purpose of the Study:

    • To present clinical experience with abdominal tuberculosis.
    • To highlight diagnostic challenges and emphasize the importance of considering this diagnosis.
    • To discuss pathogenesis, pathology, and complications.

    Main Methods:

    • Retrospective analysis of 125 patients with abdominal tuberculosis.
    • Review of diagnostic methods including chest radiography and tuberculin skin testing.

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  • Examination of clinical presentation, pathological features, and outcomes.

    • Main Results:

    • Intestinal tuberculosis was diagnosed in 46 patients, mesenteric lymphadenitis in 8, and peritoneal tuberculosis in 71.
    • Ileocaecal tuberculosis was present in 24% of intestinal cases; 37% had distal involvement.
    • Chest radiographs were normal in 38% and tuberculin tests negative in 45% of patients.

    Conclusions:

    • Abdominal tuberculosis often presents atypically, simulating various diseases.
    • Diagnostic difficulties are significant, necessitating a high index of suspicion.
    • Early consideration and diagnosis are crucial for effective management and improved outcomes.