Abdominal tuberculosis presenting as mass per abdomen: a case report
Abstract
Tuberculosis (TB) can involve any part of the gastrointestinal tract, the peritoneum, lymphnodes and the pancreatobiliary system. The primary site of TB is usually lung, from where it disseminates to other parts of the body. TB of the gastrointestinal tract is the sixth most frequent form of extrapulmonary tuberculosis. The incidence of abdominal tuberculosis in children in India is estimated to be 2.2 million as in the year 2014 and India has the world’s largest tuberculosis cases of around 26%. It can have a varied presentation and can mimic any abdominal pathology. A high index of suspicion is an important factor in early diagnosis. Here we present a case of abdominal tuberculosis who presented as mass per abdomen.
Downloads
References
2. World Health Organization. Global tuberculosis report 2015. Geneva: WHO. 23 Oct; 2015.
3. Paustian FF. Tuberculosis of the intestine. In: Bockus HL, editor. Gastroenterology, vol.11, 2nd ed. Philadelphia : W.B. Saunders Co.; 1964 p. 311.
4. Mukewar S, Mukewar S, Ravi R, Prasad A, S Dua K. Colon tuberculosis: endoscopic features and prospective endoscopic follow-up after anti-tuberculosis treatment. Clin Transl Gastroenterol. 2012 Oct 11;3:e24. doi: 10.1038/ctg.2012.19.
5. Sanai FM, Bzeizi KI. Systematic review: tuberculous peritonitis--presenting features, diagnostic strategies and treatment. Aliment Pharmacol Ther. 2005 Oct 15;22(8):685-700.
6. de Jesus LE, Marques AM, Rocha MS, Brom BR, Siqueira RR. Left colon stenosis caused by tuberculosis. J Pediatr Surg. 2004 Oct;39(10):e5-7. [PubMed]
7. Bhansali SK. Abdominal tuberculosis. Experiences with 300 cases. Am J Gastroenterol. 1977 Apr;67(4):324-37. [PubMed]
8. Khan R, Abid S, Jafri W, Abbas Z, Hameed K, Ahmad Z. Diagnostic dilemma of abdominal tuberculosis in non-HIV patients: an ongoing challenge for physicians. World J Gastroenterol. 2006 Oct 21;12(39):6371-5. [PubMed]
9. Aston NO. Abdominal tuberculosis. World J Surg. 1997 Jun;21(5):492-9. [PubMed]
10. Sharma MP, Bhatia V. Abdominal tuberculosis. Indian J Med Res. 2004 Oct;120(4):305-15. [PubMed]
11. Wilkins EG. Tuberculosis peritonitis: diagnostic value of the ascitic/blood glucose ratio. Tubercle. 1984 Mar;65(1):47-52.
12. Bhargava DK, Gupta M, Nijhawan S, Dasarathy S, Kushwaha AK. Adenosine deaminase (ADA) in peritoneal tuberculosis: diagnostic value in ascitic fluid and serum. Tubercle. 1990 Jun;71(2):121-6.
13. Erdog˘an et al. Abdominal tuberculosis case mimicking abdominal mass. Annals of Pediatric Surgery 2013;9:81-3.
14. Sharma K, Sinha SK, Sharma A, Nada R, Prasad KK, Goyal K, Rana SS, Bhasin DK, Sharma M. Multiplex PCR for rapid diagnosis of gastrointestinal tuberculosis. J Glob Infect Dis. 2013 Apr;5(2):49-53. doi: 10.4103/0974-777X.112272.
Copyright (c) 2017 Author (s). Published by Siddharth Health Research and Social Welfare Society
This work is licensed under a Creative Commons Attribution 4.0 International License.
OAI - Open Archives Initiative
