scholarly journals A CLINICAL PRESENTATION AND SURGICAL MANAGEMENT OF ABDOMINAL TUBERCULOSIS AT IMCHRC, INDORE

2019 ◽  
Vol 3 (8) ◽  
Author(s):  
Dr. Anil Kumar Baxi ◽  
Dr. Vasant Dakwale ◽  
Dr. Namrata Mishra
Keyword(s):  
Observational Study ◽  
Acute Abdomen ◽  
Surgical Management ◽  
Prospective Observational Study ◽  
Clinical Presentation ◽  
Surgical Intervention ◽  
Abdominal Tuberculosis ◽  
Acute Presentation ◽  
Different Types

Tuberculosis is an important cause of morbidity in India. Abdominal Tuberculosis is difficult to diagnose. This prospective observational study is based on those patients who were diagnosed to be suffering from Abdominal Tuberculosis only after they presented with an acute abdomen. This study aims to document the nature of different types of acute presentation in Abdominal Tuberculosis according to concerned clinical presentation & surgical management. The study also discusses the indications and extent of surgical intervention. Keywords: Surgical, Abdominal & Tuberculosis.

scholarly journals Is abdominal tuberculosis a surgical problem?

2015 ◽  
Vol 97 (6) ◽  
pp. 414-419 ◽  
Author(s):  
S Pattanayak ◽  
S Behuria
Keyword(s):  
Developing Countries ◽  
Acute Abdomen ◽  
Surgical Intervention ◽  
Abdominal Tuberculosis ◽  
Review Of The Literature ◽  
Diagnostic Challenge ◽  
Comprehensive Review ◽  
Surgical Emergencies ◽  
Different Types ◽  
Global Health Problem

Introduction Abdominal tuberculosis (TB) has always been a diagnostic challenge, even for the astute surgeon. In developing countries, extrapulmonary TB often presents as an acute abdomen in surgical emergencies such as perforations and obstructions of the gut. Abdominal TB in different forms has been found more often as an aetiology for the chronic abdomen. This paper aims to evaluate TB as a surgical problem. Methods A comprehensive review of the literature on abdominal TB was undertaken. PubMed searches for articles listing abdominal TB/different types/diagnosis/treatment (1980–2012) were performed. Results TB is still a global health problem and the abdomen is one of the most common sites of extrapulmonary TB. Presentation may vary from an acute abdomen to a number of different chronic presentations, which can mimic other abdominal diseases. While some may benefit from antitubercular therapy, others may develop surgical problems such as strictures or obstruction, which may necessitate surgical intervention. Conclusions Abdominal TB should always be considered one of the differential diagnoses of acute or chronic abdomen in endemic areas.

Mastoiditis in children: a prospective, observational study comparing clinical presentation, microbiology, computed tomography, surgical findings and histology

2007 ◽  
Vol 167 (5) ◽  
pp. 541-548 ◽  
Author(s):  
Jody Stähelin-Massik ◽  
Mihael Podvinec ◽  
Jens Jakscha ◽  
Othmar N. Rüst ◽  
Johannes Greisser ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Observational Study ◽  
Prospective Observational Study ◽  
Clinical Presentation

scholarly journals Acute toluene intoxication–clinical presentation, management and prognosis: a prospective observational study

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Carlos Rodrigo Camara-Lemarroy ◽  
René Rodríguez-Gutiérrez ◽  
Roberto Monreal-Robles ◽  
José Gerardo González-González
Keyword(s):  
Observational Study ◽  
Prospective Observational Study ◽  
Clinical Presentation

scholarly journals Acute Abdomen—A Clinical Presentation of MIS-C in Children

2021 ◽  
Author(s):  
Emrah Gün ◽  
Tanıl Kendirli ◽  
Edin Botan ◽  
Berrin Demir ◽  
Ergun Ergün ◽  
...  
Keyword(s):  
Acute Abdomen ◽  
Clinical Presentation ◽  
Surgical Intervention ◽  
Clinical Course ◽  
Treatment Options ◽  
Pediatric Intensive Care ◽  
Multiple Organ ◽  
Multiple Organ Dysfunction ◽  
Pathology Reports ◽  
Inflammatory Syndrome

Abstract Objective Multisystemic inflammatory syndrome in children (MIS-C) is characterized by persistent fever, systemic hyperinflammation, and multiple-organ dysfunction. There are a few reports about MIS-C presenting with acute abdomen. The aim of this study is to demonstrate the clinical characteristics and treatment options for MIS-C-related acute abdomen and appendicitis. Methods This was a retrospective study conducted between April 2020 and October 2020 in our pediatric intensive care unit in Turkey. Patients between the ages of 1 month and 18 years who presented with acute abdomen and were ultimately diagnosed with MIS-C were included. Results Seven patients with a median age of 12.5 (interquartile range 10.5–13) years were enrolled. Four were females. The most frequent symptoms were fever, abdominal pain, and vomiting. Three patients had involvement of the appendix that required surgical intervention. All pathology reports were compatible with appendicitis. The other patients also had an acute abdomen. One patient had malignant hyperthermia during induction of anesthesia, so surgery was postponed and medical management was commenced. The clinical picture regressed with immunomodulation. All patients were treated with intravenous immunoglobulin and steroids. Four patients with acute abdomens improved with immunomodulation, and surgery was not needed. Conclusion MIS-C may present with an acute abdomen. Immunomodulation should be considered instead of surgery if the clinical course is not complicated.

scholarly journals Surgical management of abdominal tuberculosis in a tertiary care referral center

2020 ◽  
Vol 7 (3) ◽  
pp. 842
Author(s):  
Subramaniam Swaminathan ◽  
C. S. Naidu ◽  
P. P. Rao
Keyword(s):  
Surgical Management ◽  
Diagnostic Laparoscopy ◽  
Surgical Intervention ◽  
Tertiary Care ◽  
Barium Meal ◽  
Diagnostic Procedures ◽  
Exploratory Laparotomy ◽  
Abdominal Tuberculosis ◽  
Final Diagnosis ◽  
Definitive Management

Background: Abdominal tuberculosis encompasses gastrointestinal, visceral and peritoneal forms of tuberculosis in different proportions. Their clinical presentation and radiological findings are varied and non-specific often warranting surgical intervention either for confirmation of diagnosis or for definitive management.  It is not very clear as of now as to which type of patients would require surgical intervention for diagnosis or treatment of abdominal tuberculosis. This study aims to profile such patients accurately to revalidate the need for surgical intervention in cases of abdominal tuberculosis.Methods: This study is a retrospective descriptive observational study wherein the documents of patients whose final diagnosis was confirmed as ‘Abdominal Tuberculosis’ from January 2011 to December 2013 were analysed. Their demographic and clinical profile, hematological, biochemical and radiological investigations including barium meal follow-through, ultrasonography, CT scan abdomen, colonoscopy and biopsy, HIV status and ascitic fluid analysis were analysed. Patients in whom diagnosis was not confirmed by these investigations, and therefore underwent diagnostic laparoscopy or exploratory laparotomy were studied. Simultaneously, patients in whom, the diagnosis was confirmed, but still underwent surgical intervention for therapeutic purposes were also analysed.Results: It was found that 44 out of 54 patients (81.4%) underwent surgical procedure.  28 (52%) required surgical intervention for confirmation of diagnosis (diagnostic procedures: diagnostic laparoscopy- 21 and exploratory laparotomy- 07) while 16 (29.4%) required therapeutic procedures (emergency- 08; elective- 08).Conclusions: In spite of extensive investigations, many patients of abdominal tuberculosis require surgical management either minimally invasive or otherwise, both for confirmation of diagnosis and for definitive management.

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