SavedAdd your journal

Journals / Haydarpaşa Numune Medical Journal / 2019 / Cilt: 59 - Sayı: 3

Primary versus Secondary Abdominal Tuberculosis as the Great Mimicker of many Diseases in General Surgery

ADNAN HUT
Pages
235–243
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Although primary and secondary AT seem to share many similar characteristics, they also have statistically significant differences from each other.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Introduction: Nonspecific characteristics of abdominal tuberculosis (AT) help the disease to mimic a grade scale of intraperitoneal conditions from cancer to inflammation.
📊
Key Findings & Data:A significant burden arises from the diagnostic challenge also contributes to the deterioration of the conditions, which necessitates a higher than normal level of suspicion.
💡
Conclusion & Impact:Although primary and secondary AT seem to share many similar characteristics, they also have statistically significant differences from each other.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Introduction: Nonspecific characteristics of abdominal tuberculosis (AT) help the disease to mimic a grade scale of intraperitoneal conditions from cancer to inflammation. A significant burden arises from the diagnostic challenge also contributes to the deterioration of the conditions, which necessitates a higher than normal level of suspicion. Methods: Patients with AT who had no evidence of tuberculosis on lung imaging or anamnesis were evaluated in the primary AT (Group 1) group. Patients with AT who were found to have tuberculosis in lung imaging tests, anamnesis or another organ or in another part of the body and who had AT were examined in the secondary AT (Group 2) group. These two groups were compared with various parameters. Results: Of the 14 patients, who formed the primary AT group, eight of them were female, and six of them were male. Of the 36 patients who formed the secondary AT group, 18 were female, and 18 were male. The mean age of the primary AT group was significantly lower than the secondary AT group (p=0.027). The mean hematocrit value of the primary AT group was significantly lower than the secondary AT group (p=0.015). It was observed that the distribution of the presence of ascites in CT in the secondary AT group was significantly higher than the primary AT group (p=0.019). The presence of fever in the primary AT group was observed to be significantly higher than the secondary AT group (p=0.046). Presence of cough in secondary AT group was found to be statistically significantly higher (p=0.021). Discussion and Conclusion: Aging of all populations worldwide, drug resistance, increased number of immigrants and immunocompromised patients, all resulted in a minor pandemic of AT in all geographies. Although primary and secondary AT seem to share many similar characteristics, they also have statistically significant differences from each other.

🔖

Cite This Article

HUT, A. (2019). Primary versus Secondary Abdominal Tuberculosis as the Great Mimicker of many Diseases in General Surgery. Haydarpaşa Numune Medical Journal, Cilt: 59 - Sayı: 3, 235–243. https://ajindex.com/articles/186267

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Ahmad R, Changeez M, Khan JS, Qureshi U, Tariq M, Malik S, et al. Diagnostic accuracy of peritoneal fluid genexpert in the diagnosis of intestinal tuberculosis, keeping histopathology as the gold standard. Cureus 2018;10:3451
  2. Prabhudesai R, Lawande D, Gondal G, Keny S. Primary hepatic tuberculosis masquerading as intrahepatic cholangiocarcinoma. Indian J Tuberc 2019;66:310–3
  3. Soni H, Bellam BL, Rao RK, Kumar PM, Mandavdhare HS, Singh H, et al. Use of steroids for abdominal tuberculosis: a systematic review and meta-analysis. Infection 2019;47:387–94
  4. Krishnamurthy G, Rajendran J, Sharma V, Kumar H, Singh H. Incidental peritoneal tuberculosis: surgeon's dilemma in endemic regions. Ther Adv Infect Dis 2018;5:97–102
  5. Singh H, Krishnamurthy G, Rajendran J, Sharma V, Mandavdhare H, Kumar H, et al. Surgery for abdominal tuberculosis in the present era: experience from a tertiary-care center. Surg Infect (Larchmt) 2018;19:640–5
  6. Shreshtha S, Ghuliani D. Abdominal tuberculosis: A retrospective analysis of 45 cases. Indian J Tuberc 2016;63:219–24
  7. Afridi SP, Siddiqui RA, Rajput A, Alam SN. Spectrum of abdominal- tuberculosis in emergency surgery: 100 cases at a tertiary care Centre Dow University of Health Sciences and Civil Hospital Karachi, Pakistan. J Pak Med Assoc 2016;66:1173–5
  8. Makharia GK, Ghoshal UC, Ramakrishna BS, Agnihotri A, Ahuja V, Chowdhury SD, et al. Intermittent directly observed therapy for abdominal tuberculosis: a multicenter randomized controlled trial comparing 6 Months Versus 9 Months of Therapy. Clin Infect Dis 2015;61:750–7
  9. Qureshi AU, Khan HM, Gondal KM.Duodenal perforation in a 14-year-old boy with abdominal tuberculosis despite being on antituberculous treatment. Indian J Surg 2010;72:69–70
  10. Merali N, Chandak P, Doddi S, Sinha P. Non-healing gastroduodenal ulcer: A rare presentation of primary abdominal tuberculosis. Int J Surg Case Rep 2015;6C:8–11
  11. Samant H, Desai D, Abraham P, Joshi A, Gupta T, Rodrigues C, et al. Acid-fast bacilli culture positivity and drug resistance in abdominal tuberculosis in Mumbai, India. Indian J Gastroenterol 2014;33:414–9
  12. Saaiq M, Shah SA, Zubair M. Abdominal tuberculosis: epidemiologic profile and management experience of 233 cases. J Pak Med Assoc 2012;62:704–7
  13. Chalya PL, Mchembe MD, Mshana SE, Rambau PF, Jaka H, Mabula JB. Clinicopathological profile and surgical treatment of abdominal tuberculosis: a single centre experience in northwestern Tanzania. BMC In