Академический Документы
Профессиональный Документы
Культура Документы
discussions, stats, and author profiles for this publication at: https://www.researchgate.net/publication/282290502
CITATIONS READS
0 62
1 author:
Nnamdi Nwashilli
University of Benin Teaching Hospital
16 PUBLICATIONS 2 CITATIONS
SEE PROFILE
Some of the authors of this publication are also working on these related projects:
All content following this page was uploaded by Nnamdi Nwashilli on 06 October 2015.
*Corresponding author
E-mail: namoforever@yahoo.com
Mobile Phone: +2348037214386
ABSTRACT
Abdominal tuberculosis is one of the most common types of extra-pulmonary tuberculosis
and accounts for 3-4% of the extra-pulmonary tuberculosis. Abdominal tuberculosis can
mimic a variety of other abdominal diseases; hence a high index of suspicion is required to
make the diagnosis.
One of the complications of abdominal tuberculosis is intestinal obstruction, which can be
acute, chronic or acute on chronic. Other complications include intestinal haemorrhage,
perforation of the intestine (rare), faecal fistula, cold abscess formation, mal-absorption
syndrome and dissemination of the tuberculosis to other areas of abdomen and extra-
abdominal sites. The presence of intestinal obstruction may be an indication for surgery if the
obstruction is complete. However, in partial obstruction, treatment with anti-tuberculous
drugs may lead to resolution of the obstruction.
We present four cases of abdominal tuberculosis that presented with partial intestinal
obstruction that were successfully treated with anti-tuberculous therapy without recourse to
surgical treatment.
* Corresponding Author 1
N.J Nwashilli et al
Fig 1: Picture of Case 2 at presentation with massive ascites causing abdominal swelling
Fig 3: Picture of the same Patient after three months on anti-tuberculous drugs showing
resolution of the abdominal swelling.
Monocyte
Platelet (/μL)
Erythrocyte - 20 66 14
Sedimentation
Ratio
Electrolytes, Normal Normal Normal Normal
urea and
Creatinine
Liver function Normal Normal - Normal
test
Serum 7.2 - - -
protein(g/dl)
Mantoux (mm) No reaction 10 (positive) 16 (positive) 7 (positive)
Ascitic fluid:
Colour Straw Straw Straw Straw
Acid fast bacilli +++ ++ None None
Culture No growth No growth No growth No growth
Cytology Reactive - - -
mesothelia
hyperplasia
HIV test Negative Negative Negative Negative
Sputum:
Microscopy - - - Gram + cocci,
Gram – cocci
10. Rita S. Diagnosis of abdominal 14. Kedar RP, Shah PP, Shivade RS,
tuberculosis: role of imaging. Malde HM. Sonographic findings
Journal Indian Academy of in gastrointestinal and peritoneal
Clinical Medicine 2001; 2: 169- tuberculosis. Clin Radiol 1994; 49:
177. 24-29.
11. Sanai et al. Abdominal 15. Gulati MS, Sarma D, Paul SB. CT
tuberculosis. Aliment Pharmacol appearances in abdominal
Ther 2005; 22: 685-700. tuberculosis. A pictorial assay. Clin
12. Kaoor VK, Chattopadhyay TK, Imaging 1999; 23: 51-59.
Sharma LK. Radiology of 16. Anand BS, Nanda R, Sachdev GK.
abdominal tuberculosis. Australas Response of tuberculosis stricture
Radiol 1998; 32: 365-367. to anti-tuberculosis treatment. Gut
13. Tandon RK, Sarin SK, Bose SL, 1998; 29: 62-69.
Berry M, Tandon BN. A clinico- 17. Balasubramanian R,
radiological re-appraisal of Ramachandran R, Joseph PE et al.
intestinal tuberculosis- changing Interim results of a clinical study of
profile? Gastroenterol Jpn 1986; abdominal tuberculosis. Indian J
21: 17-22. Tuberc 1998; 36: 117-121.