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Abdominal Tuberculosis

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Abdominal TB

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Abdominal Tuberculosis

  1. 1. Abdominal Tuberculosis
  2. 2. 70% of patients with advanced pulmonary disease acquired gastrointestinal tuberculosis from swallowing infectious secretions
  3. 3. Main types • GI TB • Mesenteric lymph node TB • Retroperitoneal cavity TB • Peritoneal TB
  4. 4. Symptoms • Abdominal pain • Nausea • Loss of appetite • Low grade fever • GI dysfunction • Ascites • Diarrhea • Constipation
  5. 5. Esophagus • From adjacent casous node
  6. 6. Stomach • Ulcerative, gastric outlet obstruction • Duodenal disease causes same symptoms
  7. 7. Small Bowel • Perforation, obstruction, fistula, hemorrhage, malabsorption
  8. 8. Ileocecal Area • Typical site of TB • Pain • Anorexia • Diarrhea • Palpable mass
  9. 9. Tuberculous peritonitis results either from spread of adjacent tuberculous disease such as an abdominal lymph node, intestinal focus, or fallopian tube, or during miliary tuberculosis.
  10. 10. Symptoms • Ascites • Weight loss • Abdominal pain • Fever Peritoneal fluid is exudative, with high amount of lymphocytes
  11. 11. Diagnosis • Anamnesis • Biochemistry test • Endoscopy • Biopsy • Mantoux test • Chest X-ray • Abdominal X-ray • Ultrasound • Ascitic fluid examination Anemia, raised ESR, hypoalbumenemia, leucopenia with relative lymphocytosis, normal serum transminase level
  12. 12. Differential Diagnosis • Malabsorption - Coeliac disease - Lymphoma - Immunoproliferative small intestinal disease • Mass - Appendicular mass - Crohn’s disease - Carcinoma - Lymphoma • Ascites - Cardiac disease - Renal disease - Hepatic disease

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