E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


A study of 150 cases of intraperitoneal tuberculosis

Jayesh Gohel, Manan Desai, Dinesh Sharma, Nainesh Patel, Uday Raswan.

Abstract
Background: Tuberculosis caused by Mycobacterium tuberculosis is a disease of great antiquity and for a long time it has maintained its evil reputation and being one of the greatest killer diseases of mankind. The symptom of intraperitoneal tuberculosis is generally vague and nonspecific. It may mimic any intra-abdominal disease and can challenge the diagnostic skills. Tuberculosis of the ileocecal region ranks first in the incidence among intestinal/intraperitoneal tuberculosis.

Objective: To know the various modes of presentation; different modalities of diagnosis with special reference to role of laparoscopes and treatment and prognosis in our setup, which helps in better management of these cases thus helping to improve prognosis.

Materials and Methods: This is a clinical study of 150 cases of intraperitoneal tuberculosis admitted to Civil Hospital, Ahmedabad in the year 2006–2009. This study included selection of patient with intraperitoneal tuberculosis on a prospective basis.

Result: Of 150 patients in our study, majority of the patients fall within the middle age group. Ascites and bowel disturbances are the most common symptoms. All patients were either given anti-Koch’s treatment (AKT) only or given AKT along with the surgery (before or after). Majority of the patients who responded to AKT alone were those with pure ascitic forms of tuberculosis. Patients treated with primary surgery included those who presented in the emergency and with complications of surgery or with significant obstructive symptoms. Majority undergo the knife in the form of either right hemicolectomy/ileo-ascending anastomosis or resection and anastomosis of the small intestine for intestinal stricture. Mortalities were 12% in this study, most of the patients who died were coming late stage with septicemia, perforation, peritonitis and associated pneumonia, and respiratory failure.

Conclusion: Majority of the patients who required surgery were diagnosed as intraperitoneal tuberculosis primarily or after given primary AKT trial. All the patients must be given AKT full course as per directly observed treatment short-course under Revised National Tuberculosis Control program to cure the disease.

Key words: Intraperitoneal Koch’s, different treatment strategies, results, complications


 
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REFERENCES
1. Sahoo SP, Sukla HS. Abdominal tuberculosis. In: Tuberculosis, Sharma SK, Mohan A (Eds.). New Delhi, India: Jaypee Brothers, 2004. pp. 187-98.
2. Khan MR, Khan IR, Pal KM. Diagnostic issues in abdominal tuberculosis. J Pak Med Assoc 2001;51(4):138-42.
3. JIMA- volume 101: Number 83-Mach 2003 ISSN00195842-136
4. Eaders M, Zuber MA, Venzke T, Kohler M, Zeitz M, Duchmann R. [Abdominal tuberculosis: a rare differential diagnosis of pancreatic carcinoma.] Dtsch Med Wochenschr 2001;126(13):360-3.
5. Moatter T, Mirza S, Siddiqui MS, Soomro IN. Detection of mycobacterium tuberculosis in paraffin embedded intestinal tissue specimen by polymerase chain reaction characterization of IS6110 element negative strains. J Pak Med Assoc 1998; 48(6):174-8.
6. Suri R, Gupta S, Singh K, Suri S. Ultrasound guided fine needle aspiration cytology in abdominal tuberculosis, Br J Radiol 1998; 71(847):723-7.
7. Aston NO, de Costa AM. Tuberculous perforation of the small bowel. Postgrad Med J 1985;61(713):251-2. [DOI via Crossref]   
8. Chen YM, Lee PY, Perng RP. Abdominal tuberculosis in Taiwan: a report from VeteransÂ’ General Hospital, Taipei. Tuber Lung Dis 1995;76(1):35-8. [DOI via Crossref]   
9. Veeragandham RS, Lynch FP, Canty TG, Collins DL, Danker WM. Abdominal tuberculosis in children: review of 26 cases. J Pediatr Surg 1996;31(1):170-6. [DOI via Crossref]   
10. Kuwajerwala NK, Bapat RD, Joshi AS. Mesenteric vasculopathy in intestinal tuberculosis. Indian J Gastroenterol 1997;16(4):134-6.
11. Wang HS, Chen WS, Su WJ, Lin TC, Jiang JK. The changing pattern of intestinal tuberculosis: 30 yearsÂ’ experience. Int J Tuberc Lung Dis 1998;2(7):569-74.
12. Horvath KD, Whelan RL. Intestinal tuberculosis: return of an old diseases. Am J Gastroenterl 1998;93(5):692-6. [DOI via Crossref]    [Pubmed]   
13. Snell RS. Grants Anatomy. M.D. Phd. 1990. pp. 69-75.
14. Sinnatamby CS. LastÂ’s Anatomy: Regional and Applied, 10th edn. New York: Churchill Livingstone 2000. pp. 246-52.
15. Marshall JB . Tuberculosis of the gastrointestinal tract and peritoneum. Am J Gastroenterol 1993:88(7):989-99.
16. Rangabashyam N. Abdominal tuberculosis. In: Oxford Textbook of Surgery, Morris PJ, Wood WC (Eds.). Oxford University Press, 1994. pp. 2484-92.
17. Mann CV, Russel RCG, Williams NS (Eds.). Bailey and LoveÂ’s Short Practice of Surgery. London, UK: English Language Book Society, 1995.
18. Sochocky S. Tuberculous peritonitis: a review of 100 cases. Am Rev Respir Dis 1967;95(3):398-401.
19. Singh MM, Bhargava AN, Jain KP. Tuberculosis peritonitis: an evaluation of pathogenetic mechanisms, diagnostic procedures and therapeutic measures. N Engl J Med 1969;281(20):1091-4. [DOI via Crossref]    [Pubmed]   
20. Dineen P, Homan P, Grafe WR. Tuberculous peritonitis: 43 yearsÂ’ experience in diagnosis and treatment. Ann Surg 1976:184(6): 717-22.
21. Manohar A, Simjee AE, Haffejee AA, Pettengell KE. Symptoms and investigative findings in 145 patients with tuberculous peritonitis diagnosed by peritoneoscopy and biopsy over a five year period. Gut 1990;31(10):1130-2. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
22. Bhargava DK, Shriniwas, Chopra P, Nijhawan S, Dasarathy S, Kushwaha AK. Peritoneal tuberculosis: laparoscopic patterns and its diagnostic accuracy. Am J Gastroenterol 1992;87(1):109-11.
23. Hyman S, Villa F, Alvarez S, Steigmann F. The enigma of tuberculous peritonitis. Gastroenterology 1962;42:1-6.
24. Aguado JM, Pons F, Casafont F, san Miguel G, Valle R. Tuberculous peritonitis: a study comparing cirrhotic and noncirrhotic patients. J Clin Gastroenterol 1990;12(5):550-4. [DOI via Crossref]    [Pubmed]   
25. Cheng IK, Chan PC, Chan MK. Tuberculosis peritonitis complicating long-term peritoneal dialysis: report of 5 cases and review of the literature. Am J Nephrol 1989;9(2):155-60. [DOI via Crossref]    [Pubmed]   
26. Tribedi D, Gupta DM. Intestinal tuberculosis in Bengal. J Indian Med Assoc 1991;11:41.
27. Ukil AC. Early diagnosis and treatment of intestinal tuberculosis. Indian Med Gaz 1942;77:613-20.
28. Chuttani HK. Intestinal tuberculosis In: Modern Trends in Gastroenterology, Card WI, Creamer B (Eds.). London, UK: Butter Worth, 1970. pp. 309-27.
29. Bhansali SK, Seilina JR. Intestinal obstruction: a clinical analysis of 348 rases. Indian J Surg 1970;32:5770.
30. Bhansali SK. Gastrointestinal perforation: a clinical study of 96 cases. J Postgrad Med 1967;13(1):1-12.

How to Cite this Article
Pubmed Style

Jayesh Gohel, Manan Desai, Dinesh Sharma, Nainesh Patel, Uday Raswan. A study of 150 cases of intraperitoneal tuberculosis. Int J Med Sci Public Health. 2016; 5(3): 559-562. doi:10.5455/ijmsph.2016.22102015209


Web Style

Jayesh Gohel, Manan Desai, Dinesh Sharma, Nainesh Patel, Uday Raswan. A study of 150 cases of intraperitoneal tuberculosis. http://www.ijmsph.com/?mno=206781 [Access: September 17, 2019]. doi:10.5455/ijmsph.2016.22102015209


AMA (American Medical Association) Style

Jayesh Gohel, Manan Desai, Dinesh Sharma, Nainesh Patel, Uday Raswan. A study of 150 cases of intraperitoneal tuberculosis. Int J Med Sci Public Health. 2016; 5(3): 559-562. doi:10.5455/ijmsph.2016.22102015209



Vancouver/ICMJE Style

Jayesh Gohel, Manan Desai, Dinesh Sharma, Nainesh Patel, Uday Raswan. A study of 150 cases of intraperitoneal tuberculosis. Int J Med Sci Public Health. (2016), [cited September 17, 2019]; 5(3): 559-562. doi:10.5455/ijmsph.2016.22102015209



Harvard Style

Jayesh Gohel, Manan Desai, Dinesh Sharma, Nainesh Patel, Uday Raswan (2016) A study of 150 cases of intraperitoneal tuberculosis. Int J Med Sci Public Health, 5 (3), 559-562. doi:10.5455/ijmsph.2016.22102015209



Turabian Style

Jayesh Gohel, Manan Desai, Dinesh Sharma, Nainesh Patel, Uday Raswan. 2016. A study of 150 cases of intraperitoneal tuberculosis. International Journal of Medical Science and Public Health, 5 (3), 559-562. doi:10.5455/ijmsph.2016.22102015209



Chicago Style

Jayesh Gohel, Manan Desai, Dinesh Sharma, Nainesh Patel, Uday Raswan. "A study of 150 cases of intraperitoneal tuberculosis." International Journal of Medical Science and Public Health 5 (2016), 559-562. doi:10.5455/ijmsph.2016.22102015209



MLA (The Modern Language Association) Style

Jayesh Gohel, Manan Desai, Dinesh Sharma, Nainesh Patel, Uday Raswan. "A study of 150 cases of intraperitoneal tuberculosis." International Journal of Medical Science and Public Health 5.3 (2016), 559-562. Print. doi:10.5455/ijmsph.2016.22102015209



APA (American Psychological Association) Style

Jayesh Gohel, Manan Desai, Dinesh Sharma, Nainesh Patel, Uday Raswan (2016) A study of 150 cases of intraperitoneal tuberculosis. International Journal of Medical Science and Public Health, 5 (3), 559-562. doi:10.5455/ijmsph.2016.22102015209





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